HESI Health Care Utilization by Age Group

HESI LPN · HESI Health Care Utilization by Age Group

Question 1 of 80

An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years, despite having been sexually active. This adult was frustrated and expressed concerns about the relationship with the sexual partner. Which documentation best indicates the treatment was successful?

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Question 2 of 80

Select the best comment for a nurse to begin an interview with an elderly patient.

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Question 3 of 80

The highest priority for assessment by nurses caring for older adults who self-administer medications is

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Question 4 of 80

A victim of partner abuse, parent of one child, describes the partner as someone who is easily frustrated and more likely to be abusive after experiencing an event in which self-esteem is challenged. The most recent episodes of violence were related to feeling "upset"Ã‚Â over a job loss. What type of therapy would provide the greatest help to the abuser?

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Question 5 of 80

A woman, abducted and raped at gunpoint by an unknown assailant, was found confused and disoriented. The nurse makes these observations about the patient: talking rapidly in disjointed phrases, unable to concentrate, indecisive when asked to make simple decisions. What is the patient's level of anxiety?

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Question 6 of 80

When a victim of sexual assault is discharged from the emergency department, the nurse should:

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Question 7 of 80

A client, age 70, was brought into the Emergency Department by family members who reported a fall. During the assessment the nurse became suspicious that the client had suffered physical abuse. The client denied that she had been abused. Her denial is most likely based on her:

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Question 8 of 80

A new nurse asks the experienced nurse who is caring for a battered woman client, 'Why did you ask about culture when it was obvious you needed to focus on the battering?' The experienced nurse should respond:

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Question 9 of 80

A client has been diagnosed with a dementia secondary to cerebral disease. The family members note the client 'has not been as sharp as he once was' and that he has developed urinary incontinence and a gait disturbance. They attributed the first symptom to normal aging but were alarmed by the latter two symptoms. Based on this history, which of the following should come to mind?

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Question 10 of 80

The intervention of highest priority for a client with stage 3 Alzheimer's disease is to:

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Question 11 of 80

The affective losses of Alzheimer's disease refer to losses noticed in the individual's:

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Question 12 of 80

An elderly woman is brought to the clinic by her daughter. The client states that she has had a cold for several days. Her daughter states that her mother has been confused about when her routine medications are to be taken and that her mother has never experienced confusion about her medications before. Based on this information, it is important that the nurse ask the client whether:

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Question 13 of 80

An 11-year-old child stays home from school to care for his siblings while his mother works, is demeaned by his father, and has negative self-perceptions. Which intervention(s) would be appropriate? Select all that apply.

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Question 14 of 80

Assist her in developing an emergency plan, since the pattern of violence is likely to continue.

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Question 15 of 80

The caregiver for a client with moderate to severe dementia tells the nurse, 'I'm exhausted. He wanders at night instead of sleeping, so I get no rest. I'm afraid to leave him during the day, so I have to take him to the grocery store and to the laundromat. When I'm busy there, he often wanders off. Still, I have to do it all.' The nurse recognizes the need to provide teaching for this caregiver. An appropriate outcome is that the caregiver will:

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Question 16 of 80

During morning care, the nursing assistant asks a patient with dementia, 'How was your night?' The patient replies, 'It was lovely. My husband and I went out to dinner and to a movie.' The nurse who overhears this should make the assessment that the patient is:

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Question 17 of 80

A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight. The nurse says, 'Describe what you think about your present weight and how you look.' Which response would be most consistent with anorexia nervosa?

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Question 18 of 80

A disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 60 seconds during the beginning of sleep is called:

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Question 19 of 80

Which of the following signs indicates that a patient with an eating disorder may need immediate hospitalization?

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Question 20 of 80

Which is a common physical finding in patients with bulimia nervosa?

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Question 21 of 80

A nurse would assess for which feature in a patient diagnosed with bulimia nervosa?

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Question 22 of 80

A client with antisocial personality disorder yells, 'Shut up about that, or I'll punch you in the nose!' and shakes his fist at another client in a group meeting after the client speaks negatively of illicit drug use. The nurse quickly determines that the client is at risk to act violently against others as evidenced by his aggressive behavior, verbal threats, and a history of impulsivity. Which is the best approach for the nurse to use?

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Question 23 of 80

What is a key consideration when treating a patient with anorexia nervosa?

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Question 24 of 80

The client tells the nurse, 'I thought my psychiatrist was the best doctor in the world. I thought he understood me completely. Now, I hate him! He doesn't understand me at all. He's just dumping me to go on a 2-week vacation.' The nurse assesses the client's description of feelings about the physician as evidence of the use of:

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Question 25 of 80

A patient tells a nurse, 'The others won't give me my pain meds early, but you are more understanding, you know what it's like to be in pain, and you don't want to see your patients suffer. Could you find a way to get me my pill now? I won't tell anyone.' Which response by the nurse would be most therapeutic?

