HESI RN
RN Hesi Mental Health Exam 1 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 for dependence, warranting the CAGE questionnaire to assess problematic drinking. Other options do not directly suggest alcohol abuse.
Question 2 of 5
A 16-year-old female client is admitted to the psychiatric unit and states that she is depressed and anxious. The client appears frail and is wearing baggy clothes. When it is time for lunch, the client states, 'I can't eat, I'm already overweight.' What is the best response by the nurse?
Correct Answer: C
Rationale: Encouraging the client to express feelings about eating promotes therapeutic communication and explores underlying concerns, likely related to body image. Other responses may escalate distress or invalidate feelings.
Question 3 of 5
A client who experiences memory loss is diagnosed with Wernicke encephalopathy caused by alcohol addiction. Which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Thiamine administration is critical for Wernicke encephalopathy to prevent neurological damage due to thiamine deficiency. Counseling, disulfiram, and nutrition are secondary.
Question 4 of 5
A client admitted to the mental health unit starts to shout and scream at the nurse. Which approach is best for the nurse to take?
Correct Answer: B
Rationale: Remaining calm and present helps de-escalate agitation and provides support. Confronting, distracting, or ignoring may escalate the situation or make the client feel unheard.
Question 5 of 5
After several days of being despondent and nonverbal, a female client with depression begins to talk and exhibit energy. Which action should the nurse implement?
Correct Answer: C
Rationale: Sudden behavioral changes in depression may indicate agitation or impulsivity, requiring continuous observation to assess safety and sustainability. Other actions are premature without assessment.