HESI RN
RN HESI Mental Health with NGN 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: Documenting on the AIMS is appropriate to assess and record abnormal movements, such as tardive dyskinesia, associated with antipsychotics.
Question 2 of 5
A college student is admitted to the mental health unit following a drug overdose. The student tells the nurse about the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
Correct Answer: C
Rationale: Returning to the previous level of functioning is the primary goal, focusing on restoring the client's ability to manage daily life and cope with stressors.
Question 3 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: C
Rationale: Assuring an interview with the healthcare provider addresses the client's immediate need for assistance with the reported stalking situation.
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
The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?
Correct Answer: D
Rationale: Excessive tiredness (fatigue) is a common symptom of depression and often associated with the overall low energy levels experienced by individuals with depressive disorders.