HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
A young adult female client is admitted to the emergency department after being raped in a shopping center parking lot. The client expresses no suicidal ideation, but expresses feelings of self-blame for not taking precautions when going to her car. According to theorists, such as Maslow and Erikson, this client is struggling with which issue?
Correct Answer: C
Rationale: Self-esteem is the primary issue, as the client's self-blame indicates an impact on self-worth, crucial for emotional recovery.
Question 2 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.
Question 3 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 4 of 5
When preparing to administer a domestic violence screening tool to a female client, which statement should the nurse provide?
Correct Answer: C
Rationale: This statement normalizes the screening process, reducing stigma and encouraging disclosure by emphasizing its routine nature.
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 address thiamine deficiency, a key factor in this condition.