HESI LPN · HESI Behavioral Health Certification for Nurses
Question 1 of 102
At what point in the nurse-patient relationship should a nurse plan to first address termination?
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Question 2 of 102
Which behavior shows that a nurse values autonomy? The nurse
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Question 3 of 102
Epidemiological studies contribute to improvements in care for individuals with mental disorders by:
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Question 4 of 102
According to Maslow's hierarchy of needs, the most basic needs category for nurses to address is:
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Question 5 of 102
A newly divorced 36-year-old mother of three has difficulty sleeping. When she shares this information to her gynecologist, she suggests which of the following services as appropriate for her patient's needs?
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Question 6 of 102
A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?
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Question 7 of 102
A nurse is caring for a patient diagnosed with major depressive disorder. The patient states, 'I can't go on anymore. I feel like I am just a burden to everyone.' What is the priority nursing action?
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Question 8 of 102
During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:
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Question 9 of 102
A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient exhibits impulsive behavior and makes rash decisions. What is the priority nursing intervention?
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Question 10 of 102
A nurse is assessing a patient diagnosed with schizophrenia who is experiencing delusions. The patient says, 'I am being followed by the police. They are going to arrest me.' Which is the best nursing response?
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Question 11 of 102
A nurse is working with a patient diagnosed with generalized anxiety disorder. The patient reports excessive worry about work, family, and health. Which nursing diagnosis is most appropriate for this patient?
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Question 12 of 102
A nurse assesses an older adult patient brought to the emergency department by a family member. The patient was wandering outside saying, 'I can't find my way home.' The patient is confused and unable to answer questions. Select the nurse's best action.
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Question 13 of 102
A nurse is caring for a patient diagnosed with schizophrenia. The patient is exhibiting negative symptoms, such as lack of motivation and limited speech. Which of the following is an appropriate intervention?
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Question 14 of 102
A patient tells the nurse, 'I know that I should reduce the stress in my life, but I have no idea where to start.' What would be the best initial nursing response?
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Question 15 of 102
A patient fearfully runs from chair to chair crying, 'They're coming! They're coming!' The patient does not follow the staff's directions or respond to verbal interventions. Which nursing diagnosis has the highest priority?
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Question 16 of 102
A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as a pm anxiolytic?
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Question 17 of 102
When alprazolam is prescribed for a patient who experiences acute anxiety, health teaching should include instructions to
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Question 18 of 102
A wife received news that her husband died of heart failure and called her family to come to the hospital. She angrily tells the nurse who cared for him, "He would still be alive if you had given him your undivided attention." Select the nurse's best intervention.
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Question 19 of 102
A soldier returned home from active duty in a combat zone and was diagnosed with PTSD. Which comment by the soldier requires the nurse's immediate attention?
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Question 20 of 102
A young adult says, "I was sexually abused by my older brother. During those assaults, I went somewhere else in my mind. I don't remember the details. Now, I often feel numb or unreal in romantic relationships, so I just avoid them." Which disorders should the nurse suspect based on this history? (Select all that apply.)
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Question 21 of 102
A patient with fears of serious heart disease was referred to the mental health center by a cardiologist. Extensive diagnostic evaluation showed no physical illness. The patient says, "My chest is tight, and my heart misses beats. I'm often absent from work. I don't go out much because I need to rest." Which health problem is most likely?
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Question 22 of 102
Which treatment modality should a nurse recommend to help a patient diagnosed with a somatic symptom disorder to cope more effectively?
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Question 23 of 102
An adolescent was arrested for prostitution and assault on a parent. The adolescent says, "I hate my parents. They focus all attention on my brother, who's perfect in their eyes." Which type of therapy might promote the greatest change in the adolescent's behavior?
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Question 24 of 102
A patient comes to the crisis clinic after an unexpected job termination. The patient paces, sobs, cringes when approached, and responds to questions with only shrugs or monosyllables. Choose the nurse's best initial comment to this patient.
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Question 25 of 102
A student falsely accused a college professor of sexual intimidation. The professor tells the nurse, "I cannot teach nor do any research. My mind is totally preoccupied with these false accusations." What is the priority nursing diagnosis?
