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HESI LPN · HESI LPN Mental Health Nursing · HESI Population Specific Care

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient's medical record documents sexual masochism. This patient derives sexual pleasure

A. from inanimate objects.

B. by inflicting pain on a partner.

C. when sexually humiliated by a partner.

D. from touching a nonconsenting person.

Expert Explanatory Rationale

Correct Answer: when sexually humiliated by a partner.

Question 2 of 5

A patient with anorexia nervosa is treated as an outpatient. Select the desired outcome related to the nursing diagnosis Imbalanced nutrition: less than body requirements. Within 1 week, the patient will:

A. Gain 1 to 2 pounds.

B. Exercise 1 hour daily.

C. Take a laxative every 3 days.

D. Weigh self accurately using balanced scales.

Expert Explanatory Rationale

Correct Answer: Gain 1 to 2 pounds.

Question 3 of 5

When a patient with paranoid schizophrenia has a recurrence of positive symptoms after stopping his antipsychotic medication because of its postural hypotension (orthostasis) side effect, he is readmitted to the mental health unit. What measure should the nurse suggest to help the patient address this side effect?

A. Ask the doctor to prescribe an anticholinergic drug like trihexyphenidyl (Artane).

B. Chew sugarless gum or use sugarless hard candy to moisten your mouth.

C. Increase the amount of sleep you get, and try to take frequent rest breaks.

D. Wear elastic support hose, drink adequate fluids, and change position slowly.

Expert Explanatory Rationale

Correct Answer: Wear elastic support hose, drink adequate fluids, and change position slowly.

Question 4 of 5

The physician prescribes haloperidol (Haldol), a first-generation antipsychotic drug, for a patient with schizophrenia who displays delusions, hallucinations, apathy, and social isolation. Which symptoms should most be monitored to evaluate the expected improvement from this medication?

A. Talking to himself, belief that others will harm him

B. Flat affect, avoidance of social activities, poor hygiene

C. Loss of interest in recreational activities, alogia

D. Impaired eye contact, needs help to complete tasks

Expert Explanatory Rationale

Correct Answer: Talking to himself, belief that others will harm him

Question 5 of 5

A patient with schizophrenia tells the nurse 'I don't know, it's just all the same. You never know. It comes, it goes, it blows away. Get it?' The best response for the nurse to make would be:

A. Nothing you are saying is clear; you are not making sense.'

B. Yes, life can be like that sometimes, very confusing.'

C. Try to organize your thoughts and then tell me again.'

D. I am having difficulty understanding what you are saying.'

Expert Explanatory Rationale

Correct Answer: I am having difficulty understanding what you are saying.'

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