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Question 26 of 80

To plan effective interventions, the nurse should understand that the underlying reason a patient with paranoid personality disorder is so critical of others probably lies in the patient's:

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Question 27 of 80

A patient with borderline personality disorder has been hospitalized several times after self-injurious behavior and suicide attempts. The patient has entered dialectical behavior therapy on an outpatient basis. During therapy, the advanced practice nurse has been counseling her regarding self-harm behavior management. Today the patient called the nurse and reported 'feeling empty and anxious' and wants to cut herself. Which response would best help in this situation?

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Question 28 of 80

A nurse is caring for a patient with bulimia nervosa. What should the nurse do to promote a healthy eating pattern?

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Question 29 of 80

The nurse reports to the interdisciplinary team that an antisocial patient lies to other patients, verbally abuses a patient with Alzheimer's disease, flatters his primary nurse, and is detached and superficial during counseling sessions. Which behavior should be the priority focus of limit setting?

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Question 30 of 80

A family has noted the following behaviors in one of their elderly parents: periodic indecisiveness, forgetfulness, mild transient confusion, occasional misperception, distractibility, and occasional unclear thinking. Where on the continuum of cognitive responses would this patient be?

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Question 31 of 80

The family of a client mentions to the nurse, 'The family therapist talked to us about enmeshment. We're not sure we understood what it meant.' The nurse should base a response on knowledge that an enmeshed family is a unit in which:

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Question 32 of 80

When undertaking care for a patient with an eating disorder, a nurse should first:

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Question 33 of 80

To help communicate epidemiological trends amongst youth, a family doctor can refer to a typical Secondary School class of 33 students. In explaining to a parent, how many students would you estimate to report clinically significant symptoms of depression in one such class?

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Question 34 of 80

The following condition is an indication for electroconvulsive therapy (ECT)

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Question 35 of 80

In the powerpoint activity for this lesson, you witnessed photographs of typical weekly food consumptions for families in various countries. Which country depicted a photograph of a family who consumed the LEAST amount of fruits and vegetables and the MOST amount of processed food?

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Question 36 of 80

In the UK, the Special Education Needs & Disability Act of 2001 extended the rights of individuals with intellectual disabilities to be educated in mainstream schools. Schools are now required to draw up which of the following in order to facilitate the inclusion of pupils with intellectual disabilities and to make reasonable adjustments so that they are not disadvantaged?

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Question 37 of 80

When an individual with multiple cognitive disabilities has extraordinary proficiency in one isolated skill, this is known as?

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Question 38 of 80

Which of the following is related to recent attempts to find biochemical explanations for schizophrenia?

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Question 39 of 80

The term schizophrenia can be interpreted to mean

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Question 40 of 80

Marty is a 15-year-old boy whose parents have brought him to a mental health clinic for evaluation. They are concerned because his grades have fallen and he has become angry and sometimes even violent. He spends long periods of time alone and does not want to see his friends. The parents report that he has never been a bad boy nor had problems in school. They are worried about the changes in his behavior. Which of the following is the most likely cause?

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Question 41 of 80

A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

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Question 42 of 80

A 10-year-old boy presents with a history of central abdominal pain of a few hours' duration. On examination he has minimal tenderness in the right iliac fossa and no abnormal findings on rectal examination. Which of the following alternatives should be carried out?

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Question 43 of 80

A 75-year-old patient comes to the clinic reporting frequent headaches. As the nurse begins the interaction, which action is most important?

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Question 44 of 80

A nurse assessing an elderly patient for depression and suicide potential should include questions about mood as well as: (Select one tha does not apply)

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Question 45 of 80

A consumer at a rehabilitative psychosocial program says to the nurse, 'People are not cleaning up behind themselves in the bathrooms. The building is dirty and cluttered.' How should the nurse respond?

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Question 46 of 80

Which nursing intervention has highest priority for a patient with bulimia nervosa?

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Question 47 of 80

When teaching a patient with binge-purge bulimia, the nurse should give priority to information about:

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Question 48 of 80

Which nursing progress note would most suggest that the treatment plan of a severely depressed and withdrawn patient has been effective?

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Question 49 of 80

During a manic episode, a patient is hyperactive, restless, and disorganized. The patient goes to the dining room and begins to throw food and dishes. Verbal intervention is ineffective. The patient's behavior poses a substantial risk of harm to others. Staff escorts the patient to the patient's room to dine alone. What is the rationale for this action?

