HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 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:
A) Clear, concise instructions help maintain structure and reduce impulsivity.
C) A single room reduces stimulation and promotes rest.
D) Inviting the client for a walk channels excess energy appropriately. Competitive activities (
B) may increase agitation, and suspenseful programs (E) may exacerbate symptoms.
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 indicates hypokalemia, which can cause cardiac and metabolic complications and requires immediate notification. Other findings are within normal ranges.
Question 3 of 5
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?
Correct Answer: A
Rationale: Altruism refers to the selfless concern for the well-being of others. In this scenario, the woman is caring for her husband's aging parents despite her recent divorce, demonstrating a selfless act of caring for others. Regression involves reverting to an earlier stage of development in response to stress or conflict. Compartmentalization involves separating conflicting thoughts or emotions to manage stress. Egocentrism refers to a self-centered perspective.
Question 4 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: B
Rationale: Offering a safe place addresses the client's immediate fear and facilitates effective communication. Other actions are secondary to ensuring safety and comfort.
Question 5 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 assesses renal function, critical before starting lithium due to its renal excretion and risk of nephrotoxicity. Other labs are less directly relevant.