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HESI LPN · HESI LPN Mental Health Nursing · HESI Psychotropic Medications 101 Quiz

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor. With the reflex hammer, the nurse draws a light stroke up the lateral side of the sole of the foot and inward, across the ball of the foot. In response, the patient's toes fan out, and the big toe shows dorsiflexion. The nurse interprets this result as:

A. Negative Babinski sign, which is normal for adults.
B. Positive Babinski sign, which is abnormal for adults.
C. Clonus, which is a hyperactive response.
D. Achilles reflex, which is an expected response.

Expert Explanatory Rationale

Correct Answer: Positive Babinski sign, which is abnormal for adults.

Question 2 of 5

A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. A nurse can correctly analyze that these symptoms are related to which drug action?

A. Anticholinergic effects
B. Dopamine-blocking effects
C. Endocrine-stimulating effects
D. Ability to stimulate spinal nerves

Expert Explanatory Rationale

Correct Answer: Dopamine-blocking effects

Question 3 of 5

A patient reports good results from taking an herb to manage migraine headache pain. The nurse confirms there are no hazardous interactions between the herb and the patient’s current prescription drugs. Select the nurse’s best comment to the patient.

A. “Thanks for telling me. I’ll make a note in your medical record that you take it.”
B. "You are experiencing a placebo effect. When we believe something will help, it usually does.”
C. "Self-management of health problems can be dangerous. You should have notified me sooner.”
D. "Research studies show that herbals actually increase migraine pain by inflaming nerve cells in the brain.”

Expert Explanatory Rationale

Correct Answer: "You are experiencing a placebo effect. When we believe something will help, it usually does.”

Question 4 of 5

Which of the following poses a potential ethical concern when prescribing psychiatric medications?

A. The patient is homeless and uninsured
B. The patient poses a risk to themself as they state they are experiencing very scary auditory and visual hallucinations
C. The patient's family voices a stigma against psychiatric medications
D. The patient states they worry about the potential side effects of the medication

Expert Explanatory Rationale

Correct Answer: The patient's family voices a stigma against psychiatric medications

Question 5 of 5

A court order inpatient hospitalization was ordered for a patient who is considered a danger to themselves and other. Which ethical issue is being addressed?

A. Informed consent
B. Off labeling prescription
C. Compliance
D. Restrictive methods

Expert Explanatory Rationale

Correct Answer: Restrictive methods

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