RN Hesi Mental Health Exam 1 | Nurselytic

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RN Hesi Mental Health Exam 1 Questions

Question 1 of 5

A young adult female client is admitted to the emergency department after being raped in a shopping center parking lot. The client expresses no suicidal ideation, but expresses feelings of self-blame for not taking precautions when going to her car. According to theorists, such as Maslow and Erikson, this client is struggling with which issue?

Correct Answer: C

Rationale: Self-blame suggests a struggle with self-esteem, as the client internalizes fault for the assault, impacting her sense of worth. Other issues are less relevant to her current feelings.

Question 2 of 5

A client is admitted to the emergency department because of a possible overdose of methadone and benzodiazepines. The admission respiratory rate is 6 breaths/minute. Based on this finding, the nurse should prepare for which intervention?

Correct Answer: D

Rationale: Naloxone reverses opioid-induced respiratory depression, critical for methadone overdose. Other interventions do not address this immediate life-threatening condition.

Question 3 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 4 of 5

The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?

Correct Answer: D

Rationale: Excessive tiredness (fatigue) is a common symptom of depression. While headaches, back pain, and dizziness may be associated, tiredness is more specifically linked to depressive episodes.

Question 5 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.

Similar Questions

The nurse is completing the admission assessment of an adolescent client who is underweight and admitted to a psychiatric unit with a diagnosis of depression. Which finding requires notification to the healthcare provider?
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?
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the nurse to provide in this crisis?
A homeless male who was found sitting in the middle of a busy street is brought to the emergency department (ED). On admission, the client is confused and has difficulty answering questions. After ruling out a physiological etiology for the client's behavior, he is transferred to the mental health unit. When admitting the client to the unit, which action is most important for the nurse to take?
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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