HESI RN Mental Health Exam
VERSION 19
- Clang association 1 / 2
- A nurse is educating the parent of a child who has a new diagnosis of autism spectrum
- Language delay
- Ask the client what the voices are saying
disorder. Which of the following manifestation of this disorder should the nurse include in teaching?
10.A nurse in a mental health unit is admitting a client who is anxious because he often hears voices telling him what to do. Which of the following actions should the nurse take?
11.A nurse is caring for an older adult client who begins to cry and states, “I knew God would punish me and I deserve this horrible sickness!” Which of the following responses should the nurse make?
- “Let’s talk about what is upsetting you.”
- Discuss the importance of hair with the client
- Sodium level 125 mEq/L
- Lack of interest in an upcoming holiday
- Gather supplies for endotracheal intubation
- A client who is experiencing delusions of persecution
- / 2
12.A nurse is talking with a client who is beginning chemotherapy. The client tells the nurse that she is mourning the loss of her hair. Which of the following actions should the nurse take first?
13.A nurse is providing care for a client who has bipolar disorder and is experiencing acute mania. The client’s morning lithium level is 1.5 mEq/L. Which of the following laboratory findings should the nurse report to the provider?
14.A school nurse is assessing a school-aged child who experienced the traumatic loss of a parent 8 months ago. Which of the following findings should the nurse identify as an indication that the child is experiencing post-traumatic stress disorder (PTSD)?
15.A nurse in the emergency department is caring for a client who has alcohol toxicity and is unresponsive. Which of the following interventions should the nurse take?
16.A nurse in an acute mental health facility is receiving a change-of-shift report for four clients.Which of the following clients should the nurse assess first?
17.A nurse is planning care for a client who constantly threatens others on the unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer the client to a