HESI LPN · HESI Theoretical Basis for Behavior Modification
Question 1 of 99
Nurse Kate is aware that one of the following classes of medication protect the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation is:
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Question 2 of 99
Which of the following drugs would be ordered by the physician to improve the platelet count in a male client with idiopathic thrombocytopenic purpura (ITP)?
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Question 3 of 99
Nurse Sugar is assessing a client with Cushing's syndrome. Which observation should the nurse report to the physician immediately?
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Question 4 of 99
Rico with diabetes mellitus must learn how to self-administer insulin. The physician has prescribed 10 U of U-100 regular insulin and 35 U of U-100 isophane insulin suspension (NPH) to be taken before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse should provide which instruction?
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Question 5 of 99
If a client requires a pneumonectomy, what fills the area of the thoracic cavity?
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Question 6 of 99
Francis with leukemia has neutropenia. Which of the following functions must frequently assessed?
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Question 7 of 99
During the administration of chemotherapy agents, Nurse Oliver observed that the IV site is red and swollen, when the IV is touched Stacy shouts in pain. The first nursing action to take is:
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Question 8 of 99
When Mr. Gonzales regained consciousness, the physician orders 50 ml of Lactose p.o. every 2 hours. Mr. Gozales develops diarrhea. The nurse best action would be:
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Question 9 of 99
Letty says, "Give me ten (10) minutes to recall the name of our college professor who failed many students in our anatomy class." She is operating on her:
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Question 10 of 99
Freud explains anxiety as:
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Question 11 of 99
The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:
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Question 12 of 99
A client is admitted with needle tracks on his arm, stuporous and with pin point pupil will likely be managed with:
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Question 13 of 99
The characteristic manifestation that will differentiate bulimia nervosa from anorexia nervosa is that bulimic individuals:
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Question 14 of 99
Nikki reveals that the boyfriend has been pressuring her to engage in premarital sex. The most therapeutic response by the nurse is:
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Question 15 of 99
A nurse is evaluating therapy with the family of a client with anorexia nervosa. Which of the following would indicate that the therapy was successful?
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Question 16 of 99
An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess?
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Question 17 of 99
Two nurses are co-leading group therapy for seven clients in the psychiatric unit. The leaders observe that the group members are anxious and look to the leaders for answers. Which phase of development is this group in?
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Question 18 of 99
The nurse correctly teaches a client taking the Benzodiazepine Oxazepam (Serax) to avoid excessive intake of:
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Question 19 of 99
In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called:
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Question 20 of 99
The nurse asks a newly admitted client, "What can we do to help you?" What is the purpose of this therapeutic communication technique?
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Question 21 of 99
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
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Question 22 of 99
A group activity on an inpatient psychiatric unit is scheduled to begin at 1000. A patient, who was recently discharged from U.S. Marine Corps, arrives at 0945. Which analysis best explains this behavior?
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Question 23 of 99
Some residential treatment settings are transitional. This means that clients are eventually expected to
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Question 24 of 99
The nurse is part of a group setting up a mobile crisis service in conjunction with the local police department. Community education on which of the following this team will focus includes?
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Question 25 of 99
A client who had a stroke is experiencing left-sided paralysis. The client has become increasingly depressed because of this inability to complete all his ADLs by himself. This inability is considered a self-care deficit according to which nursing theory?
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Question 26 of 99
According to Maslow, an Individual who has developed to the individual's fullest potential has achieved what level of his hierarchy?
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Question 27 of 99
The nurse on the psychiatry unit reinforces to the clients that they can earn off-unit privileges for daily use of socially appropriate behavior. This is an example of employing which concept of behavior modification?
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Question 28 of 99
A nurse has been working with a client who has a personality disorder and the nurse has recognized the potential for countertransference. How can the nurse best prevent this phenomenon?
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Question 29 of 99
The nurse is planning the care of a client with complex mental health needs. The nurse can best apply the principles of Orem's general theory of nursing by:
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Question 30 of 99
The nurse views her client as an individual who has self-care deficits that need to be addressed. The nurse works with the client to assist him or her to meet self-care needs, such as personal grooming, until the client can care for himself or herself independently. This is an example of which of the following theoretical approaches?
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Question 31 of 99
Odd, eccentric, cold, withdrawn, and irrational describe the symptoms associated with which cluster of personality disorder?
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Question 32 of 99
A nurse working with a client with agoraphobia recognizes that the most effective technique for treatment of agoraphobia is:
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Question 33 of 99
The main focus of milieu therapy is on
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Question 34 of 99
Which behavior in a group member would cause the group leader to identify that member as an aggressor?
