HESI RN · HESI Mental Health · Aggressive Behavior Nursing Diagnosis
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A patient with an abdominal mass is scheduled for a biopsy. The patient has difficulty understanding the nurse's comments and asks, 'What do you mean? What are they going to do?' Assessment findings include tremulous voice, respirations 28, and pulse 110. What is the patient's level of anxiety?
Expert Explanatory Rationale
Correct Answer: Moderate
The nurse is attending an in-service training on safe take-down techniques for aggressive clients. Preparation for safe physical handling prepares the nurse to practice which ethical principle?
Expert Explanatory Rationale
Correct Answer: Nonmaleficence
A patient with schizophrenia is exhibiting signs of agitation, disorganized speech, and paranoia. Which medication is most likely to be prescribed for this patient?
Expert Explanatory Rationale
Correct Answer: Haloperidol
A Filipino American patient had a nursing diagnosis of situational low self-esteem related to poor social skills as evidenced by lack of eye contact. Interventions were used to raise the patient’s self-esteem, but after 3 weeks, the patient’s eye contact did not improve. What is the most accurate analysis of this scenario?
Expert Explanatory Rationale
Correct Answer: The nurse should have assessed the patient’s culture before making this diagnosis and plan.
You find a patient on the floor at shift change. She is awake and alert. She is confused now and was not confused prior to the being found on the floor. What is your first step in the nursing process in this situation?
Expert Explanatory Rationale
Correct Answer: Gather more information by making observations about the patient.
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