HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 1 of 128
The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the RN to provide in this crisis?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 2 of 128
The RN is working with a male client at a community mental health center when the client reports hearing voices that tell him to get a knife from the kitchen and hurt himself. What intervention is most important for the RN to implement?
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Question 3 of 128
A male client tells the RN that he does not want to take the atypical antipsychotic drug, olanzapine (Zyprexa), because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?
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Question 4 of 128
A young adult female client is admitted to a psychiatric facility with a medical diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?
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Question 5 of 128
When do antidepressants start working?
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Question 6 of 128
A 35-year-old male client who has been hospitalized for two weeks for chronic paranoia continues to state that someone is trying to steal his clothing. Which action should the nurse implement?
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Question 7 of 128
Patient who is administered Lithium. Which laboratory test should be checked?
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Question 8 of 128
Antidepressants side effects.
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Question 9 of 128
A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which intervention should the RN implement?
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Question 10 of 128
Therapeutic Milieu: Pt had a recent suicide attempt after his wife offered divorce, lost his job, and his best friend moved away. What is the best nursing intervention to support therapeutic Milieu?
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Question 11 of 128
A teenage male client is admitted to the postoperative unit following open reduction of a fractured femur which occurred when he fell down the stairs at a party. The nurse notices needle marks on the client's arms and plans to observe for narcotic withdrawal. Early signs of narcotic withdrawal include which assessment findings?
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Question 12 of 128
An older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam (Xanax). During the health assessment, the client complains of chest pain. Which action should the nurse take first?
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Question 13 of 128
An individual with a known history of alcohol abuse is admitted for emergency surgery following a motor vehicle accident. The nurse includes in the plan of care to observe for signs of delirium tremens. Which early signs indicate that the client is beginning to have delirium tremens?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 14 of 128
Patient taking Carbamazepine. Which action should the nurse take?
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Question 15 of 128
A male client approaches the nurse with an angry expression on his face and raises his voice, saying, 'My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his temper one more time with me, I am going to punch him out!' The nurse recognizes that the client is using which defense mechanism?
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Question 16 of 128
While sitting in the dayroom of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client's behaviors. What is the main goal of this therapeutic technique?
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Question 17 of 128
A patient diagnosed with depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. The nurse should provide information to the patient and family about
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Question 18 of 128
Major depressive disorder resulted after a patient's employment was terminated. The patient now says to the nurse, 'I'm not worth the time you spend with me. I am the most useless person in the world.' Which nursing diagnosis applies?
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Question 19 of 128
A patient was diagnosed with seasonal affective disorder (SAD). During which month would this patient's symptoms be most acute?
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Question 20 of 128
A nurse instructs a patient taking a medication that inhibits the action of monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of
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Question 21 of 128
Which assessment findings are likely for an individual who recently injected heroin?
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Question 22 of 128
Adam has antisocial personality disorder. He says to the nurse, 'I'm not crazy. I'm just fun-loving. I believe in looking out for myself. Who cares what anyone thinks? If it feels good, do it!' Which of the following describes the psychoanalytical structure of Adam's personality?
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Question 23 of 128
The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, 'What questions do you have about being here on the unit?' Which nursing role described by Peplau is the nurse fulfilling in this instance?
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Question 24 of 128
What is justice?
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Question 25 of 128
What are the three types of crises?
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Question 26 of 128
What is a particular drug of choice for Alzheimer's?
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Question 27 of 128
What are healthy defense mechanisms?
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Question 28 of 128
What are intermediate defenses?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 29 of 128
What is splitting?
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Question 30 of 128
What are the S/S of depression?
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Question 31 of 128
What are the characteristics of conversion disorder?
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Question 32 of 128
What is the preferred questionnaire for possible alcohol abuse?
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Question 33 of 128
What is serotonin?
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Question 34 of 128
With what diseases does norepinephrine increase?
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Question 35 of 128
With what diseases does GABA decrease?
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Question 36 of 128
What is dystonia?
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Question 37 of 128
What are the SE of benzodiazepines?
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Question 38 of 128
What are the SE of lithium toxicity?
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Question 39 of 128
What are nursing interventions for conversion disorder?
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Question 40 of 128
What are the effects of inhalant overdose?
