HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 1 of 129
The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client's dressing?
A
Provide detailed thorough explanations when cleansing the wound.
B
Perform the dressing change in a non-judgmental manner.
C
Ask in a non-threatening manner why the client cut her own abdomen.
D
Request another staff member assist with the dressing change.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 2 of 129
An 18-year-old client is brought to the emergency department with a suspected overdose. Which information is most important for the nurse to obtain from the family?
A
The drug that was ingested.
B
The time of ingestion.
C
The client's medical history.
D
The client's mental health history.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 3 of 129
Patient with alcoholic withdrawal symptoms who says she has snakes all over her body. What action should the nurse take?
A
Administer PRN Lorazepam (Ativan).
B
Provide a quiet environment.
C
Offer fluids and snacks.
D
Reassure the client that the snakes are not real.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 4 of 129
A client with depression is not attentive to personal hygiene, uses television watching as a means of escape from responsibilities, and describes an inability to enjoy the things that once gave them pleasure. Which coping strategy should the nurse include in the plan of care?
A
Small amount of effort to solve the problem.
B
Encourage the client to set daily goals.
C
Provide opportunities for social interaction.
D
Teach relaxation techniques.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 5 of 129
Pt refuses to take medications and in defiance sits in the middle of the hallway floor. Best nursing action?
A
To move other clients to another room.
B
Administer PRN sedative medication.
C
Confront the client about his behavior.
D
Ignore the behavior and continue with other tasks.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 6 of 129
The nurse goes to answer a call light, and the patient is aggressive and agitated. What is most important for the nurse to do?
A
Stay in the doorway.
B
Approach the client calmly.
C
Administer PRN sedative medication.
D
Call for additional staff assistance.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 7 of 129
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement?
A
Isolate the client from other clients.
B
Administer PRN sedative.
C
Avoid recognizing the behavior.
D
Escort the client to his room.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 8 of 129
A patient diagnosed with major depressive disorder repeatedly tells staff, 'I have cancer. It's my punishment for being a bad person.' Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.
A
Powerlessness.
B
Risk for suicide.
C
Stress overload.
D
Spiritual distress.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 9 of 129
Transcranial Magnetic Stimulation (TCM) is scheduled for a patient diagnosed with major depressive disorder. Which comment by the patient indicates teaching about the procedure was effective?
A
They will put me to sleep during the procedure so I won't know what is happening.'
B
I might be a little dizzy or have a mild headache after each procedure.'
C
I will be unable to care for my children for about 2 months.'
D
I will avoid eating foods that contain tyramine.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 10 of 129
An adult in the emergency department states, 'Everything I see appears to be waving. I am outside my body looking at myself. I think I'm losing my mind.' Vital signs are slightly elevated. The nurse should suspect
A
a schizophrenic episode.
B
hallucinogen ingestion.
C
opium intoxication.
D
cocaine overdose.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 11 of 129
The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is
A
hopelessness.
B
sadness.
C
elation.
D
anger.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 12 of 129
Which individual in the emergency department should be considered at highest risk for completing suicide?
A
An adolescent Asian American girl with superior athletic and academic skills who has asthma.
B
A 38-year-old single, African American female church member with fibrocystic breast disease.
C
A 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes.
D
A 79-year-old single, white male diagnosed recently with terminal cancer of the prostate.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 13 of 129
A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient's action?
A
Older adult patients often demonstrate exaggerations of behaviors used earlier in life.
B
Crowding in skilled nursing facilities increases an individual's tendency toward violence.
C
The patient learned violent behavior by watching other patients act out.
D
The patient interpreted the UAP's behavior as potentially harmful.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 14 of 129
After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse said, 'That patient should not be allowed to get away with that behavior.' Which response poses the greatest barrier to the nurse's ability to provide therapeutic care?
A
Startle reactions.
B
Difficulty sleeping.
C
A wish for revenge.
D
Preoccupation with the incident.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 15 of 129
A nurse talks with a woman whose husband died while jogging. Select the appropriate statement for the nurse.
A
At least your husband did not suffer.'
B
It's better to go quickly as your husband did.'
C
Your husband's loss must be very painful for you.'
D
You will begin to feel better after you get over the shock.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 16 of 129
A patient with pancreatic cancer says, 'I know I am dying, but I am still alive. I want to be in control as long as I can.' Which reply by the nurse shows active listening?
A
Our staff will do their best to manage your pain.'
B
Your mind and spirit are healthy, although your body is frail.'
C
It's important for you to let others help you to ease their own pain.'
D
Are you saying you want people to stop focusing on your diagnosis?'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 17 of 129
A staff nurse asks a hospice nurse, 'Who should be referred for hospice care?' Select the best response.
