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HESI LPN · HESI LPN Mental Health Nursing · HESI Age Specific Considerations in Patient Care

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 75-year-old patient comes to the clinic reporting frequent headaches. As the nurse begins the interaction, which action is most important?

A. Complete a neurological assessment
B. Determine whether the patient can hear as the nurse speaks
C. Suggest that the patient lie down in a darkened room for a few minutes
D. Administer medication to relieve the patient's pain before continuing the assessment

Expert Explanatory Rationale

Correct Answer: Determine whether the patient can hear as the nurse speaks

Question 2 of 5

A patient has recently been under significant stress and worked long hours. At home, the patient watches television and eats until going to bed. The patient is too tired to exercise and has gained 25 pounds in 1 month. A desired outcome for the patient is to recognize anxiety that precedes binge eating and reduce it. Which intervention addresses the outcome

A. Teach stress-reduction techniques such as relaxation and imagery.
B. Encourage the patient to design and implement an exercise program.
C. Explore ways in which the patient may feel more in control of the environment.
D. Encourage the patient to attend a support group such as Overeaters Anonymous.

Expert Explanatory Rationale

Correct Answer: Teach stress-reduction techniques such as relaxation and imagery.

Question 3 of 5

A patient being treated for major depression is the CEO of her own business. She has shown significant improvement and is about to be discharged after completing a course of 15 electroconvulsive therapy sessions. She will continue on SSRI medications. The patient has been counseled not to make a major business decision for a month. The rationale for this is that:

A. SSRIs may cause confusion in susceptible persons.
B. ECT often causes temporary memory impairment.
C. Lingering depression makes the patient incompetent.
D. The patient needs months to readjust to work pressures.

Expert Explanatory Rationale

Correct Answer: ECT often causes temporary memory impairment.

Question 4 of 5

A patient who takes lithium phones the nurse at the clinic to say, "I've had diarrhea for 4 days. I feel weak and unsteady when I walk. My usual hand tremor has gotten worse. What should I do?" Which instruction by the nurse is appropriate?

A. Have someone bring you to the clinic immediately.
B. Restrict food and fluids for 24 hours and stay in bed.
C. Drink a large glass of water with 1 teaspoon of salt added.
D. Take antidiarrheal medication hourly until the diarrhea subsides.

Expert Explanatory Rationale

Correct Answer: Have someone bring you to the clinic immediately.

Question 5 of 5

A client has been admitted with disorganized type schizophrenia. The nurse observes blunted affect and social isolation. He occasionally curses or calls another client a 'jerk' without provocation. The nurse asks the client how he is feeling, and he responds, 'Everybody picks on me. They frobitz me.' The nurse would assess 'frobitz' as:

A. Circumstantial speech
B. Loose associations
C. Evidence of delusional thinking
D. A neologism

Expert Explanatory Rationale

Correct Answer: A neologism

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