HESI NCLEX-RN 4TH EDITION MENTAL HEALTH / NEWEST ACTUAL EXAM COMPLETE 50 QUESTIONS AND CORRECT DETAILED ANSWERS (CERTIFIED ANSWERS) & RATIONALES / 2025.
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Course
MENTAL HEALTH
Institution
MENTAL HEALTH
HESI NCLEX-RN 4TH EDITION MENTAL HEALTH / NEWEST ACTUAL EXAM COMPLETE 50 QUESTIONS AND CORRECT DETAILED ANSWERS (CERTIFIED ANSWERS) & RATIONALES / 2025. While in group therapy, a client who is diagnosed with posttraumatic stress disorder (PTSD) is processing an experience from the war in Iraq when...
HESI NCLEX-RN 4TH EDITION MENTAL
HEALTH / NEWEST ACTUAL EXAM
COMPLETE 50 QUESTIONS AND CORRECT
DETAILED ANSWERS (CERTIFIED ANSWERS)
& RATIONALES / 2025.
Terms in this set (50)
,While in group therapy, a Correct Answer: C Rationale:
client who is diagnosed with The client who is diagnosed with PTSD is reexperiencing the
posttraumatic stress disorder traumatic experience and needs reality reassurance
(confirmation that there is no danger at this time) and
(PTSD) is processing an reduced stimuli (C). (A, B, and D) do not consider the needs
experience from the war in of these two clients at this time.
Iraq when another client tips
over a chair. What action
should the nurse take when
the client with PTSD falls to
the floor in a fetal position?
A.
Confront the client who
tipped over the chair about
the inconsiderate behavior.
B.
Dismiss the other clients
from the group therapy
session for a 10-minute
break.
C.
Reinforce reality to the client
on the floor and remove him
to a quiet space.
D.
Call a security code and
medicate both clients with
an antianxiety drug.
,The nurse notes multiple Correct Answer: A
burns on the arms and
chest of a 2-year-old Rationale:
Vietnamese child who is The nurse's highest priority is to ensure that no further harm
befalls the child (A). (B, C, and D) are also important objectives
being treated for
but are secondary to (A).
dehydration. When
questioned, the child's
father states that he
treated the child's vomiting
with the cultural practice
termed coining, which
resulted in burned areas.
Which expected outcome
statement has the highest
priority? A.
The child will be protected
from further harm.
B.
The family's cultural values
will be respected. C.
The parents will express
regret at harming their
child. D.
The parents will
demonstrate an ability to
care for burn wounds.
, A client in an acute care Correct Answer: B
facility has been taking
antipsychotic medications for Rationale:
the past 3 days with a This is an emergency situation, and the client requires
immediate management in a critical care setting (B). These
decrease in psychotic
symptoms are descriptive of neuroleptic malignant
behaviors and no adverse syndrome (NMS), an extremely serious and life-threatening
reactions. On the fourth day, reaction to neuroleptic drugs. The major symptoms of this
syndrome are fever, rigidity, autonomic instability, and
the client experiences an
encephalopathy. Respiratory failure, cardiovascular collapse,
increase in blood pressure arrhythmias, and/or renal failure can result in death. (A) is
and temperature and not indicated in this situation. (C) does not consider the
seriousness of the situation. (D) is an incorrect statement.
demonstrates muscular
rigidity. Which action should
the nurse initiate? A.
Place the client on seizure
precautions and monitor
frequently. B.
Take the client's vital signs
and notify the health care
provider immediately. C.
Describe the symptoms to
the charge nurse and
document them in the
client's record. D.
No action is required at this
time because these are
known side effects of her
medications.
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