HESI LPN · HESI LPN Mental Health Nursing · HESI Behavioral Health Nursing Care Plans
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Showing all 5 practice questions with expert explanatory rationales.
A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient states, 'I don't need to sleep. I feel great!' Which of the following is the priority nursing diagnosis for this patient?
Expert Explanatory Rationale
Correct Answer: Risk for injury related to impulsive and reckless behavior.
A nurse is teaching a patient diagnosed with anorexia nervosa about healthy eating habits. Which of the following statements by the patient indicates the need for further education?
Expert Explanatory Rationale
Correct Answer: I plan to eliminate all fats from my diet to lose weight.
A patient states, 'I'm not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up.' Which nursing intervention should have the highest priority?
Expert Explanatory Rationale
Correct Answer: Suicide precautions
A nurse is caring for a patient diagnosed with schizophrenia. The patient says, 'The voices in my head tell me to harm myself.' What is the nurse's first priority action?
Expert Explanatory Rationale
Correct Answer: Ensure the patient's safety by removing potential means of self-harm.
A nurse is working with a patient diagnosed with generalized anxiety disorder. The patient states, 'I can't stop worrying about everything, even things that don't matter.' Which of the following interventions is most appropriate?
Expert Explanatory Rationale
Correct Answer: Teach the patient relaxation techniques to help manage anxiety.
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