A
Hospice is for terminally ill patients diagnosed with cancer.'
B
Patients in the end stage of any disease are eligible for hospice.'
C
Hospice is designed to care for patients experiencing end-stage renal disease.'
D
Patients diagnosed with degenerative neurological diseases are eligible for hospice after paralysis occurs.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 18 of 129
A young female member in a therapy group says to an older female member, 'You are just like my mother, always trying to control me with your observations and suggestions.' Which therapeutic factor of a group is evident by this behavior?
A
Instillation of hope.
B
Existential resolution.
C
Development of socializing techniques.
D
Corrective recapitulation of the primary family group.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 19 of 129
A nurse at the well child clinic realizes that many parents have misconceptions about effective ways of disciplining their children. The nurse decides to form a group to address this problem. What should be the focus of the group?
A
Support.
B
Socialization.
C
Health education.
D
Symptom management.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 20 of 129
An older male patient has suffered with episodic pruritus and skin eruptions for over 2 years. This patient tells the nurse, “When my skin gets better for a few days, I start worrying that it's going to start itching again soon. I think my worry may actually trigger the problems to start all over again.†Which self-help technique should the nurse consider suggesting for this patient?
A
Melatonin
B
Meditation
C
Purification
D
Acupuncture
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 21 of 129
Which CAM method is associated with using allergy injections of small amounts of an allergen in solution?
A
Naturopathy
B
Homeopathy
C
Chiropractic
D
Shiatsu
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 22 of 129
What is alprazolam (Xanax) used for?
A
Antianxiety and sedative.
B
Antidepressant.
C
Antipsychotic.
D
Anticonvulsant.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 23 of 129
What are the SE of amphetamine (Adderall)?
A
Insomnia and restlessness.
B
Weight loss and dysrhythmias.
C
Hypertension and agitation.
D
All of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 24 of 129
What is buspirone (Buspar) used for?
A
Anxiety, OCD, and panic disorders.
B
Depression and bipolar disorder.
C
Schizophrenia and psychosis.
D
None of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 25 of 129
What is codeine?
A
An opioid used for mild pain.
B
An antidepressant.
C
An antianxiety medication.
D
An anticonvulsant.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 26 of 129
What are examples of MAOIs?
A
Phenelzine (Nardil) and tranylcypromine (Parnate).
B
Fluoxetine (Prozac) and sertraline (Zoloft).
C
Lithium and valproate.
D
None of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 27 of 129
What are examples of opioids?
A
Codeine, hydrocodone, and oxycodone.
B
Fluoxetine, sertraline, and paroxetine.
C
Lithium, valproate, and carbamazepine.
D
None of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 28 of 129
What is a nursing diagnosis related to conversion disorder?
A
Inability to take care of basic self-care needs related to conversion symptoms.
B
Risk for injury related to seizures.
C
Impaired social interaction related to paralysis.
D
All of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 29 of 129
What medications are used for seizure control in alcohol withdrawal delirium?
A
Carbamazepine (Tegretol) and valproic acid (Depakote).
B
Magnesium sulfate and thiamine (vitamin B1).
C
Both A and B.
D
None of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 30 of 129
What is the treatment for damages from inhalants?
A
Support affected systems and provide vitamin B12 and folate.
B
Administer antipsychotics and antidepressants.
C
Both A and B.
D
None of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 31 of 129
What are nursing interventions for dementia related to bowel and bladder function?
A
Begin a bowel and bladder program early.
B
Evaluate the use of disposable diapers.
C
Label bathroom doors and other rooms.
D
All of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 32 of 129
What is the nursing assessment priority for patients in crisis?
A
Assess for suicidal or homicidal thoughts or plans.
B
Assess the patient's perception of the event, available supports, and coping skills.
C
Both A and B.
D
None of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 33 of 129
What are interventions for people who are grieving?
A
Use methods to facilitate the grieving process.
B
Encourage the support of family and friends.
C
Offer spiritual support and referrals when needed.
D
All of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 34 of 129
A female adolescent client says to the nurse, 'Hey you stupid blonde, what are you looking at?' Which of the following responses would be inappropriate for the nurse to make?
A
What's that all about?'
B
I don't understand that comment.'
C
That kind of language is unacceptable.'
D
Don't you ever talk to me like that again.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 35 of 129
A nurse is caring for a client with factitious disorder imposed on another. Which of the following statements by the client would the nurse expect?
A
My son has asthma, and I become anxious when he has trouble breathing.'
B
I have been sick for so long, and no one can help me.'
C
I made my daughter sick because no one was paying us any attention.'
