HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 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 2 of 5
A client with a history of anxiety and depression presents to the emergency department with a headache, nausea, and vomiting. The client's vital signs are temperature 100.9°F (38.3°C), heart rate 115 beats/minute, respirations 21 breaths/minute, and blood pressure 216/108 mm Hg. When reviewing the client's medications, which information is of most concern to the nurse?
Correct Answer: B
Rationale: Phenelzine, an MAOI, can cause a hypertensive crisis when combined with tyramine-containing foods or certain medications, which aligns with the client's elevated blood pressure.
Question 3 of 5
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.
Correct Answer: A,C,D
Rationale: Giving concise and firm directions for hygiene and dressing helps provide structure and support during periods of manic behavior. Assigning the client to a single room provides a quieter and less stimulating environment, promoting a more controlled and therapeutic setting. Inviting the client for a walk when their energy is high allows for a structured outlet for excess energy and may help with symptom management.
Question 4 of 5
The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?
Correct Answer: D
Rationale: Excessive tiredness (fatigue) is a common symptom of depression and often associated with the overall low energy levels experienced by individuals with depressive disorders.
Question 5 of 5
A client who is diagnosed with a borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the nurse use when changing this client's dressings?
Correct Answer: D
Rationale: A non-judgmental approach during the dressing change fosters trust and ensures the client's physical well-being, critical for those with borderline personality disorder.