RN Hesi Mental Health Exam 1 | Nurselytic

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RN Hesi Mental Health Exam 1 Questions

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Question 1 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 2 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: Explaining that screening is routine due to the prevalence of domestic abuse normalizes the process and encourages disclosure. Other statements may assume abuse or feel coercive.

Question 3 of 5

A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words, and wanders into client's rooms. The nurse decides that the client needs constant observation based on which of these assessment findings?

Correct Answer: C

Rationale: Wandering into others' rooms poses a risk to privacy and safety, warranting constant observation. Other findings are concerning but less immediately risky.

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

Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?

Correct Answer: C

Rationale: Inserting an IV catheter allows for fluid and electrolyte replacement and medication administration, addressing the client's immediate needs due to dehydration and refusal of oral intake. Other actions are less urgent.

Similar Questions

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.
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?
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?
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?
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?

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