HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the nurse that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: This response encourages the client to express feelings and concerns, providing insight into potential stressors or psychological factors contributing to symptoms.
Question 2 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 the client's electrolyte status is the highest priority as bulimia nervosa can lead to severe electrolyte imbalances, which may result in life-threatening complications.
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 occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the nurse to provide in this crisis?
Correct Answer: D
Rationale: This response shows empathy and concern for the client's well-being and helps the client take action to cope with the crisis by providing clear, actionable guidance during a distressing situation.
Question 5 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 is critical to review before starting lithium, as it is excreted by the kidneys, and impaired renal function can lead to toxicity.