D
My friend now has a new friend, so I have nothing to do with her.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 36 of 129
A school-age child is talking with her grandmother, who is dying. What should the nurse say to the child?
A
Talk loudly so she can hear you.'
B
Even though she may not answer you, she can hear you.'
C
Hold her hand since she probably can't hear you.'
D
Although she cannot hear you, she can feel your presence.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 37 of 129
A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation, and one of the parents says, 'She never wet the bed at home. I am so embarrassed.' Which of the following responses should the nurse make?
A
It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better.'
B
Why does it bother you that your child has wet the bed?'
C
Your child did not seem upset, so I wouldn't worry about it if I were you.'
D
I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 38 of 129
An elderly client was neglected by family in the home setting. The abuse was reported. What factor would have allowed the client to remain in the home?
A
Since the abuse has not been physical, there is no need to remove the client from the environment.
B
Only children are removed from the family and home.
C
Competent adults can decide to remain in the setting.
D
The appropriate agency will possibly monitor for improvement in the situation.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 39 of 129
The family of a 17-year-old client diagnosed with anorexia nervosa is encouraged to attend family therapy sessions. The parents state, 'We don't have the eating disorder. Why should we attend?' What is the best response by the nurse?
A
Don't you care about your daughter's well-being?'
B
An eating disorder is a family disorder.'
C
She needs your support right now.'
D
Gaining insight about her illness and what contributes to it will be beneficial.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 40 of 129
A nurse is assessing a client who experiences occasional feelings of sadness because of the recent death of a beloved pet. The client's appetite, sleep patterns, and daily routine have not changed. How would the nurse interpret the client's behaviors?
A
The client's behaviors demonstrate mental illness in the form of depression.
B
The client's behaviors are inappropriate, which indicates the presence of mental illness.
C
The client's behaviors are not congruent with cultural norms.
D
The client's behaviors demonstrate no functional impairment, indicating no mental illness.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 41 of 129
A psychiatric nurse intern states, “This client's use of defense mechanisms should be eliminated.†Which is a correct evaluation of this nurse's statement?
A
Defense mechanisms can be appropriate responses to stress and need not be eliminated.
B
Defense mechanisms are a maladaptive attempt of the ego to manage anxiety and should always be eliminated.
C
Defense mechanisms are used only by individuals with weak ego integrity and should be discouraged.
D
Defense mechanisms cause disintegration of the ego and should be fostered and encouraged.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 42 of 129
Which nursing statement regarding the concept of psychosis is most accurate?
A
Individuals experiencing psychoses are aware that their behaviors are maladaptive.
B
Individuals experiencing psychoses experience little distress.
C
Individuals experiencing psychoses are aware of experiencing psychological problems.
D
Individuals experiencing psychoses are based in reality.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 43 of 129
According to Maslow's hierarchy of needs, which situation on an inpatient psychiatric unit would require priority intervention by a nurse?
A
A client rudely complaining about limited visiting hours
B
A client exhibiting aggressive behavior toward another client
C
A client stating that no one cares
D
A client verbalizing feelings of failure
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 44 of 129
An emergency department nurse assesses an unresponsive victim... Which question is most important...?
A
Does the victim have any kidney disease?
B
Has the victim consumed any alcohol?
C
What time was she given salty water?
D
Did you witness the rape?
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 45 of 129
Which situation describes consensual sex rather than rape?
A
A husband forces vaginal sex when intoxicated; the wife objects.
B
A woman’s lover pleads for oral sex; she gives in but regrets it later.
C
A person is beaten, robbed, and forcibly subjected to anal penetration.
D
A dentist has intercourse with an unconscious patient under anesthesia.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 46 of 129
A 26 year old woman requests strong pain relief for abdominal pain and is seen in the Emergency Department. She has no significant past medical history. She looks malnourished. She is restless and irritable. Her temperature is 37.1°C. Which non-prescribed substance is the most important to enquire about in this presentation?
A
Alcohol
B
Amphetamines
C
Cannabis
D
Cocaine
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 47 of 129
A 27 year old woman has a small area of redness on her right breast for 4 weeks. A course of antibiotics slightly improved the redness. She has had similar episodes before. Which is the most likely diagnosis?
A
Breast abscess
B
Breast cancer
C
Duct papilloma
D
Paget's disease
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 48 of 129
A 24 year old man has mild discomfort in his left scrotum for 4 months. He has palpable worm-like structures. Which is the most appropriate next investigation?
A
Gram stained urethral smear
B
Midstream urine for culture and sensitivity
C
Scrotal exploration
D
Semen analysis
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 49 of 129
A 31 year old woman has increasing shortness of breath and left-sided pleuritic chest pain for 1 week. Which is the most likely diagnosis?
