RN HESI Mental Health with NGN | Nurselytic

Questions 51

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RN HESI Mental Health with NGN Questions

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Question 1 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: Obtaining a CBC is critical to assess for clozapine-induced agranulocytosis, a life-threatening side effect, given the sore throat and fever.

Question 2 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 3 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 is therapeutic, allowing the client time to reflect on and explore their thoughts and feelings, promoting self-discovery and expression.

Question 4 of 5

The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?

Correct Answer: D

Rationale: Excessive tiredness (fatigue) is a common symptom of depression and often associated with the overall low energy levels experienced by individuals with depressive disorders.

Question 5 of 5

A client with chronic alcoholism receives a prescription for disulfiram. Which client statement indicates that this medication teaching has been effective?

Correct Answer: B

Rationale: Avoiding all alcohol-containing products while on disulfiram is crucial to prevent a severe reaction called the disulfiram-alcohol reaction.

Similar Questions

A college student is admitted to the mental health unit following a drug overdose. The student tells the nurse about the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
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?
The nurse is providing teaching to a client and family about schizophrenia before discharge from an inpatient facility. The nurse should instruct the family to notify the healthcare provider when which behavior is observed?
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?
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?

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