HESI LPN · HESI Behavioral Theory of Mental Health
Question 1 of 99
A nurse would identify which part of the nervous system as playing a major role during a stressful situation?
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Question 2 of 99
The nurse is caring for a client whose diagnosis has been linked to an abnormal secretion of growth hormone. Which illness does the client most likely have?
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Question 3 of 99
During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, I'm here for my heart, not my head problems. Which is the nurse's best response?
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Question 4 of 99
The OR team performs distinct roles for one surgical procedure to be accomplished within a prescribed time frame and deliver a standard patient outcome. While the surgeon performs the surgical procedure, who monitors the status of the client like urine output, blood loss?
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Question 5 of 99
The patient's medical record can work as a double edged sword. When can the medical record become the doctor's/nurse's worst enemy?
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Question 6 of 99
Some lifetime habits and hobbies affect postoperative respiratory function. If your client smokes 3 packs of cigarettes a day for the past 10 years, you will anticipate increased risk for:
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Question 7 of 99
The asthmatic client asked you what breathing techniques he can best practice when asthmatic attack starts. What will be the best position?
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Question 8 of 99
An 18-year-old male client admitted with heat stroke begins to show signs of disseminated intravascular coagulation (DIC). Which of the following laboratory findings is most consistent with DIC?
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Question 9 of 99
Which of the following treatment is a suitable surgical intervention for a client with unstable angina?
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Question 10 of 99
Situation: In a home visit done by the nurse, she suspects that the wife and her child are victims of abuse. Which of the following is the most appropriate for the nurse to ask?
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Question 11 of 99
What would be the best response to the client's repeated complaints of pain:
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Question 12 of 99
The primary nursing intervention in working with a client with moderate stage dementia is ensuring that the client:
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Question 13 of 99
Which nursing intervention is best for facilitating communication with a psychiatric client who speaks a foreign language?
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Question 14 of 99
Which factor is least important in the decision regarding whether a victim of family violence can safely remain in the home?
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Question 15 of 99
A client with panic disorder experiences an acute attack while the nurse is completing an admission assessment. List the following interventions according to their level of priority.
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Question 16 of 99
Which nursing statement is a good example of the therapeutic communication technique of focusing?
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Question 17 of 99
Which communication strategy would be most effective for a nurse to use during an assessment interview with an adult Native American patient?
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Question 18 of 99
The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?
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Question 19 of 99
Which response should the nurse identify as characteristic of clients diagnosed with OCPD?
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Question 20 of 99
Which nursing reply is most appropriate when a mother of a child diagnosed with autism spectrum disorder (ASD) asks, "What did I do to cause this?"
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Question 21 of 99
Which client would the nurse address first on an adolescent inpatient unit?
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Question 22 of 99
In the 2 years following a disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases?
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Question 23 of 99
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 24 of 99
A client is supposed to be ambulating ad lib. Instead, he refuses to get out of bed, asks for a bed bath, and makes many demands of the nurses. He also yells that they are lazy and incompetent. The client's behavior is an example of which of the following defense mechanisms?
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Question 25 of 99
Which one of the following statements is most accurate regarding the cohesiveness of a group in group therapy?
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Question 26 of 99
The nurse is working with a client who has a history of inflicting spousal abuse. Although the nurse does not condone domestic violence, the nurse treats the client with unconditional positive regard through which of the following?
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Question 27 of 99
Which of the following is the highest priority for admission to inpatient care?
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Question 28 of 99
Which type of psychiatric rehabilitation relies on intentional communities and rehabilitation alliances?
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Question 29 of 99
A therapy group adds new members as others leave. What type of group is evident?
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Question 30 of 99
A patient in a detoxification unit asks, What good it will do to go to Alcoholics Anonymous and talk to other people with the same problem? The nurses best response would be to explain that self-help groups such as AA provide opportunities for:
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Question 31 of 99
When teaching Mary, who has depression, about foods to avoid while taking phenelzine (Nardil), which of the following would Audrey LPN include?
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Question 32 of 99
A client comes to the outpatient mental health clinic 2 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The nurse reviews information about clozapine with the client. Which client statement indicates an accurate understanding of the nurse's teaching about this medication?
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Question 33 of 99
The drug category that blocks dopamine receptors and is a major treatment for schizophrenia is:
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Question 34 of 99
The category of drugs that treats the manic phase of bipolar disorder is called:
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Question 35 of 99
The home health nurse is informed by her patient that she is taking a herbal over-the-counter medication. What action should the nurse take with this information?
