Nurs 172 HESI Final
a. Alprazolam - Answer- Shane, a veteran of the war in Iraq, has been diagnosed
with post-traumatic stress disorder (PTSD). He is a client of a VA outpatient clinic.
He tells the nurse that he experiences panic attacks. Which of the following
medications may be prescribed for Shane to treat his panic attacks?
a. Alprazolam
b. Lithium
c. Carbamazepine
d. Haldol
1. Ensuring therapeutic termination
2.Collaborating to set appropriate goals
4. Promoting client insight into problematic behavior
5.Meeting both the physical and psychological needs of the client - Answer- Which of
the following characteristics should be included in a therapeutic nurse-client
relationship? (Select 4 that apply.)
1.Ensuring therapeutic termination
2.Collaborating to set appropriate goals
3.Meeting the psychological needs of the nurse and the client
4.Promoting client insight into problematic behavior
5.Meeting both the physical and psychological needs of the client
1.A biker sporting an eagle tattoo on his biceps
2.A mother spanking her son for playing with matches
4.A teenage boy isolating himself and playing loud music
5.A teenage girl writing, "No one understands me" - Answer- Which of the following
individuals are communicating a message? (Select 4 that apply.)
1.A biker sporting an eagle tattoo on his biceps
2.A mother spanking her son for playing with matches
3.A father checking for new e-mail on a regular basis
4.A teenage boy isolating himself and playing loud music
5.A teenage girl writing, "No one understands me"
3.Occupational therapist and psychologist
4.Recreational therapist and art therapist.
5.Mental health technician and chaplain - Answer- A nurse attends an
interdisciplinary team meeting regarding a newly admitted client. Which of the
following individuals are typically included as members of the interdisciplinary
treatment team in psychiatry? (Select 3 that apply.)
1.Social worker and hospital volunteer
2.Respiratory therapist and psychiatrist
3.Occupational therapist and psychologist
4.Recreational therapist and art therapist.
5.Mental health technician and chaplain
2.A democratic form of government exists.
,5.Unit responsibilities are assigned according to client capabilities. - Answer- Which
of the following conditions promote a therapeutic community? (Select 2 that apply.)
1.The unit schedule includes unlimited free time for personal reflection.
2.A democratic form of government exists.
3.The individual is the sole focus of therapy.
4.A flexible schedule is determined by client needs.
5.Unit responsibilities are assigned according to client capabilities.
2.Emphasize the need for and importance of confidentiality within the group.
3. Work with group members to establish rules that will govern the group.
5. Ensure that group rules do not interfere with goal fulfillment. - Answer- Which of
the following behavioral skills should a nurse implement when leading a group that is
functioning in the orientation phase of group development? (Select 3 that apply.)
1.Help the leader to resolve conflicts and foster cohesiveness within the group.
2.Emphasize the need for and importance of confidentiality within the group.
3.Work with group members to establish rules that will govern the group.
4.Encourage members to provide feedback to each other about individual progress.
5.Ensure that group rules do not interfere with goal fulfillment.
Group - Answer- A ______________________ is a collection of individuals whose
association is founded on shared commonalities of interest, values, norms, or
purpose.
Milieu - Answer- A scientific structuring of the environment in order to effect
behavioral changes and to improve the psychological health and functioning of the
individual is defined as ________________________ therapy.
Countertransference - Answer- ___________________ refers to a nurse's
behavioral and emotional response to a client. These responses may be related to
unresolved feelings toward significant others from the nurse's past.
Rapport - Answer- The term ________________________ implies special feelings
on the part of both the client and the nurse, based on acceptance, warmth,
friendliness, common interest, a sense of trust, and a nonjudgmental attitude.
1.Diabetes mellitus
2.Cushing's disease
3.A hypothalamus lesion - Answer- Which of the following would contribute to a
client's excessive weight gain? (Select all that apply.)(There are 3 correct answers)
1.Diabetes mellitus
2.Cushing's disease
3.A hypothalamus lesion
4.Hyperthyroidism
5.High levels of serotonin
2.Bingeing and purging with a diagnosis of bulimia nervosa
3.Binge eating with a diagnosis of obesity - Answer- A nurse should identify
topiramate (Topamax) as the drug of choice for which of the following conditions?