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Question 35 of 99
During the first family therapy session, the mother of a child being treated for truancy and emotional outbursts asks the nurse, 'Why are you bothering to ask the rest of us questions? My son is the one with the problems.' The best response for the nurse would be:
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Question 36 of 99
Which statement made by a patient just prior to being transported for a scheduled ECT treatment would result in cancellation of the treatment?
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Question 37 of 99
A 16-year-old adolescent is hospitalized and acting like a child. According to Erik Erikson, what is the appropriate developmental task?
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Question 38 of 99
The theorist believed that a persons behavior is related to ineffective personality development in childhood.
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Question 39 of 99
The physiological needs components in Maslows Hierarchy of Needs are:
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Question 40 of 99
A nurse leads a psychoeducational group for depressed patients. The nurse plans to implement an exercise regime for each patient. The rationale to use when presenting this plan to the treatment team is that exercise:
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Question 41 of 99
A patient tells the nurse, My doctor thinks my problems with stress relate to the negative way I think about things and suggested I learn new ways of thinking. Which response by the nurse would support the recommendation?
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Question 42 of 99
A leader plans to start a new self-esteem building group. Which intervention would be most helpful for assuring mutual respect within the group?
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Question 43 of 99
The nurse is planning a new sexuality group for patients. Which location would best enhance the effectiveness of this group?
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Question 44 of 99
A patient in a support group says, Im tired of being sick. Everyone always helps me, but I will be glad when I can help someone else. This statement reflects:
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Question 45 of 99
Nurse Arlene recognizes that the focus of environmental (MILIEU) therapy is to:
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Question 46 of 99
Which of the following drugs indicates the patient is toxic with a serum level of $1.5 \mathrm{mEq} / \mathrm{L}$ ?
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Question 47 of 99
Dr. Albert Ellis, who developed the theory of RET, thought that people teach themselves to be ill. He used the following terminology:
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Question 48 of 99
A client's wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The client's therapist encourages open discussion of feelings, proper nutrition, and exercise. What is the best rationale for the therapist's recommendations?
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Question 49 of 99
A client has been given a diagnosis of human immunodeficiency virus (HIV). Which statement made by the client does the nurse recognize as the bargaining stage of grief?
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Question 50 of 99
According to Maslow's hierarchy of needs, which client action would demonstrate the highest achievement in terms of mental health?
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Question 51 of 99
You continuously evaluate the client's adaptation to pain. Which of the following behaviors indicate appropriate adaptation?
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Question 52 of 99
Surgeries like I and D (incision and drainage) and debridement are relatively short procedures but considered dirty cases'. When are these procedures best scheduled?
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Question 53 of 99
Which of the following nursing actions should be initiated first?
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Question 54 of 99
As a nurse, you know you can improve on accuracy of patient's identification by 2 patient identifiers, EXCEPT:
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Question 55 of 99
The following are appropriate nursing interventions during colostomy irrigation EXCEPT:
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Question 56 of 99
A male client is admitted to the emergency department following an accident. What are the first nursing actions of the nurse?
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Question 57 of 99
A male client has active tuberculosis (TB). Which of the following symptoms will be exhibit?
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Question 58 of 99
When caring for a female client who is being treated for hyperthyroidism, it is important to:
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Question 59 of 99
Mike with epilepsy is having a seizure. During the active seizure phase, the nurse should:
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Question 60 of 99
Mr. Vasquez 56-year-old client with a 40-year history of smoking one to two packs of cigarettes per day has a chronic cough producing thick sputum, peripheral edema and cyanotic nail beds. Based on this information, he most likely has which of the following conditions?
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Question 61 of 99
A 35-year-old client with vaginal cancer asks the nurse, "What is the usual treatment for this type of cancer?" Which treatment should the nurse name?
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Question 62 of 99
A female client with cancer is being evaluated for possible metastasis. Which of the following is one of the most common metastasis sites for cancer cells?
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Question 63 of 99
Mrs. Cruz uses a cane for assistance in walking. Which of the following statements is true about a cane or other assistive devices?
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Question 64 of 99
The adrenal cortex is responsible for producing which substances?
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Question 65 of 99
A 23-year-old client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that adaptive immunity is provided by which type of white blood cell?
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Question 66 of 99
Julius is admitted with complaints of severe pain in the lower right quadrant of the abdomen. To assist with pain relief, the nurse should take which of the following actions?
