HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?
Correct Answer: B
Rationale: Reducing noise levels creates a conducive environment for communication and focus. A table may hinder rapport, close proximity may be uncomfortable, and dim lights may hinder engagement.
Question 2 of 5
A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
Correct Answer: A
Rationale: Returning to a previous level of functioning is essential for someone hospitalized due to an overdose as it ensures their safety and stability. Identifying traits, initiating exercise, or discussing relationship needs are secondary to stabilizing the client post-suicide attempt.
Question 3 of 5
A young adult client with a recent diagnosis of bipolar disorder takes lithium carbonate daily. The client informed the school nurse of the desire to live away from home to attend college after graduating in one month. Which information is most important for the nurse to provide the client and his family?
Correct Answer: B
Rationale: Monitoring serum lithium levels is essential to ensure the medication remains within the therapeutic range and to prevent toxicity, critical for a newly diagnosed client.
Question 4 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and lack of motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: D
Rationale: Teaching the client to develop a plan for daily structured activities provides purpose and routine, combating psychomotor retardation and lack of motivation. Other options are less directly effective.
Question 5 of 5
The nurse documents that a male client with schizophrenia is delusional. Which statement by the client confirms this assessment?
Correct Answer: C
Rationale: The nurse at night is trying to poison me with pills' reflects a persecutory delusion, a false belief characteristic of delusional thinking in schizophrenia. Other statements indicate hallucinations.