The RN leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try to talk, and talks about his pets at home. What nursing action is best for the RN to take?
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Question 2 of 129
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?
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Question 3 of 129
During the initial nursing interview, a client tells the nurse, 'Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?' Which documentation should the nurse use to describe the client's statements?
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Question 4 of 129
A nurse is planning care for a depressed client. Which approach is most therapeutic?
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Question 5 of 129
A teenager in a group is reading a handout but interrupts his peers and talks about pets. What action should the nurse take?
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Question 6 of 129
When preparing to administer a domestic violence screening tool to a female client, which statement should the RN provide?
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Question 7 of 129
A young adult male client is admitted to the psychiatric unit because of a recent suicide attempt. His wife filed for divorce 6 months ago, he lost his job 3 months ago, and his best friend moved to another city 2 weeks ago. Which intervention should the nurse include in the client's plan of care?
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Question 8 of 129
Pt is mad at mom for turning him in and wants mom to bring belongings and does not want to talk to her. What action does the nurse need to take before the visit?
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Question 9 of 129
Family members of an individual undergoing a residential alcohol rehabilitation program ask, 'How can we help?' Select the nurse's best response.
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Question 10 of 129
An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. These findings are most characteristic of
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Question 11 of 129
Which behavior best demonstrates aggression?
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Question 12 of 129
A patient who was widowed 18 months ago says, 'I can remember good times we had without getting upset. Sometimes I even think about the disappointments. I am still trying to become accustomed to sleeping in the bed all alone.' The work of mourning
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Question 13 of 129
A terminally ill patient says, 'I know I will never get well, but,' and the patient's voice trails off. Select the most therapeutic response by the nurse.
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Question 14 of 129
During group therapy, one patient says to another, 'When I first started in this group, you were unable to make a decision, but now you can. You've made so much progress that I am beginning to think maybe I can conquer my fears too.' Which therapeutic factor is evident by this statement?
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Question 15 of 129
A nurse plans health education for a patient who will be receiving warfarin for several weeks after knee-replacement surgery. Which substance should the nurse caution the patient to avoid?
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Question 16 of 129
An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, 'I like the style.' The patient's weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?
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Question 17 of 129
A patient has anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is 2.7 mg/dL. Which nursing diagnosis applies?
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Question 18 of 129
A nurse monitors a patient with anorexia nervosa for complications of refeeding. Which assessment is most important?
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Question 19 of 129
Janet, a psychiatric client diagnosed with borderline personality disorder, has just been hospitalized for threatening suicide. According to Mahler's theory, Janet did not receive the critical 'emotional refueling' required during the rapprochement phase of development. What are the consequences of this deficiency?
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Question 20 of 129
Danny has been diagnosed with schizophrenia. On the unit he appears very anxious, paces back and forth, and darts his head from side to side in a continuous scanning of the area. He has refused to eat, making some barely audible comment related to 'being poisoned.' In planning care for Danny, which of the following would be the primary focus for nursing?
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Question 21 of 129
What is beneficence?
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Question 22 of 129
What do atypical antipsychotics treat?
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Question 23 of 129
What is a maturational/internal crisis?
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Question 24 of 129
What happens if a bipolar patient suddenly discontinues lithium?
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Question 25 of 129
What is sublimation?
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Question 26 of 129
What are immature defenses?
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Question 27 of 129
What is denial?
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Question 28 of 129
What was Peplau's theory?
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Question 29 of 129
What foods are high in tyramine?
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Question 30 of 129
With what diseases does dopamine increase?
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Question 31 of 129
With what diseases does serotonin decrease?
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Question 32 of 129
What is GABA?
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Question 33 of 129
During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, “I'm here for my heart, not my head problems.†Which is the nurse's best response?
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Question 34 of 129
When under stress, a client routinely uses alcohol to excess. When the client's husband finds her drunk, the husband yells at the client about her chronic alcohol abuse. Which action alerts the nurse to the client's use of the defense mechanism of denial?
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Question 35 of 129
A 55-year-old man presents with suicidal ideation. He tells you that he 'was just laid off from his job' after only 3 months, and that his 3 children 'want nothing to do with him' because he 'wasn't really involved in their childhoods'. He feels hopeless and useless. Which of Erikson's stages describes this man's difficulties?
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Question 36 of 129
Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?
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Question 37 of 129
A nurse uses the SAD PERSONS scale to interview a patient. This tool provides data relevant to:
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Question 38 of 129
Select the most critical question for the nurse to ask an adolescent who has threatened to take an overdose of pills.
