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HESI PRACTICE QUESTIONS SET 1 WITH COMPLETE ANSWERS.
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HESI PRACTICE QUESTIONS SET 1 WITH COMPLETE ANSWERS.
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HESI PRACTICE QUESTIONS SET 1WITH COMPLETE ANSWERS
Which aatechnique aais aathe aamost aaimportant aatherapeutic aatool aaa aanurse aashould
aause aato aaprovide aaquality aacare aato aaa aapsychiatric aaclient?
A. aaContext.
B. aaSelf-analysis.
C. aaCounter aatransference.
D. aaTherapeutic aaself-disclosure. aa- aaAnswer aaB. aaSelf-analysis.
Self-analysis aais aaa aatool aafor aathe aanurse aato aaexamine aaoneself, aaview aaone's
aaresponses aain aavarious aamental aaand aaemotional aamoments, aaand aaprovide aaa
aasense aaof aahow aasensitive aacare aashould aabe aaprovided aarelative aato aaone's aaown
aaneeds, aaso aa(B) aais aaa aaprimary aatool aaused aaby aathe aanurse aato aaestablish
aatherapeutic aaempathy aaand aaachieve aaauthentic, aaopen, aaand aapersonal
aacommunication aawith aaa aaclient. aaAlthough aa(A, aaC, aaand aaD) aamay aaoccur aain aaa
aanurse-client aarelationship, aathey aamay aanot aacontribute aato aaestablishing aaa
aatherapeutic aarelationship.
The aanurse aacompletes aaan aaemergency aaadmission aaof aaa aamale aaclient aawith
aaschizophrenia aawho aahas aanot aabeen aataking aahis aaantipsychotic aamedications.
aaThe aaclient aais aapacing, aais aaextremely aairritable, aaand aahas aaa aablood aapressure
aaof aa146/96. aaWhat aais aathe aapriority aanursing aaaction?**
A. aaEncourage aathe aaclient aato aastop aapacing aaand aasit aadown.
B. aaReevaluate aathe aaclient's aablood aapressure aain aaan aahour.
C. aaDirect aathe aaclient aato aaattend aarecreational aatherapy.
D. aaReview aathe aaclient's aabaseline aablood aapressure. aa- aaAnswer aaB. aaReevaluate
aathe aaclient's aablood aapressure aain aaan aahour.
The aaclient aais aairritable aaand aapacing, aawhich aacan aacontribute aato aathe aaelevated
aaBP, aaso aareevaluation aaof aathe aaclient's aaBP aain aaan aahour aa(B) aaallows aatime aafor
aathe aaexcitement aaand aastress aaof aathe aaadmission aaprocess aato aaabate. aa(A) aais
aalikely aato aaincrease aathe aaclient's aaagitated aastate. aaRecreational aatherapy aa(C)
aaprovides aaanother aaenvironmental aastimulus, aawhich aacan aacontribute aato aathe
aaclient's aaanxiety. aa(D) aais aahelpful, aabut aathe aamost aaimmediate aaaction aais aato
aaretake aathe aablood aapressure aain aaone aahour.
,A aayoung aaadult aafemale aaclient aawith aapanic aadisorder aaarrives aain aathe
aaEmergency aaCenter aawith aaa aa4-day aahistory aaof aachest aapain aathat aabegan aawhen
aaher aaboyfriend aaleft aaher. aaInitial aaassessment aareveals aanormal aacardiopulmonary
aafindings. aaWhich aainformation aais aamost aaimportant aafor aathe aanurse aato aaobtain?
A. aaDrugs aataken aain aalast aa7 aadays.
B. aaFamily aahistory aaof aasuicide.
C. aaUsual aacoping aamechanisms.
D. aaFrequency aaof aaanxiety aaattacks. aa- aaAnswer aaA. aaDrugs aataken aain aalast aa7
aadays.
Use aaof aaprescribed, aaover-the-counter, aaand aaillicit aadrugs aa(A) aais aathe aamost
aaimportant aainformation aato aaobtain aawhen aaplanning aacare aabecause aadrugs aaare
aalikely aato aainfluence aathe aaclient's aabehavior aaand aaability aato aacope aawith
aastressful aasituations. aa(B, aaC, aaand aaD) aaare aaworthwhile aaassessment aafindings,
aabut aathey aado aanot aahave aathe aapriority aaof aa(A).
The aanurse aais aaplanning aacare aafor aaa aaclient aawith aamajor aadepression aawho aais
aaadmitted aato aathe aaunit aaafter aaa aarecent aasuicide aaattempt. aaWhich aaintervention
aahas aathe aahighest aapriority aafor aainclusion aain aathis aaclient's aaplan aaof aacare?
A. aaSearch aathe aaclient's aapersonal aabelongings.
B. aaIntroduce aathe aaclient aato aaothers aaon aathe aaunit.
C. aaAsk aathe aaclient aaabout aarecent aastressful aaevents.
D. aaMove aato aaa aaroom aathat aaallows aaclose aaobservation. aa- aaAnswer aaA. aaSearch
aathe aaclient's aapersonal aabelongings.
