HESI LPN · HESI LPN Mental Health Nursing · HESI Target Healthcare
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A client tells the nurse, 'I hear people whispering about me. When I'm in the day room and they do that, I want to punch them.' The information the nurse should give to staff in report consists of which of the following?
Expert Explanatory Rationale
Correct Answer: Treat this client matter-of-factly. Be direct; don't talk about him or others in his presence.'
A newly admitted patient with schizophrenia approaches the unit nurse and says, 'The voices are bothering me. They are yelling and telling me stuff. They are really bad.' Which response by the nurse would be most appropriate?
Expert Explanatory Rationale
Correct Answer: I'll stay with you. Tell me what you are hearing.'
A patient with schizophrenia begins to talk about creatures called 'volmers' hiding in the warehouse where he works and undoing his work each night. The term 'volmers' most likely represents:
Expert Explanatory Rationale
Correct Answer: a neologism.
During occupational therapy a young patient diagnosed with schizophrenia sits staring at a piece of paper. Which response is most therapeutic at this time?
Expert Explanatory Rationale
Correct Answer: Rub the glue stick on the back of the paper.'
A nurse observes a patient who is sitting alone in a room put hands over both ears and vigorously shake her head as though saying, 'No.' Later the patient cries and mutters, 'You don't know what you're talking about! Leave me alone.' What assessment should the nurse attempt to validate?
Expert Explanatory Rationale
Correct Answer: The patient is experiencing auditory hallucinations.
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