HESI LPN · HESI Behavioral Health Nurse Certification
Question 1 of 103
Which statement shows a nurse has empathy for a patient who made a suicide attempt?
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Question 2 of 103
A nurse explains to the family of a mentally ill patient how a nurse-patient relationship differs from social relationships. Which is the best explanation?
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Question 3 of 103
A nurse says, "I am the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates
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Question 4 of 103
One of Mrs. M's complaints is about insurance. Which of the following does the Mental Health Parity Act provide?
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Question 5 of 103
According to Freud, which aspect of the personality motivates an individual to seek perfection?
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Question 6 of 103
Which most accurately describes a patient-centered medical home?
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Question 7 of 103
A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?
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Question 8 of 103
A staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?
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Question 9 of 103
A nurse is providing care to an older adult client. Which of the following screening tools should the nurse use to gather data for the client?
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Question 10 of 103
A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?
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Question 11 of 103
A nurse is caring for an adolescent who is experiencing recurring manifestations of influenza. Which of the following phases of Selye's General Adaptation Syndrome (GAS) explains the possible cause for the adolescent's manifestations?
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Question 12 of 103
A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate that the client's problems arise from issues of role definition and grief and will frame solutions in interpersonal terms. This therapy is useful for those with avoidant personality disorder who seek the approval of others and fear rejection.
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Question 13 of 103
A nurse is caring for a client who has dementia and observes that the client becomes stressed and requires assistance and monitoring when their family visits. When the family leaves the room, the client returns to baseline and the deficits are gone. Using the Functional Assessment Stage Tool, the nurse should identify that the client is in which of the following stages of Alzheimer's disease?
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Question 14 of 103
Which scenario is an example of a tort?
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Question 15 of 103
A patient diagnosed with major depressive disorder repeatedly tells staff members, 'I have cancer. It's my punishment for being a bad person.' Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.
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Question 16 of 103
Which documentation is appropriate for a newly admitted patient diagnosed with schizophrenia who is exhibiting signs of catatonia?
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Question 17 of 103
A nurse is planning care for a patient diagnosed with major depressive disorder who expresses a desire to commit suicide. Which intervention should the nurse implement first?
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Question 18 of 103
A nurse is caring for a patient diagnosed with schizophrenia. The patient is having difficulty maintaining focus during conversations and displays incoherent speech. Which of the following symptoms is the patient exhibiting?
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Question 19 of 103
A nurse is caring for a client who has post-traumatic stress disorder (PTSD) and is beginning psychopharmacology therapy. Which of the following medications is considered first-line treatment for symptoms of PTSD?
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Question 20 of 103
A patient diagnosed with generalized anxiety disorder is receiving cognitive-behavioral therapy (CBT). Which of the following should the nurse reinforce as an important goal of CBT?
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Question 21 of 103
A nurse is caring for a patient diagnosed with schizophrenia who is exhibiting delusional thinking. Which of the following actions should the nurse take?
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Question 22 of 103
A nurse is assessing a patient diagnosed with major depressive disorder. The patient states, 'I don't feel anything anymore. I don't care about anything.' Which nursing diagnosis is most appropriate for this patient?
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Question 23 of 103
Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
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Question 24 of 103
A nurse is assessing a patient diagnosed with generalized anxiety disorder. The patient reports feeling anxious about everything, even small tasks. Which of the following is the most appropriate nursing diagnosis?
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Question 25 of 103
A nurse is caring for a patient diagnosed with major depressive disorder. The patient states, 'I don't see the point in anything anymore. I just want to give up.' What is the priority nursing intervention?
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Question 26 of 103
A nurse wants to enhance growth of a patient by showing positive regard. The nurse's action most likely to achieve this goal is
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Question 27 of 103
A nurse is caring for a patient diagnosed with bipolar disorder during the depressive phase. The nurse is concerned that the patient may have suicidal thoughts. What is the priority intervention?
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Question 28 of 103
While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest. The patient looks at the floor. Which aspect of communication has the nurse assessed?
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Question 29 of 103
A patient with acute depression states, 'God is punishing me for my past sins.' What is the nurse's most therapeutic response?
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Question 30 of 103
A nurse is caring for a patient diagnosed with bipolar disorder during the manic phase. The patient is exhibiting rapid speech, impulsivity, and racing thoughts. What is the priority nursing intervention?
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Question 31 of 103
A nurse is assessing a patient diagnosed with generalized anxiety disorder. The patient reports feeling nervous and anxious most of the time. Which of the following is the priority nursing diagnosis?
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Question 32 of 103
A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to ask an advanced practice nurse to perform which action for patients?
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Question 33 of 103
A patient is having difficulty making a decision. The nurse has mixed feelings about whether to provide advice. Which principle usually applies? Giving advice
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Question 34 of 103
A recent immigrant from Honduras comes to the clinic with a family member who has been a U.S. resident for 10 years. The family member says, 'The immigration to America has been very difficult.' Considering cultural background, which expression of stress by this patient would the nurse expect?