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Question 41 of 128
What are interventions for impulse control disorders?
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Question 42 of 128
A young adult is being evaluated for a possible eating disorder. Which nursing intervention is most directly related to a commonly observed complication related to bulimia nervosa?
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Question 43 of 128
An adult tells the nurse, “My partner abuses me...†Which phase in the cycle of violence prevents leaving?
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Question 44 of 128
Which referral will be most helpful for a woman who was severely beaten...?
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Question 45 of 128
An emergency department nurse prepares to assist with evidence collection... What documentation is important?
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Question 46 of 128
A nurse cares for a rape victim given flunitrazepam... Which intervention has priority?
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Question 47 of 128
A patient was abducted and raped... Which nursing interventions are appropriate...?
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Question 48 of 128
A 75 year old woman has sudden onset left-sided chest pain and breathlessness for 1 hour on the orthopaedic ward. She also had one episode of haemoptysis. She had a total hip replacement 3 days ago. Her temperature is 37.2°C, pulse rate 100 bpm, BP 132/78 mmHg, respiratory rate 22 breaths per minute and oxygen saturation 92% breathing air. Chest examination is normal. Which is the most appropriate diagnostic investigation?
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Question 49 of 128
A 6 year old girl has an itchy, red rash with yellow crusting on her face and neck. Which is the most likely diagnosis?
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Question 50 of 128
A 75 year old woman has three episodes of dizziness followed by collapsing to the floor. Which is the most appropriate diagnostic investigation?
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Question 51 of 128
A 23 year old woman has worsening diarrhoea with blood and mucus for 2 months. Which is the most appropriate diagnostic investigation?
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Question 52 of 128
A 30 year old woman has three episodes of bright red painless rectal bleeding. Which is the most likely diagnosis?
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Question 53 of 128
A 28 year old woman has a generalised seizure and is admitted to the antenatal ward. She is 38 weeks pregnant. BP 190/120 mmHg. Which is the most appropriate initial intravenous management?
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Question 54 of 128
A 55 year old woman has slowly worsening shortness of breath on exertion for 8 weeks. Investigations: Haemoglobin 64 g/L, MCV 103 fL. Which is the most likely haematological diagnosis?
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Question 55 of 128
An 80 year old woman has a painful right wrist and is seen in the Emergency Department. X-ray: Fracture of right distal radius. Which is the most appropriate treatment?
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Question 56 of 128
A 27 year old man has recurrent episodes of fainting and is seen in the cardiology clinic. His pulse rate is 74 bpm and BP 110/60 mmHg. Cardiac examination is normal. Which is the most likely cause of his syncope?
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Question 57 of 128
A 28 year old woman has intermittent headaches for 6 months and is seen in the neurology clinic. She has a dull ache with neck tightness. Which is the most appropriate initial treatment?
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Question 58 of 128
A 45 year old woman has flu-like symptoms, palpitations, and pain over her thyroid gland for 2 weeks. TSH 0.1 mU/L, Free T4 28.6 pmol/L. Which is the most appropriate treatment?
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Question 59 of 128
A 5 day old boy has poor urinary stream and bilateral hydronephrosis on antenatal ultrasound. Which is the most appropriate diagnostic investigation?
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Question 60 of 128
A 58 year old woman has worsening urinary frequency and urgency for 18 months. Which is the most appropriate initial management?
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Question 61 of 128
A 32 year old woman who is 24 weeks pregnant has chest pain. CT Pulmonary angiography: segmental filling defects. Which is the most appropriate management?
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Question 62 of 128
A 40 year old woman is increasingly anxious about her cravings to drink alcohol after detoxification. Which medication will be the most helpful to remain abstinent?
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Question 63 of 128
A 75 year old man has rectal bleeding for 2 weeks and dementia. Which is the most appropriate next step?
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Question 64 of 128
The RN documents the mental status of a female client who has been hospitalized for several days by court order. The client states, 'I don't need to be here' and tells the RN that she believes the television talks to her. The RN should document these assessment findings in which section of the mental status exam?
