HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: A
Rationale: Ineffective breathing pattern is the highest priority, as aspiration of caustic material can lead to respiratory compromise, requiring immediate attention.
Question 2 of 5
A client who has been taking clozapine reports experiencing a sore throat and has a temperature of 101.9° F (38.8° C). Which action should the nurse take?
Correct Answer: B
Rationale: Obtaining a CBC is critical to assess for clozapine-induced agranulocytosis, a life-threatening side effect, given the sore throat and fever.
Question 3 of 5
A middle-aged female client with no previous psychiatric history is seen in the mental health clinic because her family describes her as having paranoid thoughts. On assessment, she tells the nurse, 'I want to find out why these people are stalking me!' Which response should the nurse provide?
Correct Answer: B
Rationale: This open-ended question invites the client to share more about her perceptions, allowing deeper exploration without judgment.
Question 4 of 5
A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to Include in this phase of the nurse-client relationship?
Correct Answer: A
Rationale: Providing community resource information is crucial during discharge to support the client's transition and ensure continuity of care.
Question 5 of 5
A client who is diagnosed with a borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the nurse use when changing this client's dressings?
Correct Answer: D
Rationale: A non-judgmental approach during the dressing change fosters trust and ensures the client's physical well-being, critical for those with borderline personality disorder.