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Question 35 of 103
A patient says, 'One result of my chronic stress is that I feel so tired. I usually sleep from 11:00 PM to 6:30 AM. I started setting my alarm to give me an extra 30 minutes of sleep each morning, but I don't feel any better and I'm rushed for work.' Which nursing response would best address the patient's concerns?
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Question 36 of 103
A patient preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is most appropriate?
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Question 37 of 103
An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defense mechanism is evident?
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Question 38 of 103
For a patient experiencing panic, which nursing intervention should be implemented first?
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Question 39 of 103
The nurse who is counseling a patient with dissociative identity disorder should understand that the assessment of highest priority is
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Question 40 of 103
A soldier in a combat zone tells the nurse, "I saw a child get blown up over a year ago, and I still keep seeing bits of flesh everywhere. I see something red, and the visions race back to my mind." Which phenomenon associated with PTSD is the soldier describing?
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Question 41 of 103
Which assessment data would help the health care team distinguish symptoms of conversion (functional neurological) disorder from symptoms of illness anxiety disorder (hypochondriasis)?
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Question 42 of 103
Which comment by a patient who recently experienced a myocardial infarction indicates use of maladaptive, ineffective coping strategies?
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Question 43 of 103
Which assessment findings suggest the possibility of a factitious disorder, imposed on self-type? (Select all that apply.)
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Question 44 of 103
An adolescent diagnosed with CD has aggression, impulsivity, hyperactivity, and mood symptoms. The treatment team believes this adolescent may benefit from medication. The nurse anticipates the health care provider will prescribe which type of medication?
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Question 45 of 103
While conducting the initial interview with a patient in crisis, the nurse should
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Question 46 of 103
After celebrating the fortieth birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?
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Question 47 of 103
A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would the nurse expect from the driver immediately after this event? (Select all that apply.)
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Question 48 of 103
Guidelines followed by the leader of a therapeutic group include focusing on recognizing dysfunctional behavior and thinking patterns, followed by identifying and practicing more adaptive alternate behaviors and thinking. Which theory is evident by this approach?
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Question 49 of 103
During a support group, a patient diagnosed with schizophrenia says, "Sometimes I feel sad that I will never have a good job like my brother. Then I dwell on it and maybe I should not." Select the nurse leader's best comment to facilitate discussion of this issue.
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Question 50 of 103
A nurse is caring for a client who is requesting information about assisted death (euthanasia). Understanding the ethical considerations of assisted death, what does the nurse know?
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Question 51 of 103
How might abuse and violence impact an individual emotionally?
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Question 52 of 103
Which one of the following is a result of federal legislation?
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Question 53 of 103
One of the unforeseen effects of the movement toward community mental health services is
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Question 54 of 103
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?
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Question 55 of 103
Which disorder is a culture-bound syndrome?
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Question 56 of 103
Which nursing intervention below is part of the scope of an advanced practice psychiatric/mental health nurse only?
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Question 57 of 103
A nurse surveys medical records. Which finding signals a violation of patients rights?
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Question 58 of 103
Which scenario best depicts a behavioral crisis? A patient is:
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Question 59 of 103
A patient yells, 'All the nurses here are so mean. None of you really care about us!' The most therapeutic response would be,
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Question 60 of 103
Genetics have been shown to play which of the following roles in a person’s mental and emotional health?
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Question 61 of 103
Individuals who grow up in 'at-risk' environments but are able to become productive, successful citizens are believed to possess which of the following characteristics?
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Question 62 of 103
Females from which of the following cultures are most likely to be expected to move in with husband’s family?
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Question 63 of 103
A nurse finds a psychiatric advance directive in the medical record of a patient experiencing psychosis The directive was executed during a period when the patient was stable and competent The nurse should:
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Question 64 of 103
An adolescent hospitalized after a violent physical outburst tells the nurse, 'I’m going to kill my father, but you can’t tell anyone' Select the nurse’s best response
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Question 65 of 103
Which documentation of a patient’s behavior best demonstrates a nurse’s observations?
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Question 66 of 103
Before assessing a new patient, a nurse is told by another health care worker, 'I know that patient No matter how hard we work, there isn’t much improvement by the time of discharge' The nurse’s responsibility is to:
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Question 67 of 103
When a nurse assesses an older adult patient, answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. An appropriate question for the nurse to ask would be:
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Question 68 of 103
Which of the following are components of the assessment of thought process and content? Select one that does not apply.
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Question 69 of 103
A patient reported to the nurse that on his way to the clinic, a policeman in a patrol car turned on his lights and pulled him over. When asked what he did next, the patient stated, 'I pulled over, of course.' Which of the following was the nurse trying to assess?
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Question 70 of 103
The nurse reviews results of the Minnesota Multiphasic Personality Inventory (MMPI) recorded in a patient record. While considering the usefulness of these data, the nurse is mindful that the MMPI has which limitation?
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Question 71 of 103
Which of the following clients would most likely be mandated outpatient treatment?
