NSG 322 HESI Practice Exam: Questions & Answers: Updated A+ Guide Solution

The nurse is caring for a client who received the first-time electroconvulsive therapy (ECT) a half hour ago. Which action should the nurse implement first? (Ans- Monitor vital signs. The client with depression asks the nurse, " What are neurotransmitters? My doctor thinks my problem may lie with the neurotransmitters in my brain." What information should the nurse use to support an explanation of neurotransmitters? (Ans- Chemical messengers that cause brain cells to turn on or off. During an inpatient therapy group session, a client tells the members that he hears voices that say his doctor is going to poison him. He continues, "I look around to see who's talking to me, and I can't see anybody." Another client replies, "I used to hear voices, too. I found out they were my imagination. The voices you hear aren't real either." Which phenomenon, common to groups, is exemplified in this interchange? (Ans- Reality testing What action should the nurse take when a client who is psychotic proposes goals that are both unrealistic and undesirable? (Ans- Reflect the client's behavior and its consequences.A female client who is admitted for treatment of uncontrolled diabetes mellitus is withdrawn and tearful. She complains she has gained excessive weight because she hates her diet, hates taking insulin, and just wants to be normal again. What therapeutic action should the nurse take? (Ans- Inquire about emotional factors affecting the client's present condition. A client who had a miscarriage at 10-weeks gestation tells the nurse that she already purchased some baby things and picked out a name. After the surgical dilation and curettage (D&C), the client wants to go home as soon as possible. Based on the client's statements, which action should the nurse implement? (Ans- Ask the client what name she had picked out for the infant. A client who reports feeling depressed tells the nurse on admitted, "I want to feel normal again." How should the nurse respond? (Ans- "Tell me more about how things are with you." A client is scheduled to complete a positron emission tomography (PET) scan. The client asks the nurse to explain the reason the test was prescribed. How should the nurse respond? (Ans- Results show activity in various portions of the brain.Which technique is the most important therapeutic tool a nurse should use to provide quality care to a psychiatric client? (Ans- Self-analysis A client with substance abuse is admitted to the mental health unit. Which action should be implemented by the nurse, and not delegated to a unlicensed assistive personnel (UAP)? (Ans- Collect a complete substance abuse history. A female client with bipolar disorder, manic phase, is planning weekend activities with the other clients on the unit. The client interrupts the group, insists that they change their plans to a disco party, and begins to curse loudly when the group refuses to change the plans. Which intervention should the nurse implement? (Ans- Escort the client to a quieter place A client with a history of alcoholism is admitted with a compound fracture of the femur after falling down the previous night. What additional assessment should be the priority focus for the nurse? (Ans- Ask the client about the quantity, frequency, and time the last alcohol drink was ingested.The nurse is caring for a client who was admitted for alcohol detoxification 2 days ago. Which finding is most critical for the nurse to report to the healthcare provider? (Ans- Global confusion and inability to recognize family members. A male client who is on the liver transplant list is called to the unit for a possible transplant. When learning that the donor organ is no longer available, the client slams doors and shouts vulgarities about his situation. What action should the nurse implement? (Ans- Express concern over his disappointment. The nurse is caring for a female client who is admitted for depression with the nursing diagnosis, "Self-esteem, chronic low." Which client response indicates to the nurse that the client has improved selfesteem? (Ans- Identifies own strengths A client with panic disorder tells the nurse, "This illness is awful. I'm frightened that I will always be this way and that there's no hope for me." What information should the nurse provide? (Ans- panic disorder is treatable in a number of different ways, including medication.Which client outcome during hospitalization indicates improvement for a client who is admitted with auditory hallucinations? (Ans- Tells when voices decrease. Which action is most important for the nurse to implement during the initial interview for a client who is admitted to the mental health unit? (Ans- Establish rapport in each phase of the nurse-client relationship