HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
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: 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 2 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 3 of 5
During a high school class on substance abuse, a student tells the group, 'If I tried cocaine, I know I could handle it. I know when to stop.' Which response is best for the nurse to provide?
Correct Answer: D
Rationale: Highlighting that cocaine impairs decision-making challenges the student's belief in control, potentially deterring experimentation. Other responses are less direct in addressing this belief.
Question 4 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 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 prevent neurological damage due to thiamine deficiency. Counseling, disulfiram, and nutrition are secondary.