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Question 26 of 102
An adult comes to the crisis clinic after termination from a job of 15 years. The patient says, "I don't know what to do. How can I get another job? Who will pay the bills? How will I feed my family?" Which nursing diagnosis applies?
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Question 27 of 102
A patient in a group therapy session listens to others and then remarks, "I used to think I was the only one who felt afraid. I guess I'm not as alone as I thought." This comment is an example of
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Question 28 of 102
A group is in the working phase. One member says, "That is the stupidest thing I've ever heard. Everyone whines and tells everyone else what to do. This group is a total waste of my time." Which comment by the group leader would be most therapeutic?
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Question 29 of 102
A client experienced the death of their grandmother six months ago. They present to the clinic today with feelings of hopelessness, sadness, not sleeping, and crying throughout the day. What does the nurse anticipate the cause of the client’s symptoms to be?
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Question 30 of 102
A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is so sad. The nurse's best response would be,
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Question 31 of 102
What is meant by the term 'revolving door effect' in mental health care?
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Question 32 of 102
Which of the following is a standard of professional performance?
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Question 33 of 102
A patient diagnosed with schizophrenia believes a local minister stirred evil spirits The patient threatens to bomb a local church The psychiatrist notifies the minister Select the answer with the correct rationale The psychiatrist:
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Question 34 of 102
A patient diagnosed with major depression has lost pounds in one month, has chronic low self-esteem, and a plan for suicide The patient has taken an antidepressant medication for week Which nursing intervention has the highest priority?
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Question 35 of 102
A nurse assesses an older adult patient brought to the emergency department by a family member. The patient was wandering outside saying, I cant find my way home. The patient is confused and unable to answer questions. Select the nurses best action.
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Question 36 of 102
A nurse prepares to assess a new patient who moved to the United States from Central America three years ago. After introductions, what is the nurses next comment?
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Question 37 of 102
A patient shows no facial expression when engaging in a game with peers during an outing at a park. The nurse uses which of the following terms when documenting the patient's affect?
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Question 38 of 102
Knowing that relationships with others are significant to mental health, the nurse effectively assesses a patient's family relationships through which of the following?
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Question 39 of 102
Which of the following is the most compelling reason for the nurse to discuss matters of sexuality and suicide?
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Question 40 of 102
Two nurses are discussing the rights of hospitalized psychiatric clients. Which of the following statements is an error?
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Question 41 of 102
A malpractice lawsuit was filed after a nurse restrained the client for screaming at and attempting to strike anyone who was within striking distance. The nurse followed agency procedures that were consistent with Joint Commission Standards. For which reason is this malpractice lawsuit most likely to be unsuccessful?
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Question 42 of 102
After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
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Question 43 of 102
A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurse should:
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Question 44 of 102
As a patient diagnosed with a mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picnic. What is the best analysis of this scenario?
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Question 45 of 102
During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient’s hand. Select the correct analysis of the nurse’s behavior.
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Question 46 of 102
Nurse Gerry is aware that the defense mechanism commonly used by clients who are alcoholics is:
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Question 47 of 102
Which of the following are common aspects of co-morbidity in anxiety disorders?
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Question 48 of 102
It is considered that successful CBT treatments of social phobia include elements of the following:
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Question 49 of 102
Treatment for GAD involves Cognitive restructuring. This involves:
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Question 50 of 102
Which nursing theorists promoted the interpersonal theory between the nurse and the patient?
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Question 51 of 102
The patient is concerned about his doctor and what the doctor has prescribed. The nurse making rounds notices the patient sitting on the side of the bed in deep thought. The nurse comes into the room and the patient begins to tell her his concerns about a new order. The nurse advises the patient, 'If I were you, I would find another doctor.' How does this statement by the nurse block communication (select all that apply)?
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Question 52 of 102
The goals and objectives of the Joint Commission (JC) include (select all that apply):
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Question 53 of 102
A systematic and individualized method of planning and providing care is best known as:
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Question 54 of 102
Which is an accurate planning goal?
