HESI RN · HESI Mental Health · Age Specific Nursing Care
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A 91-year-old female client with dementia is being seen by the home health nurse. Both she and her husband, who is 92 years old, were very active until her dementia became debilitating. Since that time, the client does not recognize her husband or children, forgets how to eat and dress, and wanders about the house day and night. Her husband wants to keep her at home to care for her, but the nurse notices that he is increasingly tired with each visit. What is the nurse's priority intervention for the nursing diagnosis of caregiver role strain?
Expert Explanatory Rationale
Correct Answer: Discuss strategies to coordinate care and other responsibilities
A client who is diagnosed with schizoid personality disorder is isolative, does not speak to her peers, and sits through the community meeting without speaking. Her mother describes her as shy and having few friends. Which would be an appropriate nursing diagnosis for this client?
Expert Explanatory Rationale
Correct Answer: Impaired social interaction related to unfamiliar environment as evidenced by isolation and not talking with peers
A 10-year-old boy is diagnosed with gender dysphoria. Which assessment finding would the nurse expect?
Expert Explanatory Rationale
Correct Answer: Having tea parties with dolls
A nurse works a rape telephone hotline. Communication should focus on:
Expert Explanatory Rationale
Correct Answer: Explaining immediate steps victims should take;
Which nursing strategy leads patients to respond more positively to limit setting?
Expert Explanatory Rationale
Correct Answer: Reflect back to the patient an understanding of the patient's distress.
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