HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
The nurse is providing teaching to a client and family about schizophrenia before discharge from an inpatient facility. The nurse should instruct the family to notify the healthcare provider when which behavior is observed?
Correct Answer: C
Rationale: Social withdrawal can indicate a potential relapse or worsening of schizophrenia symptoms, requiring prompt attention. Other behaviors are less specific or not directly linked to relapse.
Question 2 of 5
A client, who is wearing dirty clothes and has a foul body odor, comes to the clinic reporting feeling scared because of a stalker. Which action is most important for the nurse to take?
Correct Answer: B
Rationale: Offering a safe place addresses the client's immediate fear and facilitates effective communication. Other actions are secondary to ensuring safety and comfort.
Question 3 of 5
During the initial nursing interview, a client tells the nurse, 'Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?' Which documentation should the nurse enter in the electronic medical record to describe the client's statements?
Correct Answer: B
Rationale: Tangential thinking involves moving between unrelated topics without conclusion, as seen in the client's statements. Thought-blocking, word salad, and incoherent speech do not apply.
Question 4 of 5
A client with a history of schizophrenia is admitted to the psychiatric care unit for aggressive behavior, auditory hallucinations, and potential for self harm. The client has not been taking medications as prescribed and insists that the food has been poisoned and refuses to eat. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Providing food in unopened containers addresses the client's paranoia, increasing trust and willingness to eat. Other interventions may not alleviate concerns or are premature.
Question 5 of 5
The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,C,D
Rationale:
A) Clear, concise instructions help maintain structure and reduce impulsivity.
C) A single room reduces stimulation and promotes rest.
D) Inviting the client for a walk channels excess energy appropriately. Competitive activities (
B) may increase agitation, and suspenseful programs (E) may exacerbate symptoms.