HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to Include in this phase of the nurse-client relationship?
Correct Answer: A
Rationale: Providing community resource information is crucial during discharge to support the client's transition and ensure continuity of care.
Question 2 of 5
A client is completing an admission assessment for a client with a known history of depression and multiple, unexplained fractures. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Obtaining a baseline set of vital signs is a routine task that can be delegated to the UAP, as it is non-complex and standard.
Question 3 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 4 of 5
Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?
Correct Answer: C
Rationale: Inserting a peripheral intravenous catheter is the priority to address the client's fluid and electrolyte imbalance and provide necessary hydration and medications.
Question 5 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.