RN Hesi Mental Health Exam 1 | Nurselytic

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RN Hesi Mental Health Exam 1 Questions

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Question 1 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 indicates hypokalemia, which can cause cardiac and metabolic complications and requires immediate notification. Other findings are within normal ranges.

Question 2 of 5

Which client Information indicates the need for the nurse to use the CAGE questionnaire during the admission interview?

Correct Answer: C

Rationale: Daily alcohol consumption raises concerns for dependence, warranting the CAGE questionnaire to assess problematic drinking. Other options do not directly suggest alcohol abuse.

Question 3 of 5

A client with chronic alcoholism receives a prescription for disulfiram. Which client statement indicates that this medication teaching has been effective?

Correct Answer: B

Rationale: Disulfiram causes severe reactions if alcohol is consumed, so avoiding all alcohol-containing products is essential, indicating effective teaching. Other statements show misunderstandings or are less relevant.

Question 4 of 5

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 about blood glucose levels and encourages further discussion, fostering trust. Other options either dismiss the concern or provide unrelated information.

Question 5 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 prevent neurological damage due to thiamine deficiency. Counseling, disulfiram, and nutrition are secondary.

Similar Questions

A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words, and wanders into client's rooms. The nurse decides that the client needs constant observation based on which of these assessment findings?
A client who is experiencing a severe level of anxiety and reports a racing heartbeat, dizziness, and expresses a sense that something dreadful will happen. The nurse observes the client pacing and waving hands rapidly. Which action should the nurse take?
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?
A client who has been taking clozapine reports experiencing a sore throat and has a temperature of 101.9° F (38.8° C). Which action should the nurse take?
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.

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