A
Bronchiectasis
B
Lung cancer
C
Pneumonia
D
Pulmonary embolism
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 50 of 129
A 55 year old man has difficulty breathing after being stabbed with a knife in the right side of his neck. Which nerve is most likely damaged?
A
Greater splanchnic nerve
B
Phrenic nerve
C
Recurrent laryngeal nerve
D
Spinal accessory nerve
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 51 of 129
A 60 year old man is anuric on the renal unit. Ultrasound: stone impacted at the pelvi-ureteric junction. Which is the most appropriate therapeutic intervention?
A
Bladder catheterisation
B
Lithotripsy
C
Percutaneous right nephrostomy
D
Retrograde drainage of the right renal tract
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 52 of 129
A 65 year old man has a dry cough and progressive shortness of breath for 3 months. He has finger clubbing and bibasal fine end-inspiratory crackles. Which is the most appropriate next investigation?
A
Broncho-alveolar lavage
B
Cardiopulmonary exercise test
C
Echocardiography
D
High resolution CT scan of chest
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 53 of 129
An 81 year old man has increasing confusion, agitation, and worsening urinary incontinence in a nursing home. Which investigation is most likely to confirm his diagnosis?
A
Blood culture
B
Chest X-ray
C
CT of head
D
E Urine culture & sensitivity
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 54 of 129
A 10 year old girl has bloody diarrhoea for 5 days after a farm trip. Investigations: Haemoglobin 80 g/L, Platelets 76 x 10^9/L. Which is the most likely underlying diagnosis?
A
Bacillus cereus enteritis
B
Diabetic ketoacidosis
C
Haemolytic uraemic syndrome
D
E Thrombotic thrombocytopenic purpura
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 55 of 129
Dr A learns that Dr B is using social media to befriend a recently discharged patient. Which is the most appropriate next step for Dr A?
A
Contact adult safeguarding team
B
Inform Dr B's consultant and educational supervisor
C
No further action required
D
E Report Dr B to the GMC
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 56 of 129
A 44 year old man has severe pain following surgical fixation of a comminuted ankle fracture. Which is the most appropriate additional analgesic?
A
Intramuscular diclofenac
B
Oral codeine phosphate
C
Oral oxycodone
D
Patient-controlled intravenous morphine
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 57 of 129
A 40-year-old male patient is suspicious that people are talking about him and spying on him, despite being tried to convince the family members that no such thing is happening. Which of the following statements is true?
A
Delusion of persecution
B
Disorder of Thought
C
Hallucination
D
Seen in anxiety disorder
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 58 of 129
A patient present in the ward, when asked, 'What is your name?' repeats the same sentence back to you. What is this phenomenon called?
A
Coprolalia
B
Echopraxia
C
Copropraxia
D
Echolalia
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 59 of 129
A female client who is wearing dirty clothes and has foul body odor comes to the clinic reporting feeling scared because she is being stalked. What action is most important for the RN to take?
A
Offer the client a safe place to relax before interviewing her.
B
Ask the client to describe why she is being stalked.
C
Recommend that the client talk with a social worker.
D
Assure the client that the HCP will see her today.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 60 of 129
A female client admitted to the mental health unit starts to shout and scream at the RN. What is the best approach for the RN to take?
A
Stay quietly with the patient.
B
Tell her that she is out of control.
C
Distract her by offering her finger foods.
D
Ignore the client's acting-out behavior.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 61 of 129
A homeless client who reports feeling sad and depressed tells the mental health nurse that in the past 2 days she has only had 4 hours of sleep. Which action is most important for the RN to implement within the first 24 hours after treatment is initiated?
A
Allow the client to rest and sleep.
B
Ensure the client attends groups addressing coping skills for dealing with depression.
C
Begin planning for the client's discharge.
D
Encourage verbalization of feelings.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 62 of 129
The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued?
A
Lithium.
B
Benztropine (Cogentin).
C
Alprazolam (Xanax).
D
Magnesium (Milk of Magnesia).
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 63 of 129
A 27-year-old female client is admitted to the psychiatric hospital with a diagnosis of bipolar disorder, manic phase. She is demanding and active. Which intervention should the nurse include in this client's plan of care?
A
Provide a structured environment with little stimuli.
B
Encourage the client to participate in group activities.
C
Allow the client to set her own schedule.
D
Administer sedative medications as needed.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 64 of 129
A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of Risperidone. When the client walks to the nurse station in a laterally contracted position, he states that something has made his body contort into a monster. What action should the nurse take?
A
Administer the prescribed anticholinergic Benztropine (Cogentin) for dystonia.
