HESI RN
Quizlet Mental Health HESI
1. The client states, “It seems strange that I don’t have a TV in my room.” Which statement would be best for the nurse to provide?
- A. You can watch TV as much as you want outside of your room.
- B. Sometimes clients feel like the TV is sending them messages.
- C. It’s important to be out of your room and talking to others.
- D. Watching TV is a passive activity and we want you to be active.
Correct answer: B
Rationale: The correct answer is B because clients with depression or psychosis may interpret TV as sending messages, so it is often removed to prevent this risk. Choice A is incorrect because it does not address the client's concern and may not be feasible. Choice C is incorrect because it diverts from the client's immediate issue regarding the TV. Choice D is incorrect because it does not address the client's specific concern and instead focuses on the activity level.
2. The nurse is preparing a community education program on osteoporosis. Which instruction is helpful in preventing bone loss and promoting bone formation?
- A. Recommend weight-bearing physical activity.
- B. Encourage a diet high in dairy products.
- C. Suggest vitamin D supplementation.
- D. Advise avoiding caffeine and alcohol.
Correct answer: A
Rationale: The correct answer is A: Recommend weight-bearing physical activity. Weight-bearing exercises are effective in maintaining bone density and preventing osteoporosis by promoting bone formation. Encouraging a diet high in dairy products (choice B) can provide calcium, but it's not as directly related to bone formation as physical activity. While vitamin D supplementation (choice C) is important for calcium absorption and bone health, it is not directly involved in promoting bone formation. Advising to avoid caffeine and alcohol (choice D) can be beneficial for bone health, but it is not as directly related to promoting bone formation as weight-bearing physical activity.
3. A client in heart failure (HF) presents with weakness and poor urine output. Which assessment finding requires immediate action?
- A. Heart rate of 122 bpm and respiratory rate of 28.
- B. Yellow sputum expectorated.
- C. Temperature of 100.5°F (38.1°C).
- D. Shortness of breath on exertion.
Correct answer: C
Rationale: An elevated temperature may indicate infection and should be treated immediately in a client with heart failure.
4. Which of the following is not a role of Reproductive and Child Health Care (RCH) programs?
- A. Awareness about reproductive health
- B. Providing facilities to build a reproductively healthy society
- C. Providing support to reproductively sick people
- D. Promoting abortion
Correct answer: D
Rationale: The correct answer is D. Promoting abortion is not a role of the Reproductive and Child Health Care (RCH) programs. RCH programs focus on promoting awareness about reproductive health, providing facilities to build a reproductively healthy society, and offering support to reproductively sick individuals. The promotion of abortion is not within the scope of RCH programs, which aim to improve maternal and child health outcomes through education, healthcare services, and support systems.
5. What do crackles heard on lung auscultation indicate?
- A. Cyanosis.
- B. Bronchospasm.
- C. Airway narrowing.
- D. Fluid-filled alveoli.
Correct answer: D
Rationale: Crackles heard on lung auscultation are caused by the popping open of small airways that are filled with fluid. This is commonly associated with conditions such as pulmonary edema, pneumonia, or heart failure. Cyanosis (Choice A) is a bluish discoloration of the skin and mucous membranes due to low oxygen levels in the blood, not directly related to crackles. Bronchospasm (Choice B) refers to the constriction of the airway smooth muscle, causing difficulty in breathing but does not typically produce crackles. Airway narrowing (Choice C) can lead to wheezing but is not directly linked to crackles heard on auscultation.