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Question 39 of 129
A nurse interacts with an outpatient who has a history of multiple suicide attempts. Select the most helpful response for a nurse to make when the patient states, 'I am considering committing suicide.'
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Question 40 of 129
Which scenario predicts the highest risk for directing violent behavior toward others?
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Question 41 of 129
A patient who was responding to auditory hallucinations... now shouts, “Back off!â€Â... The nurse should:
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Question 42 of 129
An adult patient assaulted another patient and was restrained... Which statement requires immediate attention?
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Question 43 of 129
A patient sat in silence for 20 minutes... then stared in the face of a staff member. The patient is:
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Question 44 of 129
A patient has a history of impulsively acting out anger... Most appropriate intervention:
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Question 45 of 129
Which information indicates marginal coping skills and need for careful assessment...?
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Question 46 of 129
A nurse directs the intervention team... Which actions will the nurse direct...?
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Question 47 of 129
An 11-year-old reluctantly tells the nurse... Which type of abuse is likely?
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Question 48 of 129
What is a nurse’s legal responsibility if child abuse or neglect is suspected?
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Question 49 of 129
A young adult has recently had multiple absences... What is the nurse’s next action?
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Question 50 of 129
A survivor of physical spousal abuse was treated... Which outcome should be met before discharge?
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Question 51 of 129
An older woman diagnosed with Alzheimer’s disease... Which nursing intervention has priority?
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Question 52 of 129
A nurse assists a victim of intimate partner abuse... Which components should the plan include?
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Question 53 of 129
After an abduction and rape... Which finding best indicates the acute phase of rape-trauma syndrome?
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Question 54 of 129
A rape victim says, “I always try to be so careful...†Which communication by the nurse is most therapeutic?
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Question 55 of 129
A nurse interviews a 17-year-old male victim... Which comment should the nurse offer?
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Question 56 of 129
Before a victim of sexual assault is discharged... the nurse should:
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Question 57 of 129
A 72 year old man has 4 days of painless haematuria and takes warfarin. Which is the most appropriate initial investigation?
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Question 58 of 129
A 26 year old woman has taken a significant overdose of antidepressant and antipsychotic medication. Which is the most appropriate next step?
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Question 59 of 129
A patient says, 'Home is sweet, sweet in diabetes; diabetes urine has sweet, sweet is hell.' What is the symptom?
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Question 60 of 129
A 20-year-old male presents with laughing one minute and crying the next without any clear stimulus. Which of the following best describes the symptom?
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Question 61 of 129
A 34-year-old male patient reports having a tickling sensation in his chest, which he says is caused by chemicals sprayed by his office colleagues on him. Which of the following symptoms is described here?
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Question 62 of 129
Which of the following is a true statement about obsessive-compulsive disorder (OCD)?
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Question 63 of 129
A patient diagnosed with schizophrenia started on Risperidone. After taking the medication last night, the patient rushed to OPD today, complaining of upward rolling of his eyes. What is the management of the condition?
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Question 64 of 129
A man complains of decreased concentration at work, tired during the day, sleeps four to five hours at night. What should the PN ask?
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Question 65 of 129
A client is receiving benztropine mesylate (Cogentin) for drug-induced extrapyramidal syndrome (EPS). Which finding indicates that the RN should further evaluate the client?
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Question 66 of 129
Which client statement suggests to the RN that the client is using a defense mechanism of projection to deal with anxiety related to admission to a psychiatric unit?
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Question 67 of 129
The nurse in the day shift receives report about a client with depression who was in bed most of the weekend. The nurse walks into the client's room in the morning and finds the client in bed. What intervention is best for the nurse to implement?
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Question 68 of 129
A client who is being treated with lithium carbonate for bipolar disorder develops diarrhea, vomiting, and drowsiness. What action should the nurse take?
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Question 69 of 129
A male client turns over a table in the dayroom of a psychiatric unit and threatens to throw a chair at another client. Which action is most important for the nurse to implement?
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Question 70 of 129
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and amotivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
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Question 71 of 129
A female client admitted to the mental health unit starts to shout and scream at the nurse. What is the best approach for the nurse to take?
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Question 72 of 129
The nurse is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued?
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Question 73 of 129
A RN is teaching a client about initiation of a prescribed abstinence therapy using Disulfiram (Antabuse). What information should the client acknowledge understanding?