B
Reassure the client that the sensation is temporary.
C
Encourage the client to relax and breathe deeply.
D
Document the client's symptoms and notify the HCP.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 65 of 129
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the MHW warrants immediate intervention by the RN?
A
Is attempting to physically restrain the patient.
B
Tells the client to go to the quiet area of the unit.
C
Is using a loud voice to talk to the client.
D
Remains at a distance of 4 feet from the client.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 66 of 129
The nurse documents that a male client with paranoid schizophrenia is delusional. Which statement by the client confirms the assessment?
A
The nurse at night is trying to poison me with pills.'
B
I don't need to be here because I am not sick.'
C
My family is plotting against me.'
D
I hear voices telling me to hurt myself.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 67 of 129
A male client who is admitted with delirium tremens is dehydrated and experiencing auditory hallucinations. He has a bruised, swollen tongue and is confused. In developing a plan of care, which action should the nurse include to ensure the client is physiologically stable?
A
Monitor vital signs.
B
Administer PRN antipsychotic medication.
C
Provide a quiet environment.
D
Encourage fluid intake.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 68 of 129
Patient with schizophrenia enters the psychiatric unit with symptoms. Which action should the nurse take?
A
Check the medication list.
B
Assess for signs of infection.
C
Monitor vital signs.
D
Provide a quiet environment.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 69 of 129
The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Which information should the RN report to the HCP immediately?
A
Short-term memory loss.
B
Five-pound weight gain.
C
Decreased affect.
D
Nausea and vomiting.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 70 of 129
A nurse taught a patient about a tyramine-restricted diet. Which menu selection would the nurse approve?
A
Macaroni and cheese, hot dogs, banana bread, caffeinated coffee.
B
Mashed potatoes, ground beef patty, corn, green beans, apple pie.
C
Avocado salad, ham, creamed potatoes, asparagus, chocolate cake.
D
Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 71 of 129
A patient diagnosed with major depressive disorder does not interact with others except when addressed, and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the patient. Which communication technique will be effective?
A
Make observations.
B
Ask the patient direct questions.
C
Phrase questions to require yes or no answers.
D
Frequently reassure the patient to reduce guilt feelings.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 72 of 129
A patient diagnosed with major depressive disorder began taking escitalopram 5 days ago. The patient now says, 'This medicine isn't working.' The nurse's best intervention would be to
A
discuss with the health care provider the need to increase the dose.
B
reassure the patient that the medication will be effective soon.
C
explain the time lag before antidepressants relieve symptoms.
D
critically assess the patient for symptoms of improvement.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 73 of 129
Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.
A
Monitor vital signs.
B
Observe for depression.
C
Awaken the patient every 15 minutes.
D
Use warmers to maintain body temperature.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 74 of 129
A nurse prepares for an initial interaction with a patient with a long history of methamphetamine abuse. Which is the nurse's best first action?
A
Perform a thorough assessment of the patient.
B
Verify that security services are immediately available.
C
Self-assess personal attitude, beliefs about this health problem.
D
Obtain a face shield because oral hygiene is poor in methamphetamine abusers.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 75 of 129
Select the best desired outcome for a patient who uses valerian. The patient will report
A
stress level is lower.
B
undisturbed sleep throughout the night.
C
increased interest in recreational activities.
D
early morning waking without an alarm clock.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 76 of 129
A patient diagnosed with depression confidently tells the nurse, “I've been supplementing my paroxetine with St. John's wort. It has helped a great deal.†What is the nurse's priority action?
A
Assess changes in the patient's level of depression.
B
Remind the patient to use a secondary form of birth control.
C
Educate the patient about the risks of selective serotonin syndrome.
D
Suggest adding valerian to the treatment regimen to further improve results.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 77 of 129
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?
A
I'm fat and ugly.'
B
What I think about myself is my business.'
C
I'm grossly underweight, but I cover it well.'
D
I'm a few pounds overweight, but I can live with it.'
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 78 of 129
A patient with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures to produce a specified weekly weight gain?
A
Severe anxiety concerning eating is expected, so objective and subjective data must be routinely collected.
B
Patient involvement in decision making increases sense of control and promotes adherence.
C
Because of risks of physical problems from refeeding, the patient's consent is essential.
D
A team approach to treatment planning ensures that physical and emotional needs are met.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 79 of 129
Mr. J. has been diagnosed with schizophrenia. He refuses to eat, and told the nurse he knew he was 'being poisoned.' According to Erikson's theory, in what developmental stage would you place Mr. J.?
