HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
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?
Correct Answer: B
Rationale: Phenelzine, an MAOI, can cause a hypertensive crisis when combined with tyramine-containing foods or certain medications, which aligns with the client's elevated blood pressure.
Question 2 of 5
A client with a history of schizophrenia is admitted to the psychiatric care unit for aggressive behavior, auditory hallucinations, and potential for self harm. The client has not been taking medications as prescribed and insists that the food has been poisoned and refuses to eat. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Providing food in unopened containers addresses the client's delusional concerns about poisoning, encouraging safe food intake.
Question 3 of 5
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?
Correct Answer: C
Rationale: Returning to the previous level of functioning is the primary goal, focusing on restoring the client's ability to manage daily life and cope with stressors.
Question 4 of 5
The nurse is caring for a client with schizoaffective disorder and type 2 diabetes mellitus who receives a prescription for a second generation antipsychotic. The client expresses concern to the nurse about the effect of this antipsychotic on blood glucose levels. Which response should the nurse make?
Correct Answer: D
Rationale: This response acknowledges the client's concern, provides information, and invites further discussion, addressing the potential metabolic side effects of second-generation antipsychotics.
Question 5 of 5
A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words, and wanders into client's rooms. The nurse decides that the client needs constant observation based on which of these assessment findings?
Correct Answer: C
Rationale: Wandering into clients' rooms poses a safety risk to the client and others, necessitating constant observation.