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HESI LPN · HESI LPN Mental Health Nursing · HESI Target Healthcare

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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?

A. Treat this client matter-of-factly. Be direct; don't talk about him or others in his presence.'
B. Stay away from this client. The fewer interactions you have with him, the fewer misinterpretations there will be.'
C. Stay close to this client and use touch as you interact with him.'
D. To help him become less anxious with whispering, speak in a very soft voice when you are near him.'

Expert Explanatory Rationale

Correct Answer: Treat this client matter-of-factly. Be direct; don't talk about him or others in his presence.'

Question 2 of 5

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?

A. Do you hear these voices very often?'
B. Do you have a plan for getting away from the voices?'
C. I'll stay with you. Tell me what you are hearing.'
D. Try to ignore them and play cards with the others.'

Expert Explanatory Rationale

Correct Answer: I'll stay with you. Tell me what you are hearing.'

Question 3 of 5

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:

A. a neologism.
B. clanging.
C. anhedonia.
D. alogia.

Expert Explanatory Rationale

Correct Answer: a neologism.

Question 4 of 5

During occupational therapy a young patient diagnosed with schizophrenia sits staring at a piece of paper. Which response is most therapeutic at this time?

A. If you prefer to sit and stare for a time, it is acceptable for you to leave.'
B. You seem immobilized by anxiety. Is there anything I can do to help?'
C. Are you having trouble deciding where you want to glue that piece?'
D. Rub the glue stick on the back of the paper.'

Expert Explanatory Rationale

Correct Answer: Rub the glue stick on the back of the paper.'

Question 5 of 5

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?

A. The patient is seeking the attention of staff.
B. The patient is inappropriately expressing emotion.
C. The patient is experiencing auditory hallucinations.
D. The patient is displaying negative symptoms of schizophrenia.

Expert Explanatory Rationale

Correct Answer: The patient is experiencing auditory hallucinations.

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