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Question 65 of 128
A disheveled patient in the acute phase of major depressive disorder is withdrawn, has psychomotor retardation, and has not showered for several days. The nurse will
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Question 66 of 128
A patient diagnosed with an antisocial personality disorder was treated several times for substance abuse, but each time the patient relapsed. Which treatment approach is most appropriate?
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Question 67 of 128
Select the priority outcome for a patient completing the fourth alcohol detoxification program in the past year. Prior to discharge, the patient will
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Question 68 of 128
When assessing a patient's plan for suicide, what aspect has priority?
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Question 69 of 128
After one of their identical twin daughters commits suicide, the parents express concern that the other twin may also have suicidal tendencies. Which reply should the nurse provide?
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Question 70 of 128
A patient was arrested for breaking windows in the home of a former domestic partner. The patient's history also reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?
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Question 71 of 128
An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the day room. The nurse should enter the day room
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Question 72 of 128
A patient with a new diagnosis of cancer says, 'My father died of pancreatic cancer. I took care of him during his illness, so I know what is ahead for me.' Which nursing diagnosis applies?
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Question 73 of 128
A child drowned while swimming in a local lake 2 years ago. Which behavior best indicates the child's parents are mourning in an effective way? The parents
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Question 74 of 128
A widow repeatedly tells details of finding her elderly husband not breathing, performing cardiopulmonary resuscitation, and seeing him pronounced dead. Family members are concerned and ask, 'What can we do?' The nurse should counsel the family that
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Question 75 of 128
A leader plans to start a new self-help group. Which intervention would be most helpful for assuring mutual respect within the group?
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Question 76 of 128
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 77 of 128
A patient has tried a variety of CAM approaches to manage health concerns. The nurse asks, “How is going to CAM practitioners different from seeing your medical doctors?†The patient is most likely to respond, “The CAM practitioners
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Question 78 of 128
An immigrant from China needs a colonic resection but is anxious and reluctant about surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient's anxiety and reluctance?
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Question 79 of 128
A patient had a venous thrombosis 3 weeks ago and is now taking warfarin. When visiting the laboratory to have a prothrombin time drawn, the patient reports drinking ginseng tea to stimulate the immune system. Which nursing diagnosis applies?
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Question 80 of 128
Which complementary and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?
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Question 81 of 128
A patient referred to the eating disorders clinic lost 35 pounds over 3 months. To assess eating patterns, the nurse should ask:
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Question 82 of 128
Therapeutic nutrition begins for a patient with anorexia nervosa who is 70% of ideal body weight. Which nursing intervention is most important to add to the plan of care?
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Question 83 of 128
Mr. J. is a new client on the psychiatric unit. He is 35 years old. Theoretically, in which level of psychosocial development (according to Erikson) would you place Mr. J.?
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Question 84 of 128
What is tertiary prevention?
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Question 85 of 128
What is amphetamine (Adderall) used for?
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Question 86 of 128
What are the SE of chlorpromazine (Thorazine)?
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Question 87 of 128
What are the SE of nortriptyline (Pamelor)?
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Question 88 of 128
What drugs are used for alcohol withdrawal delirium?
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Question 89 of 128
What are nursing interventions for dementia related to nutrition?
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Question 90 of 128
What is an adventitious crisis?
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Question 91 of 128
A nurse is caring for a client who was admitted for suspected abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take to promote client communication?
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Question 92 of 128
Which statement by an elderly client might suggest financial abuse is occurring?
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Question 93 of 128
Which behaviors indicate the child's parents are mourning ineffectively? (Select all that apply)
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Question 94 of 128
The parent of a child with attention deficit hyperactivity disorder (ADHD) tells the nurse that the child does not follow directions well. What strategy would be best for the nurse to recommend?
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Question 95 of 128
A 7-year-old male client has severe bruising on his arms and injuries to his abdomen. The nurse should consider child abuse if the parents act in what manner?
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Question 96 of 128
A nurse in an emergency department is assessing a client who has traumatic injuries following an assault. The client sits quietly and calmly in the examination room and states, 'I'm fine.' The nurse should recognize the client's behaviors as which of the following reactions?
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Question 97 of 128
A nurse notes that a client is extremely withdrawn, delusional, and emotionally exhausted. The nurse assesses the client's anxiety as which level?
