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HESI LPN · HESI LPN Mental Health Nursing · HESI Age Specific Populations

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is performing an assessment for a 59-year-old man with a long history of hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?

A. Sexual dysfunction may result from use of prescription medications for management of hypertension.

B. Such questions are an indirect way of learning about the patient's medication adherence.

C. These questions ease the transition to questions about sexual practices in general.

D. Sexual dysfunction can cause stress and contribute to increased blood pressure.

Expert Explanatory Rationale

Correct Answer: Sexual dysfunction may result from use of prescription medications for management of hypertension.

Question 2 of 5

An adult seeks treatment for urges involving sexual contact with children. The adult has not acted on these urges but feels shame. Which finding best indicates that this adult is making progress in treatment? The adult

A. consistently avoids schools and shops at malls only during school hours.

B. indicates sexual drive and enjoyment from sex have decreased.

C. reports an active and satisfying sex life with an adult partner.

D. volunteers to become a scout troop leader.

Expert Explanatory Rationale

Correct Answer: consistently avoids schools and shops at malls only during school hours.

Question 3 of 5

A new nurse asks, 'My elderly patient's CT scan of the head shows many Lewy bodies are present. What should I do about assessing for pain?' Select the best response from the nurse manager.

A. Ask the patient's family if they think the patient is experiencing pain.

B. Use a visual analog scale to help the patient determine the presence and severity of pain.

C. There are special scales for assessing patients with dementia. Let's review how to use them.

D. The perception of pain is diminished by this type of dementia. Focus your assessment on the patient's mental status.

Expert Explanatory Rationale

Correct Answer: There are special scales for assessing patients with dementia. Let's review how to use them.

Question 4 of 5

A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight. The nurse says, "Describe what you think about your present weight and how you look." Which response would be most consistent with anorexia nervosa?

A. I'm fat and ugly.

B. What I think about myself is my business.

C. I'm grossly underweight, but I cover it well.

D. I'm a few pounds overweight, but I can live with it.

Expert Explanatory Rationale

Correct Answer: I'm fat and ugly.

Question 5 of 5

Which personality characteristic is most likely in a patient with anorexia nervosa?

A. Open displays of emotion

B. Perfectionism

C. Optimism

D. Flexibility

Expert Explanatory Rationale

Correct Answer: Perfectionism

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