HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?
Correct Answer: D
Rationale: Excessive tiredness (fatigue) is a common symptom of depression. While headaches, back pain, and dizziness may be associated, tiredness is more specifically linked to depressive episodes.
Question 2 of 5
A client with obsessive compulsive disorder (OCD) reports feeling 'driven' to check the locks on the front door at least six times every night. Which response is best for the nurse to provide?
Correct Answer: B
Rationale: Asking about thoughts during compulsive behavior helps understand cognitive processes, aiding cognitive-behavioral therapy for OCD. Other responses do not facilitate this exploration as effectively.
Question 3 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 4 of 5
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the nurse that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: This response acknowledges the distress from the sister's comments while exploring other stressors, promoting therapeutic dialogue. Other responses may invalidate feelings or escalate distress.
Question 5 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.