HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
When assessing a female client who has been taking an antipsychotic medication for the past year, the nurse observes that the client demonstrates involuntary foot tapping while both feet are flat on the floor. The nurse plans to report the observation to the healthcare provider. Which additional action should the nurse take?
Correct Answer: A
Rationale: Involuntary foot tapping may indicate tardive dyskinesia, a side effect of antipsychotics. Documenting on the AIMS allows systematic monitoring. Other actions misattribute the symptom or are irrelevant.
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 young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?
Correct Answer: B
Rationale: Assessing and reporting electrolyte status is critical due to the risk of imbalances in bulimia nervosa, which can cause severe complications. Monitoring binging, assigning care by age, and scheduling therapy are important but not the highest priority.
Question 4 of 5
Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?
Correct Answer: B
Rationale: Addressing low self-esteem is crucial for anorexia nervosa recovery, as it underlies distorted body image. Nutrition, family support, and therapy are important but secondary to psychological factors.
Question 5 of 5
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?
Correct Answer: B
Rationale: Asking about thoughts during compulsive behavior helps understand cognitive processes, aiding cognitive-behavioral therapy for OCD. Other responses do not facilitate this exploration as effectively.