HESI RN
RN Care Hope Mental Health HESI Questions
Extract:
Question 1 of 5
The nurse observes a client with a history of psychosis repeatedly looking to the side and mumbling responses to no one present in that direction. Which comment is best for the nurse to make?
Correct Answer: D
Rationale: Acknowledging that the client appears to be speaking with someone validates their experience without confirming the reality of the voices, encouraging further communication.
Question 2 of 5
A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Stopping the medication if the effect is not immediate is incorrect, as lorazepam may take time to achieve full effect, and abrupt discontinuation can cause withdrawal.
Question 3 of 5
A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words, and wanders into client's rooms. The nurse decides that the client needs constant observation based on which of these assessment findings?
Correct Answer: B
Rationale: Wandering into client's rooms poses a safety risk to both the client and others, indicating a need for constant observation to prevent potential harm.
Question 4 of 5
A male client with schizophrenia continues to talk to others on the mental health unit using tangential speech. What intervention should the nurse implement?
Correct Answer: B
Rationale: Teaching the client to slow down and focus on the topic by listening to his words is a therapeutic intervention to address tangential speech and improve communication.
Question 5 of 5
An adolescent female with an eating disorder is admitted to the in-patient psychiatric unit. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Allowing the client to select an arts and crafts activity provides a positive, non-food-related outlet for expression, supporting therapeutic engagement.