HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
After several days of being despondent and nonverbal, a female client with depression begins to talk and exhibit energy. Which action should the nurse implement?
Correct Answer: C
Rationale: Continuous observation is essential to monitor the client's behavior changes, ensuring they are not indicative of increased agitation or harm.
Question 2 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.
Question 3 of 5
When assessing a female client who has been taking an antipsychotic medication for the past year, the nurse observes that the client demonstrates involuntary foot tapping while both feet are flat on the floor. The nurse plans to report the observation to the healthcare provider. Which additional action should the nurse take?
Correct Answer: A
Rationale: Documenting on the AIMS is appropriate to assess and record abnormal movements, such as tardive dyskinesia, associated with antipsychotics.
Question 4 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 5 of 5
A client with a history of schizophrenia is admitted to the psychiatric care unit for aggressive behavior, auditory hallucinations, and potential for self harm. The client has not been taking medications as prescribed and insists that the food has been poisoned and refuses to eat. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Providing food in unopened containers addresses the client's delusional concerns about poisoning, encouraging safe food intake.