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HESI RN · HESI Mental Health · Psychiatric Emergency

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What are nursing interventions for patients in crisis?

A. Provide a quiet environment and build rapport.

B. Listen carefully and provide feedback/summarization.

C. Assess support systems and identify needed coping skills.

D. All of the above.

Expert Explanatory Rationale

Correct Answer: All of the above.

Question 2 of 5

The nurse is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued?

A. Lithium.

B. Benztropine (Cogentin).

C. Alprazolam (Xanax).

D. Magnesium (Milk of Magnesia).

Expert Explanatory Rationale

Correct Answer: Benztropine (Cogentin).

Question 3 of 5

An older woman diagnosed with AlzheimerÃ¢â‚¬â„¢s disease... Which nursing intervention has priority?

A. Teach the caregiver about sundowners syndrome.

B. Secure additional resources for evening and night care.

C. Support the caregiver to grieve the loss of abilities.

D. Teach the family how to give physical care more effectively.

Expert Explanatory Rationale

Correct Answer: Secure additional resources for evening and night care.

Question 4 of 5

A patient has anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is 2.7 mg/dL. Which nursing diagnosis applies?

A. Adult failure to thrive related to abuse of laxatives, as evidenced by electrolyte imbalances

B. Ineffective health maintenance related to self-induced vomiting, as evidenced by swollen parotid glands and hyperkalemia

C. Disturbed energy field related to physical exertion in excess of energy produced through caloric intake, as evidenced by weight loss and hyperkalemia

D. Imbalanced nutrition: less than body requirements related to refusal to eat, as evidenced by loss of 25% of body weight and hypokalemia

Expert Explanatory Rationale

Correct Answer: Imbalanced nutrition: less than body requirements related to refusal to eat, as evidenced by loss of 25% of body weight and hypokalemia

Question 5 of 5

A 45 year old woman is seen in the Emergency Department after a fall with a Colles fracture. Which feature best demonstrates that she lacks capacity?

A. Carer involved in her care

B. Severe learning disability

C. Severe pain

D. E Unable to explain what the operation involves

Expert Explanatory Rationale

Correct Answer: E Unable to explain what the operation involves

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