To aaensure aathat aathe aaclient aahas aanot aaacquired aasome aameans aato aainflict aaself
aaharm, aaa aaroutine aasearch aaof aapersonal aabelongings aa(A), aawhich aais aaa aacommon
aasafety aameasure aaand aapolicy, aashould aabe aaimplemented aauntil aathe aaclient
aastabilizes aaand aasuicidal aaideations aaabate. aa(B) aais aaa aacomponent aaof aathe
aatherapeutic aamilieu, aabut aathe aaclient's aareadiness aato aainteract aawith aaothers
aashould aabe aaassessed aafirst. aaAlthough aarecent aastressors aa(C) aamay aahave
aaprecipitated aathe aasuicide aaattempt, aait aais aamore aaimportant aato aaensure aathe
aaclient's aasafety aafrom aaself-harm. aaClose aaobservation aashould aabe aainitiated aa(D),
aabut aait aais aamost aaimportant aathat aaany aahazardous aaitems aaare aaremoved aafrom
aathe aaclient's aapossession.
A aa6-year-old aagirl aawith aasevere aabirth aadefects aaand aamental aaretardation aais
aabrought aato aathe aaemergency aaroom aabecause aaof aaa aabroken aaarm. aaThe
aacaregiver aareports aathat aathe aagirl aasustained aathe aainjury aawhen aashe aafell aafrom
aaher aawheelchair. aaWhich aaintervention aais aamost aaimportant aafor aathe aanurse aato
aaimplement?
A. aaPrepare aathe aachild aafor aacast aaplacement.
, B. aaEvaluate aathe aaintellectual aafunctioning aaof aathe aachild.
C. aaEvaluate aathe aachild aafor aaother aainjuries.
D. aaAsk aathe aachild aato aaexplain aathe aaaccident. aa- aaAnswer aaC. aaEvaluate aathe
aachild aafor aaother aainjuries.
The aanurse aashould aaevaluate aathe aachild aafor aaother aainjuries aabecause aaa aa6-year-
old aachild aawith aaa aalow-level aafall aathat aaresults aain aaa aafracture aashould aabe
aaconsidered aaa aapossible aavictim aaof aachild aaabuse, aauntil aaproven aaotherwise aa(C).
aa(A) aahas aaa aalower aapriority aathan aa(C). aa(B) aais aanot aawithin aathe aascope aaof
aanursing aapractice aaand aashould aabe aareferred aato aasomeone aawho aais aaan aaexpert.
aa(D) aais aaunrealistic.
An aaolder aaclient aais aaadmitted aato aaa aapsychiatric aahospital aawith aathe aadiagnosis,
aa"Major aadepression, aasingle aaepisode." aaWhich aalaboratory aavalue aais aamost
aaimportant aafor aathe aanurse aato aareport aato aathe aahealthcare aaprovider
aaimmediately?
A. aaIncreased aaserum aacreatinine aalevel.
B. aaPositive aarapid aaplasma aareagin aa(RPR).
C. aaIncreased aathyroid aastimulating aahormone aa(TSH).
D. aaElevated aaserum aacalcium aalevel. aa- aaAnswer aaC. aaIncreased aathyroid
aastimulating aahormone aa(TSH).
The aahealthcare aaprovider aashould aabe aanotified aaof aa(C) aaimmediately. aaAn
aaincreased aaTSH aasuggests aaa aalow aathyroxine aalevel aabecause aathe aaTSH aais
aatrying aato aastimulate aathyroxine aaproduction, aaand aahypothyroidism aasymptoms
aamimic aathose aaof aadepression. aa(A) aaoften aaincreases aawith aaaging. aa(B) aais
aaindicative aaof aasyphilis aaand aashould aabe aareported, aabut aadoes aanot aahave aathe
aapriority aaof aa(C). aa(D) aahas aaimplications aafor aaother aaillnesses, aasuch aaas aanon-
Hodgkin's aalymphoma aaor aahyperparathyroidism.
The aadaughter aaof aaa aa79-year-old aamale aaclient aatells aathe aanurse aathat aaher
aafather aais aabecoming aaincreasingly aaforgetful. aaWhich aafinding aaindicates aathat aathe
aaclient aaneeds aafurther aaevaluation aaof aacognitive aafunction?*
A. aaRepeats aathe aasame aastories aato aadifferent aafamily aamembers aaor aafriends.
B. aaCannot aamentally aaretrace aaobjects aathat aawere aarecently aamisplaced.
C. aaCannot aaremember aainstructions aato aaprogram aaan aaelectronic aadevice.
D. aaForgets aaa aaplanned aaevent, aathen aaremembers aathe aaevent aaa aashort aawhile
aalater. aa- aaAnswer aaB. aaCannot aamentally aaretrace aaobjects aathat aawere aarecently
aamisplaced.
Inability aato aaretrace aamisplaced aaobjects aa(B) aais aaan aaindicator aaof aapossible
aacognitive aaimpairment aathat aarequires aafurther aaassessment. aa(A, aaC, aaand aaD)
aaare aaexamples aaof aabenign aaforgetfulness.
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