HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?
Correct Answer: C
Rationale: Inserting an IV catheter allows for fluid and electrolyte replacement and medication administration, addressing the client's immediate needs due to dehydration and refusal of oral intake. Other actions are less urgent.
Question 2 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 3 of 5
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the nurse to provide in this crisis?
Correct Answer: D
Rationale: Providing clear, actionable guidance by suggesting transportation to the hospital addresses the urgent need to be with the child. Other responses shift focus to the employee's thoughts or seek information that is less immediately relevant in a crisis.
Question 4 of 5
A college student is admitted to the mental health unit following a drug overdose. The student tells the nurse about 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: C
Rationale: Returning to the previous level of functioning addresses the overdose and underlying issues, making it the primary goal. Other options are supportive but not the main focus.
Question 5 of 5
A young adult female client is admitted to the emergency department after being raped in a shopping center parking lot. The client expresses no suicidal ideation, but expresses feelings of self-blame for not taking precautions when going to her car. According to theorists, such as Maslow and Erikson, this client is struggling with which issue?
Correct Answer: C
Rationale: Self-blame suggests a struggle with self-esteem, as the client internalizes fault for the assault, impacting her sense of worth. Other issues are less relevant to her current feelings.