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Question 74 of 129
A male with bipolar disorder has not slept or eaten in four days. He paces and becomes increasingly agitated and loud while the nurse talks to his spouse. What intervention is best for the nurse to implement at this time?
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Question 75 of 129
What is the focus of priority nursing interventions for the period immediately after electroconvulsive therapy (ECT) treatment?
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Question 76 of 129
A patient being treated for depression has taken sertraline daily for a year. The patient calls the clinic nurse and says, 'I stopped taking my antidepressant 2 days ago. Now I am having nausea, nervous feelings, and I can't sleep.' The nurse will advise the patient to:
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Question 77 of 129
A patient diagnosed with major depressive disorder refuses solid foods. In order to meet nutritional needs, which beverage will the nurse offer to this patient?
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Question 78 of 129
A patient is experiencing psychomotor agitation associated with major depressive disorder. Which observation would the nurse associate with this symptom? The patient
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Question 79 of 129
Symptoms of withdrawal from opioids for which the nurse should assess include
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Question 80 of 129
A nurse wants to research epidemiology, assessment techniques, and best practices regarding persons with addictions. Which resource will provide the most comprehensive information?
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Question 81 of 129
Which statement by a depressed patient will alert the nurse to the patient's need for immediate, active intervention?
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Question 82 of 129
A patient is pacing the hall near the nurses' station, swearing loudly. An appropriate initial intervention for the nurse would be to address the patient by name and say:
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Question 83 of 129
Family members ask the nurse, 'What can we say when our loved one says, 'Death is coming soon?' To promote communication, which response could the nurse suggest for family members?
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Question 84 of 129
Which event is most likely to precipitate grief across a community?
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Question 85 of 129
Which outcome would be most appropriate for a symptom-management group for persons diagnosed with schizophrenia? Group members will
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Question 86 of 129
For which patient would it be most important for the nurse to urge immediate discontinuation of kava? A patient with a comorbid diagnosis of
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Question 87 of 129
Which patient would most likely benefit from taking St. John's wort? A patient with
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Question 88 of 129
What is primary prevention?
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Question 89 of 129
What is an example of secondary prevention?
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Question 90 of 129
What are the SE of alprazolam (Xanax)?
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Question 91 of 129
What are the names of common benzodiazepines?
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Question 92 of 129
What are the SE of buspirone (Buspar)?
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Question 93 of 129
What is disulfiram (Antabuse) used for?
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Question 94 of 129
What should you watch for when administering naloxone (Narcan)?
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Question 95 of 129
What are the SE of opioids?
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Question 96 of 129
What are the signs and symptoms of alcohol withdrawal?
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Question 97 of 129
What are examples of inhalants?
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Question 98 of 129
What are nursing interventions for dementia?
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Question 99 of 129
What are nursing interventions for dementia related to sleep?
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Question 100 of 129
What are nursing interventions for patients in crisis?
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Question 101 of 129
What are key aspects of caring for the dying?
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Question 102 of 129
A client is prescribed diazepam as needed (PRN) for panic disorder. Which of the following facts would cause the nurse to question the order?
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Question 103 of 129
A 79-year-old client admits that his daughter hits him while helping him dress each morning. What is the appropriate nursing action?
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Question 104 of 129
A nurse working on an inpatient psychiatric unit observes a client diagnosed with obsessive-compulsive disorder (OCD) rearranging the magazines in the dayroom. The nurse understands this action is primarily meant to do which of the following?
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Question 105 of 129
A child is admitted to the inpatient psychiatric unit with a diagnosis of conduct disorder. The nurse would expect to find which of the following symptoms?
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Question 106 of 129
The nurse is assessing the client in a fugue state. What assessment findings would the nurse recognize as most significant to experiencing a fugue state?
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Question 107 of 129
A client is diagnosed with agoraphobia. Which question indicates the nurse understands the etiology related to this disorder?
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Question 108 of 129
At which point would the nurse determine that a client is at risk for developing a mental illness?
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Question 109 of 129
A victim of a violent rape says, “I will never be the same again...†Most appropriate response:
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Question 110 of 129
Which aspects of assessment have priority when a nurse interviews a rape victim...?
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HESI LPN · HESI Psychiatric Emergency
Question 111 of 129
A 74 year old man has painless jaundice and pale faeces for 1 week. He has lost 4 kg in weight in 3 months. His temperature is 37.4°C, pulse rate 90 bpm, BP 138/76 mmHg, respiratory rate 18 breaths per minute. His sclera and skin are yellow. Chest and abdominal examinations are normal. Which is the most appropriate investigation?