A
Intimacy vs. isolation
B
Generativity vs. self-absorption
C
Trust vs. mistrust
D
Autonomy vs. shame and doubt
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 80 of 129
Larry, who has antisocial personality disorder, feels no guilt about violating the rights of others. He does as he pleases without thought to possible consequences. In which of Peplau's stages of development would you place Larry?
A
Learning to count on others
B
Learning to delay gratification
C
Identifying oneself
D
Developing skills in participation
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 81 of 129
The nurse has just admitted Nancy to the psychiatric unit. The psychiatrist has diagnosed Nancy with major depressive disorder. The nurse says to Nancy, 'Some changes will have to be made in your behavior. I care about what happens to you.' Which nursing role described by Peplau is the nurse fulfilling in this instance?
A
Counselor
B
Surrogate
C
Technical Expert
D
Resource Person
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 82 of 129
What is fidelity (nonmaleficence)?
A
The duty to act as a benefit or to promote the good of others.
B
The duty to avoid causing harm to others.
C
The duty to respect the rights of others to make their own decisions.
D
The duty to distribute resources or care equally.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 83 of 129
What is a situational/external crisis?
A
A crisis caused by achieving new developmental stages.
B
A crisis caused by natural disasters or crimes.
C
A crisis caused by unanticipated loss or change.
D
A crisis caused by internal conflicts.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 84 of 129
What are the characteristics of a patient with borderline personality disorder?
A
Instability of affect, identity, and relationships.
B
Fear of abandonment and manipulation.
C
Impulsiveness and self-injury.
D
All of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 85 of 129
What is altruism?
A
A defense mechanism where emotional conflicts are addressed by meeting the needs of others.
B
A defense mechanism where unacceptable impulses are substituted with constructive activities.
C
A defense mechanism where disturbing feelings are constantly denied.
D
A defense mechanism where emotions are transferred to a nonthreatening object.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 86 of 129
What is displacement?
A
A defense mechanism where emotional conflicts are addressed by meeting the needs of others.
B
A defense mechanism where unacceptable impulses are substituted with constructive activities.
C
A defense mechanism where disturbing feelings are constantly denied.
D
A defense mechanism where emotions are transferred to a nonthreatening object.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 87 of 129
What is projection?
A
A defense mechanism where emotional conflicts are addressed by meeting the needs of others.
B
A defense mechanism where unacceptable impulses are substituted with constructive activities.
C
A defense mechanism where disturbing feelings are constantly denied.
D
A defense mechanism where unacceptable personal features are attributed to others.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 88 of 129
Who influenced Peplau?
A
Sullivan's interpersonal relationship theory.
B
Freud's psychoanalytic theory.
C
Maslow's hierarchy of needs.
D
Erikson's stages of psychosocial development.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 89 of 129
What are the symptoms of conversion disorder?
A
Involuntary movements, seizures, and paralysis.
B
Abnormal gait, anesthesia, and blindness.
C
Deafness and other sensory deficits.
D
All of the above.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 90 of 129
What is dopamine?
A
A neurotransmitter involved in cognition, motivation, and movement.
B
A neurotransmitter involved in mood regulation and arousal.
C
A neurotransmitter involved in pain perception and muscle relaxation.
D
A neurotransmitter involved in learning and memory.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 91 of 129
With what diseases does serotonin increase?
A
Anxiety.
B
Depression.
C
Schizophrenia.
D
Parkinson's disease.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 92 of 129
With what diseases does norepinephrine decrease?
A
Mania, anxiety, and schizophrenia.
B
Depression.
C
Parkinson's disease.
D
Alzheimer's disease.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 93 of 129
What is glutamate?
A
A neurotransmitter involved in learning and memory.
B
A neurotransmitter involved in mood regulation.
C
A neurotransmitter involved in cognition and motivation.
D
A neurotransmitter involved in pain perception.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 94 of 129
What is an example of primary prevention?
A
Legislation to ban hazardous products.
B
Regular exams and screening.
C
Cardiac rehab programs.
D
Support groups.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 95 of 129
A 28-year-old paramedic presents for an independent medical examination. He has been on long-term disability for 2 years following an emergency response to a motor vehicle collision that involved fatalities. There is no previous psychiatric or substance use history. He states that he is improving. His wife agrees but notes that he has 'a very quick temper and breaks stuff when he is frustrated.' He reports feeling anxious about returning to work and feeling that 'people are out to get me.' He admits that he sometimes hears 'voices and people screaming.' What is the MOST likely diagnosis?
A
Persistent depressive disorder with mood-congruent psychotic features
B
Malingering
C
Unspecified schizophrenia spectrum and other psychotic disorder
D
Posttraumatic stress disorder (PTSD)
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 96 of 129
An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?
