HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 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 about potential misuse, making the CAGE questionnaire appropriate to screen for alcohol use disorder.
Question 2 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 describes the client's rapid, loosely connected ideas, jumping from one thought to another without clear connections.
Question 3 of 5
A client who is 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 during the dressing change fosters trust and ensures the client's physical well-being, critical for those with borderline personality disorder.
Question 4 of 5
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?
Correct Answer: A
Rationale: Waiting for the client to respond allows for a patient-centered approach, respecting the client's pace and giving them the opportunity to express themselves when ready.
Question 5 of 5
A client is discussing feelings related to a recent loss with the nurse. The nurse remains silent when the client says, 'I don't know how I will go on.' What is the reason for the nurse's behavior?
Correct Answer: C
Rationale: Silence is therapeutic, allowing the client time to reflect on and explore their thoughts and feelings, promoting self-discovery and expression.