HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's grasp of the discharge teaching, which statement made by the client shows an understanding of the most important self-care goal?
Correct Answer: A
Rationale: Abrupt discontinuation of alprazolam can lead to withdrawal symptoms, including rebound anxiety, insomnia, and potentially seizures, making this the most critical self-care goal.
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
Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?
Correct Answer: D
Rationale: Family therapy is the highest priority, as anorexia nervosa often involves family dynamics, and family involvement is crucial for recovery.
Question 4 of 5
A client is completing an admission assessment for a client with a known history of depression and multiple, unexplained fractures. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Obtaining a baseline set of vital signs is a routine task that can be delegated to the UAP, as it is non-complex and standard.
Question 5 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.