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Question 67 of 99
Matilda, with hyperthyroidism is to receive Lugol's iodine solution before a subtotal thyroidectomy is performed. The nurse is aware that this medication is given to:
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Question 68 of 99
Nurse Sherry is teaching male client regarding his permanent artificial pacemaker. Which information given by the nurse shows her knowledge deficit about the artificial cardiac pacemaker?
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Question 69 of 99
During a routine checkup, Nurse Mariane assesses a male client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the most common AIDS-related cancer?
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Question 70 of 99
A patient in the emergency department shows a variety of psychiatric symptoms, including restlessness and anxiety. The patient says, "I feel sad because evil spirits have overtaken my mind." Which worldview is most applicable to this individual?
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Question 71 of 99
A Mexican American patient puts a picture of the Virgin Mary on the bedside table. What is the nurse's best action?
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Question 72 of 99
A client diagnosed with borderline personality disorder (BPD) brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. Which approach is best for the nursing staff to implement?
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Question 73 of 99
Which client situation should the nurse identify as reflective of the impulsive behavior that is commonly associated with BPD?
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Question 74 of 99
Which nursing statement would be most appropriate when confronting a client about secondary gains related to extreme dependency on her spouse?
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Question 75 of 99
Which initial nursing diagnosis should the nurse assign to a client diagnosed with cluster C traits who sits alone and ignores others' attempts to converse?
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Question 76 of 99
Which student statement indicates further instruction is needed regarding developmental characteristics of clients diagnosed with moderate ID?
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Question 77 of 99
Which child is most likely to be diagnosed with ASD?
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Question 78 of 99
Which nursing diagnosis does the outcome criterion 'will attempt to interact with others in the presence of trusted caregiver' address?
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Question 79 of 99
The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable?
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Question 80 of 99
Situation: A 30 year old male employee frequently complains of low back pain that leads to frequent absences from work. Consultation and tests reveal negative results. The client has which somatoform disorder?
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Question 81 of 99
A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?
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Question 82 of 99
Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?
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Question 83 of 99
What is an example of an action by the nurse that demonstrates active listening?
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Question 84 of 99
What is the best nursing inquiry to assess spirituality/cultural data on the psychosocial nursing assessment?
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Question 85 of 99
At what point in the nurse-patient relationship should a nurse plan to first address termination?
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Question 86 of 99
A patient says, People should be allowed to commit suicide without interference from others. A nurse replies, Youre wrong. Nothing is bad enough to justify death. What is the best analysis of this interchange?
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Question 87 of 99
A novice psychiatric nurse has a parent with bipolar disorder. This nurse angrily recalls feelings of embarrassment about the parents behavior in the community. Select the best ways for this nurse to cope with these feelings. Select all that apply.
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Question 88 of 99
A nursing supervisor reprimands an employee for being chronically late for work. If the employee handles the reprimand using the defense mechanism of displacement, he would most likely do which of the following?
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Question 89 of 99
The family members of a patient with bipolar disorder express frustration with the unpredictable behaviors of their loved one. Which group should the nurse suggest as most helpful to this family?
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Question 90 of 99
A nurse is working with a patient with an eating disorder who refuses to eat a muffin. The nurse asks the patient 'Is there any way that you could see the muffin as just flour and water, basic nutrients your body needs?' In this statement, the nurse is using which type of therapy?
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Question 91 of 99
The factor having the most influence on the current trend in treatment settings is the fact in recent years,
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Question 92 of 99
This type of intervention might be used for states of extreme emotional or physical turmoil in which the patient feels out of control of self:
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Question 93 of 99
Which of the following nursing preparations for a client undergoing electroconvulsive therapy (ECT) resembles those used for general anesthesia?
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Question 94 of 99
The type of therapy done by massaging the feet of the patient to act upon pathways, unblocking and renewing energy flow, is:
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Question 95 of 99
What term refers to the inability to employ personal strategies to manage psychological distress?
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Question 96 of 99
Which of the following statements about the neurobiologic causes of mental illness is most accurate?
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Question 97 of 99
A patient with depression has been taking paroxetine (Paxil) for the last 3 months and has noticed improvement of symptoms. Which of the following side effects would the nurse expect the patient to report?
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Question 98 of 99
Which of the following is a term used to describe the occurrence of the eye rolling back in a locked position, which occurs with acute dystonia?
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Question 99 of 99
A client with bipolar disorder has been taking lithium, and today his serum blood level is 2.0 mEq/L. What effects would the nurse expect to see?
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