Practice Question
A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?
Answer Choices:
Correct Answer:
Assess and report the client's electrolyte status to the healthcare provider.
Rationale:
🟣 Bulimia nervosa often results in electrolyte imbalances from purging behaviors (e.g., vomiting, diuretic use).
🟣 Hypokalemia and hyponatremia can lead to cardiac dysrhythmias and seizures.
🟣 This physiological risk takes priority over behavioral issues in initial care.
🟣 Reporting lab values allows for timely medical intervention and stabilization.
🟣 Ongoing care will include therapy, but medical stability comes first.
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This question is from RN HESI Mental Health with NGN Exam which contains 51 questions.
More Questions from This Exam
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?
Answer Choices:
A. Tell me what you think should happen.
B. What do you think you should do?
C. How serious was the collision?
D. Call for transportation to the hospital.
A client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting self injury by shooting. The client reports going through a divorce one year ago, job loss four months ago, and suffering from a breakup of a current relationship last week. Which is the most likely source of this client's current feelings of depression?
Answer Choices:
A. Feelings of frustration.
B. A sense of loss.
C. Poor self-esteem.
D. A lack of intimate relationships.
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?
Answer Choices:
A. Altruism.
B. Regression.
C. Compartmentalization.
D. Egocentrism.
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?
Answer Choices:
A. Wait for the client to respond.
B. Ask if the client heard the question.
C. Ask a different question.
D. Return at a later time to talk.
A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?
Answer Choices:
A. Thiamine.
B. Chlordiazepoxide.
C. Clonidine.
D. Carbamazepine.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: RN Hesi Mental Health
- Answer Choices: 4
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