HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
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?
Correct Answer: A
Rationale: Thiamine supplementation is essential for Wernicke-Korsakoff syndrome, as thiamine deficiency is the primary cause. Chlordiazepoxide manages withdrawal, while clonidine and carbamazepine are not indicated for this condition.
Question 2 of 5
The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,C,D
Rationale:
A) Clear, concise instructions help maintain structure and reduce impulsivity.
C) A single room reduces stimulation and promotes rest.
D) Inviting the client for a walk channels excess energy appropriately. Competitive activities (
B) may increase agitation, and suspenseful programs (E) may exacerbate symptoms.
Question 3 of 5
During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?
Correct Answer: A
Rationale: A calm, matter-of-fact approach reduces anxiety by providing reassurance and stability, building trust during admission. Developing coping skills, administering sedatives, or asking 'why' are less immediate priorities.
Question 4 of 5
A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?
Correct Answer: B
Rationale: Assessing and reporting electrolyte status is critical due to the risk of imbalances in bulimia nervosa, which can cause severe complications. Monitoring binging, assigning care by age, and scheduling therapy are important but not the highest priority.
Question 5 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. While headaches, back pain, and dizziness may be associated, tiredness is more specifically linked to depressive episodes.