A
Amitriptyline (Elavil), a sedating tricyclic medication
B
Fluoxetine (Prozac), a selective serotonin reuptake inhibitor
C
Desipramine (Norpramin), a stimulating tricyclic medication
D
Tranylcypromine sulfate (Parnate), a monoamine oxidase inhibitor
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 97 of 129
A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behavior provides the strongest clue of an impending suicide attempt?
A
Calling parents
B
Excessive crying
C
Giving away sweaters
D
Staying alone in dorm room
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 98 of 129
A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, 'We should have seen this coming. We did not do enough.' The parents' reaction reflects:
A
Guilt
B
Denial
C
Shame
D
Rescue feelings
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 99 of 129
A tearful, anxious patient at the outpatient clinic reports, 'I should be dead.' The initial task of the nurse conducting the assessment interview is to:
A
Assess lethality of suicide plan
B
Encourage expression of anger
C
Establish rapport with the patient
D
Determine risk factors for suicide
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 100 of 129
Which behavior best demonstrates aggression?
A
Stomping away from the nurses station, going to the hallway, and grabbing a tray from the meal cart.
B
Bursting into tears, leaving the community meeting, and sitting on a bed hugging a pillow and sobbing.
C
Telling the primary nurse, I felt angry when you said I could not have a second helping at lunch.
D
Telling the medication nurse, I am not going to take that, or any other, medication you try to give me.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 101 of 129
A patient is pacing the hall... An appropriate initial intervention would be to say:
A
What is going on?
B
Please be quiet and sit down in this chair immediately.
C
I’d like to talk with you about how you’re feeling right now.
D
You must go to your room and try to get control of yourself.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 102 of 129
The staff development coordinator plans to teach physical management techniques... Which topic to emphasize?
A
Practice and teamwork
B
Spontaneity and surprise
C
Caution and superior size
D
Diversion and physical outlets
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 103 of 129
An emergency code was called after a patient pulled a knife... Justification for seclusion was:
A
Was threatening to others.
B
Was experiencing psychosis.
C
Presented an undeniable escape risk.
D
Presented a clear and present danger to others.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 104 of 129
A patient loudly scolded nursing staff... Which intervention would best address this problem?
A
Teach coping strategies such as deep breathing...
B
Talk with the health care provider about patient-controlled analgesia.
C
Tell the patient verbal assaults won’t shorten the wait...
D
Talk about risks of dependency with analgesics.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 105 of 129
An emergency department nurse realizes the spouse... is becoming irritable... Which intervention?
A
Offer the waiting spouse a cup of coffee.
B
Explain the patient’s condition is not life-threatening.
C
Periodically provide an update and progress report on the patient.
D
Suggest the spouse return home until treatment is complete.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 106 of 129
A patient with a history of command hallucinations... Which nursing actions are most likely...?
A
Stating the expectation that the patient will stay in control
B
Asking the patient, “Do you want to go into seclusion?â€Â
C
Telling the patient, “You are behaving inappropriately.â€Â
D
Offering to provide the patient with medication to help
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 107 of 129
Which comment by the nurse would best support relationship building with a survivor...?
A
You are feeling violated because you thought you could trust your partner.
B
I’m here for you. I want you to tell me about the bad things...
C
I was very worried about you... in a potentially violent situation.
D
Abusers often target people who are passive... assertiveness class.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 108 of 129
The parents of a 15-year-old seek to have this teen declared a delinquent... Behaviors occur in adolescents who:
A
Have been abused.
B
Are attention seeking.
C
Have eating disorders.
D
Are developmentally delayed.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 109 of 129
An adult has recently been absent from work... What is occupational health nurse’s priority assessment?
A
Interpersonal relationships
B
Work responsibilities
C
Socialization skills
D
Physical injuries
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 110 of 129
After treatment for a detached retina... Which diagnosis should be the focus...?
A
Risk for injury related to physical abuse from partner
B
Social isolation related to lack of a community support system
C
Ineffective coping related to uneven distribution of power
D
Deficient knowledge related to resources for escape
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 111 of 129
An older adult with Lewy body dementia... Which nursing diagnosis has priority?
A
Risk for injury related to poor judgment, cognitive impairments, and inadequate supervision
B
Wandering related to confusion and disorientation
C
Chronic confusion related to degenerative changes
D
Insomnia related to sleep disruptions
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 112 of 129
A 10-year-old cares for siblings... Which resources as priorities to stabilize the home situation?
A
Parental sessions to teach childrearing practices
B
Anger management counseling for the father
C
Continuing home visits to give support
D
A safety plan for the wife and children
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 113 of 129
A woman was found confused and disoriented after being abducted and raped... What is the woman’s level of anxiety?
