HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A client is discussing feelings related to a recent loss with the nurse. The nurse remains silent when the client says, 'I don't know how I will go on.' What is the reason for the nurse's behavior?
Correct Answer: C
Rationale: Silence provides space for the client to process emotions and thoughts, facilitating deeper exploration. It is not about disapproval, reflecting sadness, or solely respecting loss.
Question 2 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 3 of 5
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?
Correct Answer: C
Rationale: A potassium level of 2.9 mEq/dl indicates hypokalemia, which can cause cardiac and metabolic complications and requires immediate notification. Other findings are within normal ranges.
Question 4 of 5
The nurse is providing care for a client diagnosed with a borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the nurse use when changing this client's dressings?
Correct Answer: D
Rationale: A non-judgmental approach prioritizes the client's comfort and builds trust, essential for those with borderline personality disorder. Other actions may distress or are less relevant during dressing changes.
Question 5 of 5
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Educating the client about the purpose and potential side effects of the medication enhances adherence and informed decision-making, which is critical for long-term management. Assessing withdrawal, encouraging adherence, and determining last use are important but secondary to education.