HESI RN
Quizlet Mental Health HESI
1. A client with borderline personality disorder is admitted to the psychiatric unit. Which behavior should the nurse prioritize in the care plan?
- A. Self-harming behavior.
- B. Difficulty with interpersonal relationships.
- C. Impulsive spending and substance abuse.
- D. Inconsistent adherence to the treatment regimen.
Correct answer: A
Rationale: Self-harming behavior is the priority in the care plan for a client with borderline personality disorder. This behavior poses an immediate risk to the client's safety and requires prompt intervention. Difficulty with interpersonal relationships, impulsive spending, and substance abuse are also common in borderline personality disorder; however, self-harming behavior takes precedence due to its potential for severe harm. Inconsistent adherence to the treatment regimen, though important, is not as urgent as addressing the immediate safety concerns related to self-harm.
2. The nurse is planning a community health fair to promote mental health awareness. Which activity is most likely to engage participants?
- A. a lecture on the signs and symptoms of depression
- B. a workshop on stress management techniques
- C. a panel discussion with mental health experts
- D. a booth distributing brochures on mental health resources
Correct answer: B
Rationale: A workshop on stress management techniques is the most engaging activity as it allows participants to actively participate, learn practical skills, and interact with others. This hands-on approach fosters engagement and provides attendees with tools they can directly apply in their lives. Choice A, a lecture, may be informative but lacks the interactive element that promotes engagement. Choice C, a panel discussion, might be informative but could be passive for attendees. Choice D, distributing brochures, is informative but lacks the interactive and engaging nature of a workshop.
3. Which of the following options correctly lists biology's hierarchical organizational system?
- A. Phylum, Kingdom, Class, Family, Order, Species, Genus
- B. Kingdom, Phylum, Class, Order, Family, Genus, Species
- C. Genus, Order, Kingdom, Class, Phylum, Species, Family
- D. Class, Phylum, Kingdom, Genus, Order, Family, Species
Correct answer: B
Rationale: The correct hierarchical organizational system in biology is Kingdom, Phylum, Class, Order, Family, Genus, and Species. This follows the mnemonic 'King Phillip Came Over For Good Soup.' Choice A is incorrect as it does not follow the correct hierarchical order. Choice C is incorrect as it starts with Genus, which is more specific and should come after Family. Choice D is incorrect as it does not follow the correct hierarchical order.
4. A 32-year-old female client complains of severe abdominal pain each month before her menstrual period, painful intercourse, and painful defecation. Which additional history should the nurse obtain that is consistent with the client's complaints?
- A. Frequent urinary tract infections.
- B. Inability to get pregnant.
- C. Premenstrual syndrome.
- D. Chronic use of laxatives.
Correct answer: B
Rationale: The correct answer is B: 'Inability to get pregnant.' The symptoms described in the client's complaints, which include severe abdominal pain before menstruation, painful intercourse, and painful defecation, are indicative of endometriosis. Endometriosis is a condition characterized by the abnormal presence of endometrial tissue outside the uterus, commonly leading to infertility. While choices A, C, and D may be associated with other conditions, they are not directly related to the symptoms described by the client, making them incorrect choices. Frequent urinary tract infections may suggest a different issue, premenstrual syndrome does not typically present with severe abdominal pain, and chronic use of laxatives is not a typical symptom of endometriosis.
5. What is an ideal goal of treatment set by the nurse in the care plan for a client diagnosed with chronic kidney disease (CKD) to reduce the risk of pulmonary edema?
- A. Maintaining oxygen saturation above 92%
- B. Absence of crackles and wheezes in lung sounds
- C. Maintaining a balanced intake and output
- D. Absence of shortness of breath at rest
Correct answer: C
Rationale: The ideal goal of treatment for a client with chronic kidney disease (CKD) to reduce the risk of pulmonary edema is to maintain a balanced intake and output. This helps in achieving optimal fluid balance, enabling the heart to eject blood effectively without increasing pressure in the left ventricle and pulmonary vessels. While maintaining oxygen saturation above 92% is important for adequate tissue oxygenation, the primary focus in this scenario is fluid balance. Absence of crackles and wheezes in lung sounds is important to assess for pulmonary status, but it is not the primary goal to prevent pulmonary edema specifically. Similarly, absence of shortness of breath at rest is a relevant goal, but the emphasis in CKD management is on fluid balance to prevent pulmonary complications.