RN HESI Mental Health with NGN | Nurselytic

Questions 51

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RN HESI Mental Health with NGN Questions

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Question 1 of 5

The nurse is providing teaching to a client and family about schizophrenia before discharge from an inpatient facility. The nurse should instruct the family to notify the healthcare provider when which behavior is observed?

Correct Answer: C

Rationale: Social withdrawal is a concerning behavior in schizophrenia that may indicate worsening symptoms and should be reported to the healthcare provider.

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 is below normal, indicating hypokalemia, which can cause cardiac and neuromuscular issues, requiring immediate notification.

Question 3 of 5

When preparing to administer a domestic violence screening tool to a female client, which statement should the nurse provide?

Correct Answer: C

Rationale: This statement normalizes the screening process, reducing stigma and encouraging disclosure by emphasizing its routine nature.

Question 4 of 5

A homeless male who was found sitting in the middle of a busy street is brought to the emergency department (ED). On admission, the client is confused and has difficulty answering questions. After ruling out a physiological etiology for the client's behavior, he is transferred to the mental health unit. When admitting the client to the unit, which action is most important for the nurse to take?

Correct Answer: B

Rationale: Performing a mental status exam is critical to assess the client's consciousness, orientation, and thought processes, identifying potential mental disorders.

Question 5 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 about potential misuse, making the CAGE questionnaire appropriate to screen for alcohol use disorder.

Similar Questions

A client with obsessive compulsive disorder (OCD) reports feeling 'driven' to check the locks on the front door at least six times every night. Which response is best for the nurse to provide?
A client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting self injury by shooting. The client reports going through a divorce one year ago, job loss four months ago, and suffering from a breakup of a current relationship last week. Which is the most likely source of this client's current feelings of depression?
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 with opioid dependence makes a statement to the nurse about desiring to lead a healthier lifestyle by making changes in the next 2 weeks. How should the nurse respond?
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.

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