HESI N260 PRACTISE
,At the first meeting of a group of older adults at a daycare center for the
elderly, the nurse asks one of the members what kind of things she would
like to do with the group. The older women shrugs her shoulders and says.
"You tell me, you're the leader". What is the best response for the nurse to
make? - correct ans:"Yes. I will be leading this group. What would you like to
accomplish during this time?"
Over a period of several weeks. one male participant of a socialization group
at a community daycare center for the elderly monopolizes most of the
groups time and interrupts others when they are talking. What is the best
action for the nurse to take in this situation. - correct ans:Allow the group to
handle the problem
An 86-year-old female client with Alzheimer's disease is wandering the busy
halls of the extended care facility and asks the nurse, "Where should I stand
for the parade?" Which response is best for the nurse to provide? - correct
ans:Let's go back to the activity room and see whats going on in there
Physical examination of a 6 year old reveals several bite marks in various
locations on his body. X-ray examination revealed healed fractures of the
ribs. The mother tells the nurse that her child is always having accidents.
Which initial response by the nurse is most important. - correct ans:Tell me
more specifically about your child's accidents
A child is brought to the emergency room with a broken arm. Because of
these injuries, the nurse suspects the child may be a victim of abuse. When
the nurse tries to give the child an injection, the child mother becomes very
loud and shouts."I won't leave my son! Don't you touch him! You'll hurt my
child." What is the best interpretation of the mother's statement? The mother
is - correct ans:projecting her feelings onto the nurse
A 38-year-old female client is admitted with a diagnosis of paranoid
schizophrenia. When her tray is brought to her, she refuses to eat and tells
the nurse. "i know you are trying to poison me with food." Which response
would be most important for the nurse to make? - correct ans:I'll leave your
tray here. I am available if you need anything else.
, A 25-year-old female client has been particularly restless and the nurse finds
her trying to leave the psychiatric unit. She tells the nurse "Please let me go I
must leave because the secret police are after me." which is best for the
nurse to make? - correct ans:come with me to your room and I will sit with
you
A 45-year-old male client tells the nurse he used to believe he was Jesus
Christ but now he knows he is not. Which response is best for the nurse to
make? - correct ans:Others have similar thoughts when under stress
A nurse working in the emergency room of a children hospital admits a child
whose injuries could have resulted from abuse. Which statement accurately
describes the nurse's responsibility in cases of suspected child abuse? -
correct ans:The nurse should report any case of suspected child abuse to the
charge nurse
A client who is being treated with lithium carbonate for bipolar disorder
develops diarrhea, vomiting, and drowsiness. What action should the nurse
take? - correct ans:Notify the healthcare provider of the symptoms prior to
the next administration of the drug
A client on the psychiatric unit appears to imitate a certain nurse on the
unit.. the client seeks out this particular nurse and imitates her mannerisms..
the nurse knows that the client is using which defense mechanism - correct
ans:identification
The nurse is planning the care for a 32-year-old male client with acute
depression. Which nursing intervention would best in helping this client with
his depression? - correct ans:Assist the client in exploring feelings of shame,
anger, and guilt
,At the first meeting of a group of older adults at a daycare center for the
elderly, the nurse asks one of the members what kind of things she would
like to do with the group. The older women shrugs her shoulders and says.
"You tell me, you're the leader". What is the best response for the nurse to
make? - correct ans:"Yes. I will be leading this group. What would you like to
accomplish during this time?"
Over a period of several weeks. one male participant of a socialization group
at a community daycare center for the elderly monopolizes most of the
groups time and interrupts others when they are talking. What is the best
action for the nurse to take in this situation. - correct ans:Allow the group to
handle the problem
An 86-year-old female client with Alzheimer's disease is wandering the busy
halls of the extended care facility and asks the nurse, "Where should I stand
for the parade?" Which response is best for the nurse to provide? - correct
ans:Let's go back to the activity room and see whats going on in there
Physical examination of a 6 year old reveals several bite marks in various
locations on his body. X-ray examination revealed healed fractures of the
ribs. The mother tells the nurse that her child is always having accidents.
Which initial response by the nurse is most important. - correct ans:Tell me
more specifically about your child's accidents
A child is brought to the emergency room with a broken arm. Because of
these injuries, the nurse suspects the child may be a victim of abuse. When
the nurse tries to give the child an injection, the child mother becomes very
loud and shouts."I won't leave my son! Don't you touch him! You'll hurt my
child." What is the best interpretation of the mother's statement? The mother
is - correct ans:projecting her feelings onto the nurse
A 38-year-old female client is admitted with a diagnosis of paranoid
schizophrenia. When her tray is brought to her, she refuses to eat and tells
the nurse. "i know you are trying to poison me with food." Which response
would be most important for the nurse to make? - correct ans:I'll leave your
tray here. I am available if you need anything else.
, A 25-year-old female client has been particularly restless and the nurse finds
her trying to leave the psychiatric unit. She tells the nurse "Please let me go I
must leave because the secret police are after me." which is best for the
nurse to make? - correct ans:come with me to your room and I will sit with
you
A 45-year-old male client tells the nurse he used to believe he was Jesus
Christ but now he knows he is not. Which response is best for the nurse to
make? - correct ans:Others have similar thoughts when under stress
A nurse working in the emergency room of a children hospital admits a child
whose injuries could have resulted from abuse. Which statement accurately
describes the nurse's responsibility in cases of suspected child abuse? -
correct ans:The nurse should report any case of suspected child abuse to the
charge nurse
A client who is being treated with lithium carbonate for bipolar disorder
develops diarrhea, vomiting, and drowsiness. What action should the nurse
take? - correct ans:Notify the healthcare provider of the symptoms prior to
the next administration of the drug
A client on the psychiatric unit appears to imitate a certain nurse on the
unit.. the client seeks out this particular nurse and imitates her mannerisms..
the nurse knows that the client is using which defense mechanism - correct
ans:identification
The nurse is planning the care for a 32-year-old male client with acute
depression. Which nursing intervention would best in helping this client with
his depression? - correct ans:Assist the client in exploring feelings of shame,
anger, and guilt
