RN Hesi Mental Health Exam 1 | Nurselytic

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RN Hesi Mental Health Exam 1 Questions

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Question 1 of 5

When preparing to administer a domestic violence screening tool to a female client, which statement should the nurse provide?

Correct Answer: C

Rationale: Explaining that screening is routine due to the prevalence of domestic abuse normalizes the process and encourages disclosure. Other statements may assume abuse or feel coercive.

Question 2 of 5

The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's grasp of the discharge teaching, which statement made by the client shows an understanding of the most important self-care goal?

Correct Answer: A

Rationale: Understanding the need to avoid abrupt discontinuation of alprazolam is critical to prevent withdrawal symptoms and rebound anxiety. Other statements are relevant but secondary.

Question 3 of 5

A middle-aged female client with no previous psychiatric history is seen in the mental health clinic because her family describes her as having paranoid thoughts. On assessment, she tells the nurse, 'I want to find out why these people are stalking me!' Which response should the nurse provide?

Correct Answer: B

Rationale: Encouraging elaboration on the client's beliefs provides insight into her delusions without confrontation, aiding assessment. Other responses may escalate distress or invalidate feelings.

Question 4 of 5

During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?

Correct Answer: A

Rationale: A calm, matter-of-fact approach reduces anxiety by providing reassurance and stability, building trust during admission. Developing coping skills, administering sedatives, or asking 'why' are less immediate priorities.

Question 5 of 5

Which client Information indicates the need for the nurse to use the CAGE questionnaire during the admission interview?

Correct Answer: C

Rationale: Daily alcohol consumption raises concerns for dependence, warranting the CAGE questionnaire to assess problematic drinking. Other options do not directly suggest alcohol abuse.

Similar Questions

The healthcare provider prescribes lithium carbonate for a client diagnosed with bipolar, manic depression. It is most important for the nurse to review which laboratory finding prior to beginning the drug therapy?
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?
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?
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client's husband recently lost his job, she feels her employment is essential to the family's survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care?
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?

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