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Question 50 of 80

A patient with acute mania dances atop a pool table, waves a cue in one hand, and says, "I'll throw the pool balls if anyone comes near me." The nurse's first intervention is to:

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Question 51 of 80

A 19-year-old client is admitted for the second time in 9 months and is acutely psychotic with a diagnosis of undifferentiated schizophrenia. The client sits alone rubbing her arms and smiling. She tells the nurse her thoughts cause earthquakes and that the world is burning. The nurse assesses the primary deficit associated with the client's condition as:

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Question 52 of 80

A client admitted with delusions, hallucinations, and thought disorder has the admitting diagnosis schizophreniform disorder R/O organic pathology. Based on this information, the nurse can expect that the client will:

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Question 53 of 80

A client on an antipsychotic medication develops a high fever, unstable blood pressure, and muscle rigidity. Her next dose of medication is due. The nurse should:

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Question 54 of 80

A patient moving from chair to chair in the day room and pacing in the hallway repeatedly, rapidly, and for extended periods is likely demonstrating ______, and the nurse should ______.

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Question 55 of 80

A patient is noted to be bending over backward in the group room. A peer asks what he is doing, and he replies, 'People say they are bending over backwards to help me, so I am bending over backwards to help myself.' This is an example of:

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Question 56 of 80

The nurse is explaining to the family of a patient diagnosed with schizophrenia that the disorder is considered to have neurobiological origins. When the patient's mother asks, 'What part of the brain is dysfunctional?' the nurse should reply, 'Research has implicated the:

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Question 57 of 80

A patient reports, 'My brain is tapped. The government has implanted a device in my head.' What outcome would the nurse identify as being appropriate for the patient to achieve within 1 week of admission?

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Question 58 of 80

Schizophrenia affects approximately _____% of the world's population.

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Question 59 of 80

A female client with a psychotic disorder is experiencing olfactory hallucinations. Most likely, she would be complaining of:

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Question 60 of 80

When a nurse overhears the spouse of a patient threaten to 'smack you good if you don't shut up' while sitting in the unit's dayroom, which action reflects the most immediate, therapeutic nursing intervention?

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Question 61 of 80

A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter. The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. The nurse's legal responsibility if child abuse or neglect is suspected is to:

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Question 62 of 80

A client has been admitted with disorganized type schizophrenia. The nurse observes blunted affect and social isolation. He occasionally curses or calls another client a 'jerk' without provocation. The nurse asks the client how he is feeling, and he responds, 'Everybody picks on me. They frobitz me.' The nurse would assess 'frobitz' as:

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Question 63 of 80

A client with schizophrenia is medication compliant and has well-controlled symptoms. He has, however, never been successful in holding a job because of poor social skills and lack of understanding of basic job skills. The nurse case manager should consider referring the client:

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Question 64 of 80

A patient with schizophrenia has been stabilized in the Crisis Center and is about to be discharged. He will be living with his family, but the family knows nothing about the patient's illness, its treatment, or the role they can play in his recovery. Which activity would be most beneficial for the family to attend?

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Question 65 of 80

Which of the following is the most effective strategy to prevent relapse in anorexia nervosa?

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Question 66 of 80

A nurse is providing care for a patient with anorexia nervosa who has refused to eat. What is the nurse's priority intervention?

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Question 67 of 80

A client with borderline personality disorder is having difficulty with memories of sexual abuse. She has a history of suicidal gestures, self-mutilation, sexual addiction, and substance addiction. She complains of vague pains, menstrual problems, and headaches. She entered the partial hospital program to prevent another suicide gesture or self-mutilation. The nurse recognizes that collaborative therapy may be helpful for this client and knows that the most useful collaboration in this case would be the client, the nurse, and the:

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Question 68 of 80

The physician's admission note mentions that a patient has sundown syndrome. The nurse can expect that the patient will:

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Question 69 of 80

The mother of a teen with an eating disorder tells the nurse, "Our family is pretty well adjusted. It's hard for me to imagine what we could have done to have this happen."Ã‚Â The nurse can promote more complete understanding of the etiology of eating disorders by mentioning that young women are also influenced by:

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Question 70 of 80

Which measure is critical to achieving desired outcomes in the nurse-client relationship? The nurse:

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Question 71 of 80

Which therapy is shown through evidence to be the most effective for a patient with an eating disorder?

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Question 72 of 80

Which of the following are behaviours that may be associated with adolescent depression?

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Question 73 of 80

Reading Disorder is a developmental disorder and is characterised by reading achievement (e.g. accuracy, speed and comprehension) being significantly below standards expected for which of the following

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Question 74 of 80

What role does play have in mental development?

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Question 75 of 80

Parkinson's disease results from the death of neurons that produce

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Question 76 of 80

Delusional thinking is characteristic of

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Question 77 of 80

Which of the following combines the best treatments for postpartum blues?

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Question 78 of 80

According to family systems theory, removing the 'identified patient' from the environment most likely causes the:

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Question 79 of 80

A 76-year-old is regressed, indifferent, and responds to others only when they initiate an interaction. What form of group therapy would be most useful to promote resocialization?

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Question 80 of 80

A patient diagnosed with a serious mental illness lives independently and attends a psychosocial rehabilitation program. The patient presents at the emergency department seeking hospitalization. The patient has no acute symptoms but says, 'I have no money to pay my rent or refill my prescription.' Select the nurses best action.

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