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HESI LPN · HESI LPN Mental Health Nursing · HESI PICO Question Psychiatric Emergency Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client's dressing?

A. Provide detailed thorough explanations when cleansing the wound.

B. Perform the dressing change in a non-judgmental manner.

C. Ask in a non-threatening manner why the client cut her own abdomen.

D. Request another staff member assist with the dressing change.

Expert Explanatory Rationale

Correct Answer: Perform the dressing change in a non-judgmental manner.

Question 2 of 5

An 18-year-old client is brought to the emergency department with a suspected overdose. Which information is most important for the nurse to obtain from the family?

A. The drug that was ingested.

B. The time of ingestion.

C. The client's medical history.

D. The client's mental health history.

Expert Explanatory Rationale

Correct Answer: The drug that was ingested.

Question 3 of 5

Patient with alcoholic withdrawal symptoms who says she has snakes all over her body. What action should the nurse take?

A. Administer PRN Lorazepam (Ativan).

B. Provide a quiet environment.

C. Offer fluids and snacks.

D. Reassure the client that the snakes are not real.

Expert Explanatory Rationale

Correct Answer: Administer PRN Lorazepam (Ativan).

Question 4 of 5

A client with depression is not attentive to personal hygiene, uses television watching as a means of escape from responsibilities, and describes an inability to enjoy the things that once gave them pleasure. Which coping strategy should the nurse include in the plan of care?

A. Small amount of effort to solve the problem.

B. Encourage the client to set daily goals.

C. Provide opportunities for social interaction.

D. Teach relaxation techniques.

Expert Explanatory Rationale

Correct Answer: Small amount of effort to solve the problem.

Question 5 of 5

Pt refuses to take medications and in defiance sits in the middle of the hallway floor. Best nursing action?

A. To move other clients to another room.

B. Administer PRN sedative medication.

C. Confront the client about his behavior.

D. Ignore the behavior and continue with other tasks.

Expert Explanatory Rationale

Correct Answer: To move other clients to another room.

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