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HESI LPN · HESI Psychiatric Emergency
Question 112 of 129
An 18 year old woman has blurred vision for 24 hours and is seen in the Emergency Department. She has increased thirst and drinks 4 litres of water a day. She has lost 10 Kgs in weight in 6 weeks. Her temperature is 37.2°C, pulse rate 100 bpm, BP 90/50 mmHg, respiratory rate 30 breaths per minute and oxygen saturation 98% breathing air. Which is the most important initial investigation?
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HESI LPN · HESI Psychiatric Emergency
Question 113 of 129
A 93 year old woman is in hospital having completed treatment for a urinary tract infection. She has mild dementia. She is medically fit for discharge and is keen to go home but her daughter is unhappy about this. Which is the most appropriate next step?
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HESI LPN · HESI Psychiatric Emergency
Question 114 of 129
A 50 year old man wants to stop drinking alcohol and has been admitted to the inpatient ward for detoxification. Which is the most appropriate initial drug to prescribe?
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HESI LPN · HESI Psychiatric Emergency
Question 115 of 129
A 5 year old boy has an episode of unconsciousness and is seen in the Emergency Department. He ran into his school desk, cried out in pain and then fell unconscious. Which is the most likely diagnosis?
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HESI LPN · HESI Psychiatric Emergency
Question 116 of 129
A 9 year old boy has a cough and worsening breathlessness and is seen in the Emergency Department. He has asthma. Which is the most appropriate next management step?
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HESI LPN · HESI Psychiatric Emergency
Question 117 of 129
A 20 year old man is brought to the Emergency Department with status epilepticus and pneumonia. Which is the most appropriate next step in management?
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HESI LPN · HESI Psychiatric Emergency
Question 118 of 129
A 22 year old woman requires long-term contraception and is reluctant to take regular tablets. Investigations: Transvaginal ultrasound: Enlarged uterus with multiple fibroids. Which is the most appropriate contraception?
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HESI LPN · HESI Psychiatric Emergency
Question 119 of 129
A 36 year old woman gave birth to her first child 3 weeks ago. She feels tired and has intrusive thoughts of harming the baby. Which is the most likely diagnosis?
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HESI LPN · HESI Psychiatric Emergency
Question 120 of 129
The parents of an 18 month old boy are concerned about his development. He does not hold eye contact. Which developmental feature gives the most cause for concern?
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HESI LPN · HESI Psychiatric Emergency
Question 121 of 129
A 55 year old woman has melaena for 6 weeks and is referred by her GP to gastroenterology. Which is the most appropriate management of her diabetes prior to endoscopy?
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HESI LPN · HESI Psychiatric Emergency
Question 122 of 129
A 70 year old woman has a red and scaly rash on her trunk and is seen by the district nurses. Which is the most appropriate initial topical treatment?
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HESI LPN · HESI Psychiatric Emergency
Question 123 of 129
An 82 year old woman has a gradual deterioration of vision for 2 years. Which is the most likely diagnosis?
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HESI LPN · HESI Psychiatric Emergency
Question 124 of 129
A 61 year old man is breathless at rest and is brought to the Emergency Department. He has bilateral inspiratory crepitations and a 40 pack-year smoking history. Which is the most likely diagnosis?
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HESI LPN · HESI Psychiatric Emergency
Question 125 of 129
A 64-year old man has recently been diagnosed with dementia and Huntington's disease gene. What is the risk that his grandson has Huntington's disease?
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HESI LPN · HESI Psychiatric Emergency
Question 126 of 129
A 44 year old man has a superficial cut on his arm after a fall whilst intoxicated with alcohol. Which would be the most appropriate next step?
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HESI LPN · HESI Psychiatric Emergency
Question 127 of 129
A 72 year old woman has a worsening cough, fever, breathlessness and rigors for 6 days. Which is the most likely finding on a chest X-ray?
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HESI LPN · HESI Psychiatric Emergency
Question 128 of 129
A 45 year old woman is seen in the Emergency Department after a fall with a Colles fracture. Which feature best demonstrates that she lacks capacity?
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HESI LPN · HESI Psychiatric Emergency
Question 129 of 129
A 23 year old woman has a mole on her leg which has recently changed in size, shape and appearance. Which is the most likely diagnosis?
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