HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is completing the admission assessment of an adolescent client who is underweight and admitted to a psychiatric unit with a diagnosis of depression. Which finding requires notification to the healthcare provider?
Correct Answer: C
Rationale: A potassium level of 2.9 mEq/dL is below normal, indicating hypokalemia, which can cause cardiac and neuromuscular issues, requiring immediate notification.
Question 3 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 4 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 5 of 5
A client with opioid dependence makes a statement to the nurse about desiring to lead a healthier lifestyle by making changes in the next 2 weeks. How should the nurse respond?
Correct Answer: C
Rationale: Supporting the client to list small behavioral changes needed aligns with the client's expressed desire for a healthier lifestyle and is consistent with motivational interviewing techniques.