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Question 98 of 128
A fourth-grade boy teases and makes jokes about a cute girl in his class. A nurse would recognize this behavior as indicative of which defense mechanism?
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Question 99 of 128
According to Maslow's hierarchy of needs, which client action would demonstrate the highest achievement in terms of mental health?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 100 of 128
A 27-year-old woman presents with hypersomnia (sleeps approximately 15 hours per day) and hyperphagia (has gained 6 kg). She is feeling discouraged and disinterested and reports a lack of energy. She has recently been thinking about death. Although she felt able to 'conquer the world' 2 months ago, she now feels lost and confused. Previously, she had 2 jobs and was training for a marathon. She was convinced she would make it to the Olympics, given that she required only 4 hours of sleep to recuperate. What agent would MOST likely stabilize her current condition?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 101 of 128
Which of the following states is MOST closely related to catatonic excitement?
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Question 102 of 128
Which change in the brain's biochemical function is most associated with suicidal behavior?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 103 of 128
A person who attempted suicide by overdose was treated in the emergency department and then hospitalized. The initial outcome is that the patient will:
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 104 of 128
A nurse and patient construct a no-suicide contract. Select the preferable wording.
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 105 of 128
Which statement provides the best rationale for closely monitoring a severely depressed patient during antidepressant medication therapy?
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Question 106 of 128
A confused older adult patient... hit the UAP in the face. Which statement best explains the patient’s action?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 107 of 128
After an assault by a patient, a nurse has difficulty sleeping... Which response poses the greatest barrier?
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Question 108 of 128
Which assessment finding presents the greatest risk for violent behavior directed at others?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 109 of 128
A cognitively impaired patient... frantically tries to leave... To intervene with validation therapy, say:
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Question 110 of 128
Which medication should a nurse administer to provide immediate intervention for a psychotic patient...?
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Question 111 of 128
A new patient acts out so aggressively that seclusion is required... Nurse’s priority?
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Question 112 of 128
Because an intervention was required... Which topics should be the primary focus...?
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Question 113 of 128
Which rationale best explains why a nurse should be aware of personal feelings...?
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Question 114 of 128
An 11-year-old says, “My parents don’t like me...†Which nursing diagnosis applies?
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Question 115 of 128
An older adult with Alzheimer’s disease... Which factor makes this patient most vulnerable...?
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Question 116 of 128
The nurse at a university health center leads a dialogue... Choose the nurse’s best response.
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Question 117 of 128
The nursing diagnosis Rape-trauma syndrome applies... Most appropriate outcome before discharge:
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Question 118 of 128
A victim abruptly decides to decline treatment and leaves... The nurse should:
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 119 of 128
A 55 year old man has diarrhoea and weight loss for 9 months. He has an intensely itchy red rash on his buttocks and thighs. Investigations: Haemoglobin 108 g/L, Blood film: anisocytosis. Which is the most likely histological appearance on small bowel biopsy?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 120 of 128
An 8 week old boy has vomiting worsening over 3 weeks. He is feeding well and is constantly hungry but is losing weight. Which is the most likely acid base finding?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 121 of 128
A 54 year old man has swelling of both ankles and is seen in the GP surgery. He has hypertension and takes amlodipine. Which is the most likely cause of his ankle swelling?
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Question 122 of 128
A 74 year old man has a severe headache of sudden onset and is seen in the Emergency Department. He has mild left-sided weakness. Which is the most likely diagnosis?
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Question 123 of 128
A 26 year old woman has severe abdominal pain and heavy vaginal bleeding and is seen on the labour ward. Which is the most likely diagnosis?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 124 of 128
A doctor in training overhears a senior doctor colleague complaining about an argument with a patient. Which is the most appropriate action?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 125 of 128
Which of the following is a formal thought disorder?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 126 of 128
A 15-year-old girl failed her exams. For three days she has been complaining that teachers are abusing her, and she complains of hearing voices when no one is around. She says that the teachers have conspired against her and want to expel her from school. Which is the most likely diagnosis?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 127 of 128
La belle indifference is seen in?
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HESI LPN · HESI Multiple Choice Questions on Psychiatric Emergencies
Question 128 of 128
A girl's normal language milestone is spending her time seeing her own hands and does not interact with others. Likely diagnosis is:
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