HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
A client is completing an admission assessment for a client with a known history of depression and multiple, unexplained fractures. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Obtaining a baseline set of vital signs is a routine task that can be delegated to the UAP, as it is non-complex and standard.
Question 2 of 5
A client with a history of anxiety and depression presents to the emergency department with a headache, nausea, and vomiting. The client's vital signs are temperature 100.9°F (38.3°C), heart rate 115 beats/minute, respirations 21 breaths/minute, and blood pressure 216/108 mm Hg. When reviewing the client's medications, which information is of most concern to the nurse?
Correct Answer: B
Rationale: Phenelzine, an MAOI, can cause a hypertensive crisis when combined with tyramine-containing foods or certain medications, which aligns with the client's elevated blood pressure.
Question 3 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: A
Rationale: Ineffective breathing pattern is the highest priority, as aspiration of caustic material can lead to respiratory compromise, requiring immediate attention.
Question 4 of 5
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?
Correct Answer: B
Rationale: Performing a mental status exam is critical to assess the client's consciousness, orientation, and thought processes, identifying potential mental disorders.
Question 5 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-esteem is the primary issue, as the client's self-blame indicates an impact on self-worth, crucial for emotional recovery.