RN Hesi Mental Health Exam 1 | Nurselytic

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RN Hesi Mental Health Exam 1 Questions

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Question 1 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 2 of 5

A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?

Correct Answer: A

Rationale: Altruism refers to the selfless concern for the well-being of others. In this scenario, the woman is caring for her husband's aging parents despite her recent divorce, demonstrating a selfless act of caring for others. Regression involves reverting to an earlier stage of development in response to stress or conflict. Compartmentalization involves separating conflicting thoughts or emotions to manage stress. Egocentrism refers to a self-centered perspective.

Question 3 of 5

A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?

Correct Answer: A

Rationale: Thiamine supplementation is essential for Wernicke-Korsakoff syndrome, as thiamine deficiency is the primary cause. Chlordiazepoxide manages withdrawal, while clonidine and carbamazepine are not indicated for this condition.

Question 4 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 5 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.

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