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Question 36 of 99
When teaching patients taking St. John's wort about drug and food interactions, the nurse will inform them of which of the following precautions?
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Question 37 of 99
What is a common mental health need among unhoused and displaced persons?
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Question 38 of 99
A nurse is leading a medication education group for patients with depression. A patient states he has read that herbal treatments are just as effective as prescription medications. The best response is,
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Question 39 of 99
Which of the following antidepressant drugs is a preferred drug for clients at high risk of suicide?
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Question 40 of 99
Which of the following was the first nonstimulant medication specifically designed and tested for ADHD?
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Question 41 of 99
When the client experiences facial flushing, a throbbing headache, nausea and vomiting after consuming alcohol while taking Disulfiram (Antabuse), the nurse is aware that this is due to which of the following?
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Question 42 of 99
While team effort is needed in the OR for efficient and quality patient care delivery, we should limit the number of people in the room for infection control. Who comprise this team?
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Question 43 of 99
What is the most important characteristic of a sample?
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Question 44 of 99
Nurse Monett is caring for a client recovering from gastrointestinal bleeding. The nurse should:
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Question 45 of 99
A 77-year-old male client is admitted for elective knee surgery. Physical examination reveals shallow respirations but no sign of respiratory distress. Which of the following is a normal physiologic change related to aging?
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Question 46 of 99
A 55-year old client underwent cataract removal with intraocular lens implant. Nurse Oliver is giving the client discharge instructions. These instructions should include which of the following?
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Question 47 of 99
Nurse Ron is taking a health history of an 84 year old client. Which information will be most useful to the nurse for planning care?
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Question 48 of 99
During routine care, Francis asks the nurse, "How can I be anemic if this disease causes increased my white blood cell production?" The nurse in-charge best response would be that the increased number of white blood cells (WBC) is:
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Question 49 of 99
A 37-year-old client with uterine cancer asks the nurse, "Which is the most common type of cancer in women?" The nurse replies that it's breast cancer. Which type of cancer causes the most deaths in women?
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Question 50 of 99
Before Jacob undergoes arthroscopy, the nurse reviews the assessment findings for contraindications for this procedure. Which finding is a contraindication?
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Question 51 of 99
Mr. Domingo with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client's hypertension is caused by excessive hormone secretion from which of the following glands?
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Question 52 of 99
Francis with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia?
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Question 53 of 99
A complete blood count is commonly performed before a Joe goes into surgery. What does this test seek to identify?
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Question 54 of 99
An elderly client is admitted to the nursing home setting. The client is occasionally confused and her gait is often unsteady. Which of the following actions, if taken by the nurse, is most appropriate?
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Question 55 of 99
Norma, with recent colostomy expresses concern about the inability to control the passage of gas. Nurse Oliver should suggest that the client plan to:
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Question 56 of 99
Kristine is scheduled for a bronchoscopy. When teaching Kristine what to expect afterward, the nurse's highest priority of information would be:
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Question 57 of 99
Wilfredo with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse Patricia position the client for this test initially?
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Question 58 of 99
A male client has a reduced serum high-density lipoprotein (HDL) level and an elevated low-density lipoprotein (LDL) level. Which of the following dietary modifications is not appropriate for this client?
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Question 59 of 99
Arnold, a 19-year-old client with a mild concussion is discharged from the emergency department. Before discharge, he complains of a headache. When offered acetaminophen, his mother tells the nurse the headache is severe and she would like her son to have something stronger. Which of the following responses by the nurse is appropriate?
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Question 60 of 99
A 66-year-old client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse would suspect which of the following disorders?
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Question 61 of 99
Patrick is treated in the emergency department for a Colles' fracture sustained during a fall. What is a Colles' fracture?
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Question 62 of 99
After a motor vehicle accident, Armand an 22-year-old client is admitted with a pneumothorax. The surgeon inserts a chest tube and attaches it to a chest drainage system. Bubbling soon appears in the water seal chamber. Which of the following is the most likely cause of the bubbling?
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Question 63 of 99
Jose is in danger of respiratory arrest following the administration of a narcotic analgesic. An arterial blood gas value is obtained. Nurse Oliver would expect the paco2 to be which of the following values?
