HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
The nurse is providing care for a client diagnosed with a borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the nurse use when changing this client's dressings?
Correct Answer: D
Rationale: A non-judgmental approach prioritizes the client's comfort and builds trust, essential for those with borderline personality disorder. Other actions may distress or are less relevant during dressing changes.
Question 2 of 5
An older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam. During the health assessment, the client reports experiencing of chest pain. Which action should the nurse take first?
Correct Answer: B
Rationale: Obtaining blood pressure assesses cardiovascular status, critical for evaluating chest pain urgency. Other actions are secondary to immediate assessment.
Question 3 of 5
An 18-year-old client is brought to the emergency department with a suspected drug overdose. Which information is most important for the nurse to obtain from the family?
Correct Answer: A
Rationale: Identifying the specific drug ingested is critical for determining appropriate treatment, as different drugs require specific interventions. Other information is important but secondary.
Question 4 of 5
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?
Correct Answer: A
Rationale: Altruism refers to the selfless concern for the well-being of others. In this scenario, the woman is caring for her husband's aging parents despite her recent divorce, demonstrating a selfless act of caring for others. Regression involves reverting to an earlier stage of development in response to stress or conflict. Compartmentalization involves separating conflicting thoughts or emotions to manage stress. Egocentrism refers to a self-centered perspective.
Question 5 of 5
A client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting self injury by shooting. The client reports going through a divorce one year ago, job loss four months ago, and suffering from a breakup of a current relationship last week. Which is the most likely source of this client's current feelings of depression?
Correct Answer: B
Rationale: The client has experienced multiple losses, including divorce, job loss, and breakup, which are significant sources of grief and depression. Frustration, poor self-esteem, and lack of intimate relationships may contribute but are not the primary source described.