HESI EXIT EXAM 2 – QUESTION AND ANSWERS

A nurse on the psychiatric unit of the hospital has been assigned four clients for the shift. The assignment includes an 84-year-old client who is severely depressed, a 73-year-old client who is being discharged, a 53-year-old client who was admitted for lithium toxicity, and a 48-year- old client who has panic attacks. Which client should the nurse evaluate first after receiving report? 1 84-year-old client 2 73-year-old client 53-year-old client Correct3 4 48-year-old client A young female client admitted to the trauma center after being sexually assaulted continues to talk about the rape. Toward what goal should the primary nursing intervention be directed? 1 Getting her involved with a rape therapy group 2 Remaining available and supportive to limit destructive anger 3 Exploring her feelings about men to promote future relationships It is difficult to work through a loss; however, encouraging the sharing of feelings helps both parties to feel better about having to let go. The response "You must keep up a strong appearance for him" impedes the work of acceptance of one's finality and the use of the remaining time to the best advantage. There is no evidence to suggest that the client cannot cope with these emotions; the response "I think he'd have difficulty dealing with that now" denies that this is a time for closeness and honesty. The response "Don't you think he knows that without your telling him?" is demeaning, closes off communication, and does not foster the expression of feelings. Correct1 usually not the initial response. It is too soon after the assault to discuss her feelings about men and future relationships. A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I love him, but I don't want to upset him." Which is the best response by the nurse? 1 "You must keep up a strong appearance for him." 2 "I think he'd have difficulty dealing with that now." 3 "Don't you think he knows that without your telling him?" "Why don't you share your feelings with him while you can?" Correct4