HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
The nurse is assessing a client with postpartum depression for changes in the mood and cognitive state. Which subjective finding(s) should the nurse identify that are consistent with postpartum depression? Select all that apply.
Correct Answer: A,C,E
Rationale: Disrupted sleep, poor concentration, and sadness are hallmark symptoms of postpartum depression, reflecting common mood and cognitive changes.
Question 2 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 3 of 5
A client that is homeless, well-educated, and has chronic schizophrenia is admitted to the mental health unit when found by the police walking in the middle of the street. The client presents with a strong body odor, dirty clothes, and avolition. After a week of neuroleptic drug therapy, the client discusses with the nurse thoughts about bathing. Which statement suggests that the client is progressing?
Correct Answer: D
Rationale: This statement reflects intrinsic motivation and positive reinforcement for self-care, indicating progress in the client's engagement with personal hygiene.
Question 4 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 5 of 5
A client is admitted to the emergency department because of a possible overdose of methadone and benzodiazepines. The admission respiratory rate is 6 breaths/minute. Based on this finding, the nurse should prepare for which intervention?
Correct Answer: D
Rationale: Naloxone is the priority to reverse opioid-induced respiratory depression from methadone overdose, addressing the critical respiratory rate of 6 breaths/minute.