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HESI LPN · HESI LPN Mental Health Nursing · HESI Age Specific Patient Care Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 19-year-old client is admitted for the second time in 9 months and is acutely psychotic with a diagnosis of undifferentiated schizophrenia. The client sits alone rubbing her arms and smiling. She tells the nurse her thoughts cause earthquakes and that the world is burning. The nurse assesses the primary deficit associated with the client's condition as:

A. Altered mood states
B. Disturbed thinking
C. Social isolation
D. Poor impulse control

Expert Explanatory Rationale

Correct Answer: Disturbed thinking

Question 2 of 5

A client with undifferentiated schizophrenia is readmitted for an acute exacerbation of the disorder. The goal of hospitalization is symptom stabilization. The nurse has documented that, in addition to experiencing auditory hallucinations, the client seems uninterested in activities, has difficulty completing tasks, seems forgetful, and seems puzzled by information and directions given by staff. The nurse's plans for intervention will be effective if these behaviors are attributed to:

A. Social isolation
B. Deficient knowledge
C. Situational low self-esteem
D. Problems in cognitive functioning

Expert Explanatory Rationale

Correct Answer: Problems in cognitive functioning

Question 3 of 5

A patient with schizophrenia has received typical (first-generation) antipsychotics for a year. His hallucinations are less intrusive, but he remains apathetic, has poverty of thought, cannot work, and is socially isolated. To address these symptoms, the nurse might consult the prescribing health care provider to suggest a change to:

A. haloperidol (Haldol).
B. olanzapine (Zyprexa).
C. diphenhydramine (Benadryl).
D. chlorpromazine (Thorazine).

Expert Explanatory Rationale

Correct Answer: olanzapine (Zyprexa).

Question 4 of 5

The nurse notes that a male client, who is taking an antipsychotic medication, is constantly moving from chair to chair during a group activity, and he complains that he feels 'nervous and jittery inside.' The nurse is aware that this client most likely is experiencing:

A. Akinesia
B. Dystonia
C. Dyskinesia
D. Akathisia

Expert Explanatory Rationale

Correct Answer: Akathisia

Question 5 of 5

A woman was bound, taken to a remote location, and raped at gunpoint. When found, she was examined and treated in the emergency department. Which aspect of this crisis produced the greatest amount of psychological trauma?

A. The threat to her life
B. Collection of evidence
C. Physical pain experienced
D. Being in a remote location

Expert Explanatory Rationale

Correct Answer: The threat to her life

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