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Question 55 of 102
Joy has just experienced her fifth spontaneous abortion. She is unable to understand why this is happening to her. Joy voices her anger toward her physician and the nurses, accusing them of incompetence. Assessing the situation, the nurse recognizes that the client may be using the coping mechanism of:
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Question 56 of 102
One of the female patients on the mental health unit starts to have delusions of persecution and is hearing voices. Prior to this admission, she attempted several times to poison her boyfriend after the voices told her to do so. During your initial rounds, you enter her room and ask her how she is doing. The patient states, shes a bad person. Your patient is exhibiting:
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Question 57 of 102
Services provided to palliative care patients and their family through the power of the attorney is a form of
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Question 58 of 102
The ethical framework of palliative care addresses the following
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Question 59 of 102
Which of the following drugs is administered to minimize respiratory secretions preoperatively?
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Question 60 of 102
During bilateral ECT the electrodes are placed on-
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Question 61 of 102
A patient is diagnosed with anorexia nervosa. The history reveals the patient virtually stopped eating 5 months ago and lost 25% of body weight. A nurse tells the patient, 'Describe what you think about your present weight and how you think you look.' Which response would be most consistent with the diagnosis?
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Question 62 of 102
A person tells the nurse, 'My spouse abuses me most often when intoxicated. The drinking has increased lately, but I always receive an apology afterward and a box of chocolates. I’ve considered leaving home but haven’t been able to bring myself to actually leave.' Which phase in the cycle of violence prevents the patient from leaving?
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Question 63 of 102
A child with cellulitis is ordered Rocephin 1000 mg IV every 12 hours. The pharmacy prepared this medication for you in a syringe of 1000 mg/25 ml and suggests administration over 30 minutes. Using the pharmacy’s suggested rate, what will you program your rate in your syringe pump in ml/hour?
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Question 64 of 102
A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?
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Question 65 of 102
A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?
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Question 66 of 102
A nurse is caring for a client who recently gave birth. The nurse notices the newborn is displaying manifestations of opioid withdrawal. The nurse should recognize the newborn's manifestations as signs of which of the following conditions?
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Question 67 of 102
A nurse is working with a client and their partner. Which of the following information describes the reason it is important to recognize early warning signs related to substance use?
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Question 68 of 102
A nurse is caring for a client who was hospitalized with a high blood alcohol content level. The provider fears the client may go into withdrawal and require medical supervision. The client's manifestations included anxiety, tremors, BP 166/100 mm Hg, and tachypnea about 1 hr ago. Now the client begins yelling out that they are seeing spiders crawling all over the walls. They believe they are at home and begin calling for their mother. The nurse should recognize that the client is experiencing which of the following stages of alcohol withdrawal?
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Question 69 of 102
A nurse is caring for a client who has dementia. Which of the following requests should the nurse make to determine the client's social cognition?
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Question 70 of 102
Which behavior shows that a nurse values autonomy?
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Question 71 of 102
A patient diagnosed with major depressive disorder has taken an antidepressant daily for 3 years. The patient tells the nurse, 'I want to stop taking this medication. I don't think I need it anymore.' What is the nurse's best response to assure safety the patient's safety?
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Question 72 of 102
A patient diagnosed with major depressive disorder is receiving imipramine 200 mg every night at bedtime. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?
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Question 73 of 102
A nurse is preparing to administer lorazepam to a patient with acute anxiety. Which intervention is most important for the nurse to consider?
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Question 74 of 102
A nurse is caring for a patient diagnosed with schizophrenia. Which of the following behaviors would the nurse most likely observe in this patient?
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Question 75 of 102
A nurse is providing dietary teaching to a client who has been diagnosed with Alzheimer's disease about including foods to decrease the progression of the disease. Which of the following foods should the nurse recommend?
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Question 76 of 102
A nurse assigned to a mental health hotline receives a call from a nurse who has been working on a Covid-19 unit. The caller states, 'I just don't think I can be a nurse anymore.' Which of the following types of trauma should the nurse recognize this person is experiencing?
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Question 77 of 102
A nurse is caring for a patient diagnosed with generalized anxiety disorder. The patient states, 'I feel overwhelmed by the smallest things.' What is the most therapeutic response by the nurse?
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Question 78 of 102
A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient is exhibiting rapid speech, racing thoughts, and impulsive behavior. Which of the following interventions should the nurse implement first?