A
Weak
B
Mild
C
Moderate
D
Severe
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 114 of 129
A rape victim visited a rape crisis counselor... Which comment best demonstrates reorganization was successful?
A
I have a rash on my buttocks. It itches all the time.
B
Now I know what I did that triggered the attack on me.
C
I’m sleeping better although I still have an occasional nightmare.
D
I have lost 8 pounds since the attack, but I needed to lose some weight.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 115 of 129
An unconscious teenager is treated... Priority action by the nurse should focus on:
A
Preserving rape evidence.
B
Maintaining physiologic stability.
C
Determining what drugs were ingested.
D
Obtaining a description of the rape from a friend.
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 116 of 129
An emergency department nurse prepares to assist... What equipment will be needed...?
A
Camera
B
Body map
C
DNA swabs
D
Pulse oximeter
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 117 of 129
A 48 year old man has moderate epigastric pain for 2 days and is seen at his GP surgery. He had a duodenal ulcer 6 months ago and was treated with Helicobacter pylori eradication therapy. Which is the most appropriate test to confirm Helicobacter pylori eradication?
A
C13 urea breath test
B
Faecal Helicobacter antigen
C
Gastric aspirate urease test
D
Helicobacter pylori serology
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 118 of 129
A 70 year old woman has lower abdominal pain for 5 days and is seen in her GP surgery. She feels unwell and has had episodes of shivering. There is a tender mass in the left iliac fossa. Which is the most likely diagnosis?
A
Diverticular abscess
B
Incarcerated inguinal hernia
C
Sigmoid carcinoma
D
Tubo-ovarian abscess
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 119 of 129
A 43 year old man has felt faint and fallen when trying to stand from a chair. Investigations: Sodium 119 mmol/L, Serum osmolality 260 mOsmol/kg. Which is the most likely cause?
A
Adrenal insufficiency
B
Dehydration
C
Medication side-effects
D
Stroke
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 120 of 129
An 18 month old girl has poor weight gain and is seen in the GP surgery. She has loose stools for several months. Which is the most likely underlying cause?
A
Coeliac disease
B
Cow's milk protein allergy
C
Crohn's disease
D
Lactose intolerance
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 121 of 129
A 35 year old woman has recurrent retrosternal discomfort after eating food for the last 3 months. Which is the most appropriate management approach?
A
Barium swallow
B
Chest X-ray
C
CT scan of thorax
D
Gastroenterology clinic referral
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 122 of 129
A 42 year old woman tests positive for high-risk HPV on a routine cervical smear. Cervical Cytology: moderate dyskaryosis. Which is the most appropriate management?
A
No action required
B
Refer for colposcopy
C
Repeat smear in 3 months
D
Repeat smear in 1 year
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 123 of 129
A 72 year old man has increasing difficulty speaking clearly for last 2 years. Which is the most likely diagnosis?
A
Alzheimer's disease
B
Frontal-temporal dementia
C
Huntington's disease
D
Lewy body dementia
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 124 of 129
A 28 year old man has persecutory auditory hallucinations and is diagnosed with schizophrenia. Which neurotransmitter is primarily implicated?
A
Acetylcholine
B
Adenosine triphosphate
C
Dopamine
D
E Substance P
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 125 of 129
A 55 year old woman has been sleeping for only a couple of hours a night for 2 weeks and feels overactive. Which is the most appropriate next step?
A
Increase her antidepressant dose
B
Start lithium
C
Start olanzapine
D
Stop her antidepressant
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 126 of 129
A 25 year old woman has irregular periods every 4 to 9 weeks and acne. Testosterone 4.2 nmol/L. Which treatment is most appropriate?
A
Combined oral contraceptive pill
B
Metformin
C
Minoxidil
D
Progestogen-only pill
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 127 of 129
Which of the following is not included in personal history?
A
Early development history
B
Sexual history
C
Occupational history
D
Food preferences
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 128 of 129
A 35-year-old female is brought to the emergency. She is suffering from schizophrenia and is on haloperidol. She presents with symptoms of fever, sweating, disorientation, and rigidity for one day. Which of the following is the likely condition?
A
Acute dystonia
B
Neuroleptic malignant syndrome
C
Viral encephalitis
D
Tardive dyskinesia
Select an option. Use Strike to cross one out.
HESI LPN · HESI PICO Question Psychiatric Emergency Nursing
Question 129 of 129
Premature ejaculation is a disorder of which phase of the normal sexual cycle?
A
Desire
B
Arousal
C
Orgasm
D
Pain
Select an option. Use Strike to cross one out.
