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

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 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

After several days of being despondent and nonverbal, a female client with depression begins to talk and exhibit energy. Which action should the nurse implement?

Correct Answer: C

Rationale: Continuous observation is essential to monitor the client's behavior changes, ensuring they are not indicative of increased agitation or harm.

Question 4 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 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.

Similar Questions

During the initial nursing interview, a client tells the nurse, 'Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?' Which documentation should the nurse enter in the electronic medical record to describe the client's statements?
A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the nurse to provide in this crisis?
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the nurse that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the nurse to provide?
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client's husband recently lost his job, she feels her employment is essential to the family's survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care?

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