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HESI RN · HESI Mental Health · Multiple Choice Questions on Psychiatric Emergencies

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient has tried a variety of CAM approaches to manage health concerns. The nurse asks, “How is going to CAM practitioners different from seeing your medical doctors?” The patient is most likely to respond, “The CAM practitioners

A. usually prescribe a course of invasive and sometimes painful treatments.
B. spend more time talking with me and not just about my symptoms.
C. say I need to become much more spiritual to be well.
D. order many tests to determine my diagnoses.

Expert Explanatory Rationale

Correct Answer: spend more time talking with me and not just about my symptoms.

Question 2 of 5

A new patient acts out so aggressively that seclusion is required... Nurse’s priority?

A. Complete the physical assessment.
B. Notify the health care provider to obtain a seclusion order.
C. Document the incident objectively in the medical record.
D. Explain to the patient that seclusion will be discontinued when self-control is regained.

Expert Explanatory Rationale

Correct Answer: Notify the health care provider to obtain a seclusion order.

Question 3 of 5

An 8 week old boy has vomiting worsening over 3 weeks. He is feeding well and is constantly hungry but is losing weight. Which is the most likely acid base finding?

A. Metabolic acidosis
B. Metabolic alkalosis
C. Normal acid/base state
D. Respiratory acidosis

Expert Explanatory Rationale

Correct Answer: Metabolic alkalosis

Question 4 of 5

What are intermediate defenses?

A. Repression, displacement, reaction formation, and rationalization.
B. Altruism, sublimation, suppression, and humor.
C. Passive aggression, splitting, projection, and denial.
D. Avoidance, denial, repression, and projection.

Expert Explanatory Rationale

Correct Answer: Repression, displacement, reaction formation, and rationalization.

Question 5 of 5

A young adult is being evaluated for a possible eating disorder. Which nursing intervention is most directly related to a commonly observed complication related to bulimia nervosa?

A. Medicating the client for migraine headaches as they occur.
B. Increasing potassium-rich foods in the daily diet.
C. Adding fiber to the diet to help minimize constipation.
D. Monitoring the client for signs of developing contact dermatitis.

Expert Explanatory Rationale

Correct Answer: Increasing potassium-rich foods in the daily diet.

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