HESI LPN · HESI LPN Mental Health Nursing · HESI Mental Health
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
The LPN/LVN calls security and has physical restraints applied when a client who was admitted voluntarily becomes both physically and verbally abusive while demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select one that does not apply.
Expert Explanatory Rationale
Correct Answer: Slander
A client with borderline personality disorder is admitted to the psychiatric unit after a suicide attempt. The client frequently expresses feelings of emptiness and fears of abandonment. What is the most therapeutic nursing approach for this client?
Expert Explanatory Rationale
Correct Answer: Set clear and consistent boundaries while providing empathy.
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband states that she has been reluctant to leave home for the last six months. The client has not gone to work for a month and has been terminated from her job. She has not left the house since that time. This client is displaying symptoms of what condition?
Expert Explanatory Rationale
Correct Answer: Agoraphobia
A client with obsessive-compulsive disorder (OCD) repeatedly checks the locks on the doors. What is the best nursing intervention?
Expert Explanatory Rationale
Correct Answer: Encourage the client to discuss their fears.
A client with schizophrenia is being treated with haloperidol (Haldol) and begins to exhibit symptoms of tardive dyskinesia. What is the nurse's priority action?
Expert Explanatory Rationale
Correct Answer: Report the symptoms to the healthcare provider immediately.
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