HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
A client, who is wearing dirty clothes and has a foul body odor, comes to the clinic reporting feeling scared because of a stalker. Which action is most important for the nurse to take?
Correct Answer: C
Rationale: Assuring an interview with the healthcare provider addresses the client's immediate need for assistance with the reported stalking situation.
Question 2 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.
Question 3 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 4 of 5
A client who is 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 during the dressing change fosters trust and ensures the client's physical well-being, critical for those with borderline personality disorder.
Question 5 of 5
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?
Correct Answer: C
Rationale: Social withdrawal is a concerning behavior in schizophrenia that may indicate worsening symptoms and should be reported to the healthcare provider.