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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The RN leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try to talk, and talks about his pets at home. What nursing action is best for the RN to take?

A. Explore the client's feelings about his pets and home life.
B. Encourage his peers to help involve him in the activity.
C. Give the client permission to leave and return in 10 minutes.
D. Redirect him by encouraging him to read from the handout.

Expert Explanatory Rationale

Correct Answer: Redirect him by encouraging him to read from the handout.

Question 2 of 5

The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?

A. Hold all bedtime medications.
B. Keep the client NPO after midnight.
C. Implement elopement precautions.
D. Give the client an enema at bedtime.

Expert Explanatory Rationale

Correct Answer: Keep the client NPO after midnight.

Question 3 of 5

During the initial nursing interview, a client tells the nurse, 'Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?' Which documentation should the nurse use to describe the client's statements?

A. Demonstrates thought-blocking.
B. Uses incoherent speech.
C. Exhibits tangential thinking.
D. Displays the use of word salad.

Expert Explanatory Rationale

Correct Answer: Exhibits tangential thinking.

Question 4 of 5

A nurse is planning care for a depressed client. Which approach is most therapeutic?

A. Allowing the client time to complete activities.
B. Encouraging the client to participate in group therapy.
C. Setting strict deadlines for task completion.
D. Providing constant supervision.

Expert Explanatory Rationale

Correct Answer: Allowing the client time to complete activities.

Question 5 of 5

A teenager in a group is reading a handout but interrupts his peers and talks about pets. What action should the nurse take?

A. Redirect and get him to read the handout.
B. Ask him to leave the group and return later.
C. Encourage the group to discuss pets.
D. Ignore the behavior and continue the session.

Expert Explanatory Rationale

Correct Answer: Redirect and get him to read the handout.

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