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Question 72 of 103
Disclosure of client information beyond the interdisciplinary team without consent of the client is a breach of
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Question 73 of 103
Which of the following dilemmas involve the ethical principle of fidelity? Select all that apply.
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Question 74 of 103
What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate:
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Question 75 of 103
A patient says, People should be allowed to commit suicide without interference from others. A nurse replies, You’re wrong. Nothing is bad enough to justify death. What is the best analysis of this interchange?
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Question 76 of 103
The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the patient’s foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient’s communication is:
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Question 77 of 103
When a female Mexican American patient and a female nurse sit together, the patient often holds the nurse’s hand. The patient also links arms with the nurse when they walk. The nurse is uncomfortable with this behavior. Which analysis is most accurate?
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Question 78 of 103
Mr. Ali believes that the nurse and doctor are talking about him; this could best be described as:
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Question 79 of 103
In the famous 'Little Albert' study by Watson & Rayner, they attempted to condition in him, a fear of his pet white rat. This was done by:
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Question 80 of 103
Sensitivity to increases in CO2 have been suggested as a risk factor for panic disorder (Papp, Klein & Gorman, 1993), and have given rise to what are known as 'suffocation alarm theories' of panic disorder where increased CO2 intake may:
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Question 81 of 103
The most common, and perhaps the most successful, treatment for OCD is exposure and ritual prevention. One such treatment is imaginal exposure. For example, for someone with compulsive washing, this involves:
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Question 82 of 103
The goals of palliative care include the following, except
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Question 83 of 103
To prevent complications of immobility, which activities would help the nurse plan for the first postoperative day after a colon resection?
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Question 84 of 103
A patient with an eating disorder has been under significant stress and works long hours. At home, the patient watches television and eats until going to bed. The patient is too tired to exercise and has gained 25 pounds in 1 month. The patient is 5 feet tall and weighs 175 pounds. A desired outcome for the patient is to recognize the anxiety that precedes binge eating and reduce it with a constructive strategy. Which intervention addresses the outcome?
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Question 85 of 103
A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients rights?
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Question 86 of 103
A black patient,originally from Haiti has a diagnosis of depression. A colleague tells the nurse,This patient often looks down and is reluctant to share feelings. However,I've observed the patient spontaneously interacting with other black patients. Select the nurses best response.
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Question 87 of 103
A patient in the emergency department shows a variety of psychiatric symptoms,including restlessness and anxiety. The patient says,I feel sad because evil spirits have overtaken my mind. Which worldview is most applicable to this individual?
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Question 88 of 103
A nurse cares for a first-generation American whose family emigrated from Germany. Which worldview about the source of knowledge would this patient likely have?
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Question 89 of 103
A nurse makes the statement in a treatment team meeting, 'It's not worth it to try to teach this patient how to make better choices. He has been here many times before and goes back home and does the same thing.' The nurse is sharing which of the following?
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Question 90 of 103
The nurse assesses fine hand tremors in a patient with a history of heavy alcohol use. If the nurse understands that the tremors are a direct result of alcohol use, the nurse is using which pattern of knowing, according to Carper?
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Question 91 of 103
Which of the following occurrences is considered a breach of professional boundaries?
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Question 92 of 103
A patient says, 'It's been so long since I've been with my family.' Which statement by the nurse is an example of restating?
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Question 93 of 103
A nurse has invited a patient to sit down and have a conversation. The patient takes the first seat. The nurse pulls up another chair to sit with the patient. Approximately how far from the patient should the nurse place her chair?
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Question 94 of 103
Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches Linda in an attempt to lessen her anxiety. The most therapeutic statement by the nurse would be:
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Question 95 of 103
A mental health nurse bumps into a member of her church, who begins questioning her about a former neighbor. The woman from the church asks the nurse, 'How is Rachael? We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she seeing one of the psychiatrists?' The nurse’s response is:
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Question 96 of 103
According to Diana Baumrind, there are three types of parenting. When the parent sets up the rules and others have no voice, this is known as:
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Question 97 of 103
Short-term and long-term goals are which part of the nursing process?
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HESI LPN · HESI Behavioral Health Nurse Certification
Question 98 of 103
The following are components of the principles of teaching (Select one that does not apply):
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HESI LPN · HESI Behavioral Health Nurse Certification
Question 99 of 103
Use of a logical-sounding excuse to cover up true thoughts and feelings describes this defense mechanism:
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HESI LPN · HESI Behavioral Health Nurse Certification
Question 100 of 103
Which of the following defense mechanisms do people typically use in times of stress (Select one that does not apply):
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HESI LPN · HESI Behavioral Health Nurse Certification
Question 101 of 103
Which of the following is the primary purpose of maintaining NPO for 6 to 8 hours before surgery?
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HESI LPN · HESI Behavioral Health Nurse Certification
Question 102 of 103
If a depressive patient is prescribed antidepressant medicine once in a day. Then patient should take it-
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HESI LPN · HESI Behavioral Health Nurse Certification
Question 103 of 103
Which family scenario presents the greatest risk for family violence?
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