RN HESI Mental Health with NGN | Nurselytic

Questions 51

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RN HESI Mental Health with NGN Questions

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Question 1 of 5

An older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam. During the health assessment, the client reports experiencing of chest pain. Which action should the nurse take first?

Correct Answer: B

Rationale: Obtaining the client's blood pressure is the priority to assess the urgency of chest pain, a potentially serious symptom requiring immediate evaluation.

Question 2 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: C

Rationale: Assuring an interview with the healthcare provider addresses the client's immediate need for assistance with the reported stalking situation.

Question 3 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: This open-ended response encourages the client to express emotions, providing insight for further assessment and care planning.

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.

Similar Questions

The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?
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?
Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?
A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?

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