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Question 64 of 99
The therapeutic approach in the care of an autistic child includes the following EXCEPT:
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Question 65 of 99
Situation: A 35-year-old male has an intense fear of riding an elevator. He claims "As if I will die inside." This has affected his studies The client is suffering from:
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Question 66 of 99
A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client?
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Question 67 of 99
When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system?
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Question 68 of 99
The parents of a young man with schizophrenia express feelings of responsibility and guilt for their son's problems. How can the nurse best educate the family?
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Question 69 of 99
A mother rescues two of her four children from a house fire. In the emergency department, she cries, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response?
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Question 70 of 99
An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic. The clinic sees culturally diverse patients. Which action should the nurse take first to prepare for this position?
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Question 71 of 99
Which underlying cause of this client's personality disorder should the nurse recognize?
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Question 72 of 99
Which nursing intervention would help the client to meet desired outcomes when demonstrating behaviors and verbalizations indicating a lack of guilt feelings?
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Question 73 of 99
Which nursing intervention is most appropriate for a preschool child diagnosed with ASD who is engaging in constant head-banging behavior?
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Question 74 of 99
Situation: Clients with personality disorders have difficulties in their social and occupational functions. Clients with personality disorder will most likely:
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Question 75 of 99
Francis who is addicted to cocaine withdraws from the drug. Nurse Ron should expect to observe:
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Question 76 of 99
An advanced practice nurse may perform which additional intervention?
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Question 77 of 99
Complete this analogy. NANDA: clinical judgment: NIC: _________________
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Question 78 of 99
What statement by a client demonstrates their need for support?
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Question 79 of 99
Which remark by a patient indicates passage from orientation to the working phase of a nurse-patient relationship?
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Question 80 of 99
Which behavior shows that a nurse values autonomy? The nurse:
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Question 81 of 99
A patient has just been told she has cervical cancer. When asked about how this is impacting her, she states, 'It's just an infection; it will clear up.' The statement indicates that this patient
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Question 82 of 99
A patient is encouraged to join in daily outdoor games with peers on the unit. The interdisciplinary team member who will monitor the patient's involvement will be the
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Question 83 of 99
When a therapist is interviewing a client diagnosed with depression, the client's feelings toward the client's parents as a child are being directed at the therapist. This is an example of:
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Question 84 of 99
A psychologist chose the profession because the psychologist was inspired by an aunt who was a successful psychologist. Which of Freud's ego defense mechanisms is this indicative of?
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Question 85 of 99
An adolescent female client is working with a nurse about the same age as her mother. The adolescent reacts to the nurse like she is a parent. This is an example of
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Question 86 of 99
A psychiatric-mental health nurse is integrating Orem's model when developing plans of care for clients with mental illness based on the understanding that this model emphasizes which aspect?
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Question 87 of 99
Which theorist showed that learning occurs by internalizing the behaviors of others through the process of pervasive imitation?
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Question 88 of 99
The nurse is preparing a patient for the termination phase of the nurse-patient relationship. Which nursing task that is most appropriate for this phase
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Question 89 of 99
A client who is taking chlorpromazine hydrochloride (Thorazine) is experiencing extrapyramidal side effects (EPS). The nurse understands that EPS is:
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Question 90 of 99
An employee uses the defense mechanism of displacement when the boss openly disagrees with suggestions. What behavior would be expected from this employee?
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Question 91 of 99
Giving broad opening is technique of communication that
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Question 92 of 99
Based on this patient's statements, what can the nurse conclude?
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Question 93 of 99
For which patient is the nurse most likely to need to schedule a pre-ECT workup and teaching?
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Question 94 of 99
Jean Piagets cognitive theory elaborates on the way a person thinks and how these thoughts are used to adapt to the surrounding environment. The age group for the formal operation is:
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Question 95 of 99
According to Freud, is the part of the personality that is concerned with the gratification of self.
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Question 96 of 99
The components of self-actualization in Maslows Hierarchy of Needs are:
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Question 97 of 99
According to the Recent Life Changes Questionnaire, which situation would most necessitate a complete assessment of a persons stress status and coping abilities?
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Question 98 of 99
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 dont feel any better and Im rushed for work. Which nursing response would best address the patients concerns?
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Question 99 of 99
During a group therapy session, a newly admitted patient suddenly says to the nurse, How old are you? You seem too young to be leading a group. Select the nurses most appropriate response.
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