HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 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: Disulfiram causes severe reactions if alcohol is consumed, so avoiding all alcohol-containing products is essential, indicating effective teaching. Other statements show misunderstandings or are less relevant.
Question 2 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-rich foods, explaining the elevated blood pressure. Other medications are less likely to cause this acute presentation.
Question 3 of 5
The healthcare provider prescribes lithium carbonate for a client diagnosed with bipolar, manic depression. It is most important for the nurse to review which laboratory finding prior to beginning the drug therapy?
Correct Answer: D
Rationale: Serum creatinine assesses renal function, critical before starting lithium due to its renal excretion and risk of nephrotoxicity. Other labs are less directly relevant.
Question 4 of 5
A 16-year-old female client is admitted to the psychiatric unit and states that she is depressed and anxious. The client appears frail and is wearing baggy clothes. When it is time for lunch, the client states, 'I can't eat, I'm already overweight.' What is the best response by the nurse?
Correct Answer: C
Rationale: Encouraging the client to express feelings about eating promotes therapeutic communication and explores underlying concerns, likely related to body image. Other responses may escalate distress or invalidate feelings.
Question 5 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: B
Rationale: Offering a safe place addresses the client's immediate fear and facilitates effective communication. Other actions are secondary to ensuring safety and comfort.