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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A parent who is very concerned about a 3-year-old son says, 'He likes to play with girls' toys. Do you think he is homosexual or mentally ill?' Which response by the nurse most professionally describes the current understanding of gender identity?

A. A child's interest in the activities of the opposite gender is not unusual or related to sexuality. Most children do not carry cross-gender interests into adulthood.
B. It's difficult to say for sure because the research is incomplete so far, but chances are that he will grow up to be a normal adult.
C. The research is incomplete, but many boys play with girls' toys and turn out normal as adults.
D. I am sure that whatever happens, he will be a loving son, and you will be a proud parent.

Expert Explanatory Rationale

Correct Answer: A child's interest in the activities of the opposite gender is not unusual or related to sexuality. Most children do not carry cross-gender interests into adulthood.

Question 2 of 5

A health care provider writes these new prescriptions for a resident in a skilled nursing facility: 2 g sodium diet, restraint as needed, limit fluids to 1800 mL daily, continue antihypertensive medication, milk of magnesia 30 mL PO once if no bowel movement for 3 days. The nurse should

A. question the fluid restriction.
B. question the order for restraint.
C. transcribe the prescriptions as written.
D. assess the resident's bowel elimination.

Expert Explanatory Rationale

Correct Answer: question the order for restraint.

Question 3 of 5

An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, "I like the style." The patient's weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?

A. Eating disorder not otherwise specified
B. Anorexia nervosa
C. Bulimia nervosa
D. Binge eating

Expert Explanatory Rationale

Correct Answer: Anorexia nervosa

Question 4 of 5

A patient admitted to the eating disorders unit has yellow skin, the extremities are cold, and the heart rate is 42 bpm. The patient weighs 70 pounds; height is 5 feet 4 inches. The patient is quiet during the assessment saying only, "I will not eat until I lose enough weight to look thin." Select the best initial nursing diagnosis.

A. Anxiety related to fear of weight gain
B. Disturbed body image related to weight loss
C. Ineffective coping related to lack of conflict resolution skills
D. Imbalanced nutrition: less than body requirements related to self-starvation

Expert Explanatory Rationale

Correct Answer: Imbalanced nutrition: less than body requirements related to self-starvation

Question 5 of 5

A patient is hospitalized for severe depression. Of the medications listed below, the nurse can expect to provide the patient with teaching about:

A. Chlordiazepoxide (Librium).
B. Clozapine (Clozaril).
C. Sertraline (Zoloft).
D. Tacrine (Cognex).

Expert Explanatory Rationale

Correct Answer: Sertraline (Zoloft).

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