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Question 79 of 102
A patient presents to the emergency department with mixed psychiatric symptoms. The admission nurse suspects the symptoms may be the result of a medical problem. Lab results show elevated BUN (blood urea nitrogen) and creatinine. What is the nurse's next best action?
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Question 80 of 102
A nurse is assessing a patient diagnosed with major depressive disorder. The patient states, 'I feel like everything is falling apart, and I can't keep up anymore.' Which nursing diagnosis is most appropriate for this patient?
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Question 81 of 102
A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient is exhibiting rapid speech, racing thoughts, and impulsive behavior. What is the priority nursing intervention?
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Question 82 of 102
A nurse assesses a confused older adult. The nurse experiences sadness and reflects, 'This patient is like one of my grandparents "¦ so helpless.' Which response is the nurse demonstrating?
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Question 83 of 102
Which technique will best communicate to a patient that the nurse is interested in listening?
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Question 84 of 102
A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
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Question 85 of 102
The spouse of a patient diagnosed with schizophrenia says, I dont understand how events from childhood have anything to do with this disabling illness. Which response by the nurse will best help the spouse understand the cause of this disorder?
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Question 86 of 102
A patient diagnosed with schizophrenia had an exacerbation related to medication noncompliance and was hospitalized for 5 days. The patients thoughts are now more organized, and discharge is planned. The patients family says, Its too soon for discharge. We will just go through all this again. The nurse should:
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Question 87 of 102
The unit secretary receives a phone call from the health insurer for a hospitalized patient. The caller seeks information about the patients projected length of stay. How should the nurse instruct the unit secretary to handle the request?
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Question 88 of 102
Which assessment finding for a patient in the community deserves priority intervention by the psychiatric nurse? The patient:
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Question 89 of 102
A patient diagnosed with schizophrenia lives in the community. On a home visit, the community psychiatric nurse case manager learns that the patient: wants to attend an activity group at the mental health outreach center, is worried about being able to pay for the therapy, does not know how to get from home to the outreach center, has an appointment to have blood work at the same time an activity group meets, wants to attend services at a church that is a half-mile from the patients home. Which tasks are part of the role of a community mental health nurse?Select one that does not apply.
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Question 90 of 102
A Native American patient describes a difficult childhood and dropping out of high school. The patient abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago. The patient now says,I feel stupid. Ive never had a good job. I dont help my people. Which nursing diagnosis applies?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 91 of 102
A white patient of German descent rocks back and forth,grimaces and rubs both temples. What is the nurses best action?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 92 of 102
Which of the following behaviors by the nurse demonstrate positive regard?Select one that does not apply.
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 93 of 102
Which one of the following statements about the nurse and ethnocentrism is true?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 94 of 102
A patient being discharged appears angry with the nurse when the nurse attempts to review discharge instructions with the patient. The nurse can best assist the patient in this stage of the relationship with which of the following responses?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 95 of 102
The nurse uses a variety of therapeutic communication skills when working with patients. Which of the following is a therapeutic goal that can be accomplished through the use of therapeutic communication skills?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 96 of 102
The nurse is sitting down with a patient to begin a conversation. Which of the following positions should the nurse take to convey acceptance of the patient?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 97 of 102
The nurse asks the patient, 'What was it like for you when you first knew you had no place to go?' The patient looks down and pauses for quite some time. Which action by the nurse is most therapeutic?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 98 of 102
A client is fearful and reluctant to talk. Which of the following techniques is most effective when trying to engage the client in interaction?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 99 of 102
Spirituality is especially important in helping people cope primarily for which of the following reasons?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 100 of 102
The nurse is preparing to conduct an admission assessment interview with a Mexican American client. During the interview, the nurse should respect the client’s culture through which behavior?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 101 of 102
Which of the following questions best encourages the client to disclose information the nurse must assess to provide culturally competent care?
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HESI LPN · HESI Behavioral Health Certification for Nurses
Question 102 of 102
A nurse prepares to administer a scheduled injection of haloperidol decanoate (Haldol depot) to an outpatient with schizophrenia As the nurse swabs the site, the patient shouts, 'Stop! I don’t want to take that medicine anymore I hate the side effects' Select the nurse’s best action
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