HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
A client that is homeless, well-educated, and has chronic schizophrenia is admitted to the mental health unit when found by the police walking in the middle of the street. The client presents with a strong body odor, dirty clothes, and avolition. After a week of neuroleptic drug therapy, the client discusses with the nurse thoughts about bathing. Which statement suggests that the client is progressing?
Correct Answer: D
Rationale: This statement reflects intrinsic motivation and positive reinforcement for self-care, indicating progress in the client's engagement with personal hygiene.
Question 2 of 5
Which client Information indicates the need for the nurse to use the CAGE questionnaire during the admission interview?
Correct Answer: C
Rationale: Daily alcohol consumption raises concerns about potential misuse, making the CAGE questionnaire appropriate to screen for alcohol use disorder.
Question 3 of 5
When preparing to administer a domestic violence screening tool to a female client, which statement should the nurse provide?
Correct Answer: C
Rationale: This statement normalizes the screening process, reducing stigma and encouraging disclosure by emphasizing its routine nature.
Question 4 of 5
A client admitted to the mental health unit starts to shout and scream at the nurse. Which approach is best for the nurse to take?
Correct Answer: B
Rationale: Staying quietly with the client is a calm, non-confrontational approach that allows expression of emotions while conveying support.
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 address thiamine deficiency, a key factor in this condition.