HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 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.
Question 2 of 5
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client's husband recently lost his job, she feels her employment is essential to the family's survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care?
Correct Answer: A
Rationale: Cognitive-behavioral techniques target dysfunctional thought patterns, so changing thought patterns related to problem-solving is the key outcome. Other options are less directly tied to CBT effectiveness.
Question 3 of 5
The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's grasp of the discharge teaching, which statement made by the client shows an understanding of the most important self-care goal?
Correct Answer: A
Rationale: Understanding the need to avoid abrupt discontinuation of alprazolam is critical to prevent withdrawal symptoms and rebound anxiety. Other statements are relevant but secondary.
Question 4 of 5
A client who has been taking clozapine reports experiencing a sore throat and has a temperature of 101.9° F (38.8° C). Which action should the nurse take?
Correct Answer: B
Rationale: Clozapine can cause agranulocytosis, and a sore throat with fever may indicate this. A complete blood count is essential to assess for this life-threatening condition. Other actions are less urgent.
Question 5 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.