HESI RN MENTAL HEALTH EXAM QUESTIONS AND ANSWERS LATEST UPDATE (1500 Q&A)
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Course
HESI RN (HESIRN)
Institution
CHAMBERLAIN COLLEGE OF NURSING
A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority?
A) Advise the client to take frequent sips of water.
B) Instruct the client to avoid driving during initial ...
hesi rn mental health exam questions and answers l
a nurse is admitting a client who has major depres
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HESI RN MENTAL HEALTH EXAM QUESTIONS AND
ANSWERS LATEST UPDATE (1500
Q&A)
1. A 30-year-old sales manager tells the nurse, "I am thinking about a job
change. I don't feel like I am living up to my potential." Which of Maslow's
developmental stages is the sales manager attempting to achieve?
A. Self-Actualization. Correct
B. Loving and Belonging.
C. Basic Needs.
D. Safety and Security.
Self-actualization is the highest level of Maslow's development stages, which is
an attempt to fulfill one's full potential (C). (B) is identifying support systems. (C)
is the first level of Maslow's developmental stages and is the foundation upon
which higher needs rest. Individuals who feel safe and secure (D) in their
environment perceive themselves as having physical safety and lack fear of harm.
2. The nurse observes a client who is admitted to the mental health unit and
identifies that the client is talking continuously, using words that rhyme but
that have no context or relationship with one topic to the next in the
conversation. This client's behavior and thought processes are consistent with
which syndrome?
A. Dementia.
B. Depression.
C. Schizophrenia. Correct
,HESI RN MENTAL HEALTH EXAM QUESTIONS AND
ANSWERS LATEST UPDATE (1500
Q&A)
D. Chronic brain syndrome.
The client is demonstrating symptoms of schizophrenia (C), such as disorganized
speech that may include word salad (communication that includes both real and
imaginary words in no logical order), incoherent speech, and clanging (rhyming).
Dementia (A) is a global impairment of intellectual (cognitive) functions that may
be progressive, such as Alzheimer's or organic brain syndrome (D). Depression
(C) is typified by psychomotor retardation, and the client appears to be slowed
down in movement, in speech, and would appear listless and disheveled.
3. A homeless person who is in the manic phase of bipolar disorder is admitted
to the mental health unit. Which laboratory finding obtained on admission is
most important for the nurse to report to the healthcare provider?
A. Decreased thyroid stimulating hormone level. Correct
B. Elevated liver function profile.
C. Increased white blood cell count.
D. Decreased hematocrit and hemoglobin levels.
Hyperthyroidism causes an increased level of serum thyroid hormones (T3 and
T4), which inhibit the release of TSH (A), so the client's manic behavior may be
related to an endocrine
,HESI RN MENTAL HEALTH EXAM QUESTIONS AND
ANSWERS LATEST UPDATE (1500
Q&A)
disorder. (B, C, and D) are abnormal findings that are commonly found in the
homeless population because of poor sanitation, poor nutrition, and the
prevalence of substance abuse.
4. An adult male client who was admitted to the mental health unit yesterday
tells the nurse that microchips were planted in his head for military
surveillance of his every move. Which response is best for the nurse to
provide?
A. You are in the hospital, and I am the nurse caring for you.
B. It must be difficult for you to control your anxious feelings.
C. Go to occupational therapy and start a project. Correct
D. You are not in a war area now; this is the United States.
Delusions often generate fear and isolation, so the nurse should help the client
participate in activities that avoid focusing on the false belief and encourage
interaction with others (C).
Delusions are often well-fixed, and though (A) reinforces reality, it is
argumentative and dismisses the client's fears. It is often difficult for the client
to recognize the relationship between delusions and anxiety (B), and the nurse
should reassure the client that he is in a safe place. Dismissing delusional
thinking (D) is unrealistic because neurochemical imbalances that cause positive
symptoms of schizophrenia require antipsychotic drug therapy.
, HESI RN MENTAL HEALTH EXAM QUESTIONS AND
ANSWERS LATEST UPDATE (1500
Q&A)
5. The nurse is assessing a client's intelligence. Which factor should the
nurse remember during this part of the mental status exam?
A. Acute psychiatric illnesses impair intelligence.
B. Intelligence is influenced by social and cultural beliefs. Correct
C. Poor concentration skills suggests limited intelligence.
D. The inability to think abstractly indicates limited intelligence.
Social and cultural beliefs (B) have significant impact on intelligence. Chronic
psychiatric illness may impair intelligence (A), especially if it remains untreated.
Limited concentration does not suggest limited intelligence (C). Difficulties with
abstractions are suggestive of psychotic thinking (D), not limited intelligence.
6. At a support meeting of parents of a teenager with polysubstance
dependency, a parent states, "Each time my son tries to quit taking drugs, he
gets so depressed that I'm afraid he will commit suicide." The nurse's response
should be based on which information?
A. Addiction is a chronic, incurable disease.
B. Tolerance to the effects of drugs causes feelings of depression.
C. Feelings of depression frequently lead to drug abuse and addiction.
D. Careful monitoring should be provided during withdrawal from the drugs. Correct
The priority is to teach the parents that their son will need monitoring and
support during withdrawal (D) to ensure that he does not attempt suicide.
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