(Select all that apply.)(There are 2 correct answers)
1.Amenorrhea with a diagnosis of anorexia nervosa
,2.Bingeing and purging with a diagnosis of bulimia nervosa
3.Binge eating with a diagnosis of obesity
4.Emaciation with a diagnosis of bulimia nervosa
5.Weight loss with a diagnosis of anorexia nervosa
1. "In this disorder, binge eating occurs, on average, at least two days a week for six
months."
4. "In this disorder, distress regarding binge eating is absent."
5. "In this disorder, binge eating occurs exclusively during the course of bulimia
nervosa." - Answer- A nursing instructor is teaching about the DSM-5 criteria for the
diagnosis of binge-eating disorder. Which of the following student statements
indicates that further instruction is needed? (Select all that apply.)(There are 3
correct answers)
1."In this disorder, binge eating occurs, on average, at least two days a week for six
months."
2."In this disorder, distress regarding binge eating is present."
3."In this disorder, binge eating occurs, on average, at least once a week for three
months."
4."In this disorder, distress regarding binge eating is absent."
5."In this disorder, binge eating occurs exclusively during the course of bulimia
nervosa."
True - Answer- True/False
Anorexia nervosa deals with issues of control and a struggle between dependence
and independence.
True - Answer- True/False
Bulimia deals with loss of control (binge eating) and guilt (purging).
True - Answer- True/False
Fatty foods are the common food intolerances for clients with cholelithiasis.
1. reporting any bile-colored drainage or pus from any incision. - Answer- Teaching
in relation to home management following a laparoscopic cholecystectomy should
include
1. reporting any bile-colored drainage or pus from any incision.
2. keeping the bandages on the puncture sites for 48 hours.
3. using over-the-counter antiemetics if nausea and vomiting occur.
4. emptying and measuring the contents of the bile bag from the T tube every day.
1. laparoscopic cholecystectomy is the treatment of choice in most clients who are
symptomatic. - Answer- The nursing management of the client with cholecystitis
associated with cholelithiasis is based on the knowledge that
1. laparoscopic cholecystectomy is the treatment of choice in most clients who are
symptomatic.
2. shock-wave therapy sould be tried initially.
3. once gallstones are removed, they tend not to recur.
4. the disorder can be successfully treated with oral bile salts that dissolve
gallstones.
, 2. keeps the tube supported and free of kinks. - Answer- To care for a T-tube in a
client following an open/incisional cholecystectomy, the nurse
1. attaches the tube to low continuous suction.
2. keeps the tube supported and free of kinks.
3. clamps the tube when ambulating the client.
4. irrigates the tube with 10-mL sterile saline every 2 to 4 hours.
4. "A low-fat diet is recommended for a few weeks after surgery until the intestine
adjusts to receiving a continuous flow of bile." - Answer- A client with chronic
cholecystitis asks the nurse whether she will need to continue a low-fat diet after she
has a cholecystectomy. The best response by the nurse is,
1. "A low-fat diet will prevent the development of further gallstones and should be
continued."
2. "Yes, because you will not have a gallbladder to store bile, you will not be able to
digest fats adequately."
3. "Removal of the gallbladder will eliminate the source of your pain associated with
fat intake, so you may eat whatever you like."
4. "A low-fat diet is recommended for a few weeks after surgery until the intestine
adjusts to receiving a continuous flow of bile."
B. "Antidepressants are now considered first-line treatment choice for PTSD."
D. "Because of their addictive properties, antianxiety drugs are less desirable."
E. "There have been no controlled studies on the effect of antianxiety drugs on
PTSD." - Answer- A client diagnosed with PTSD states, "Why did my doctor
prescribe an antidepressant rather than an antianxiety drug for me?" Which of the
following are the most appropriate nursing responses? (Select all that apply.)
A. "I'm not sure, because antianxiety drugs have been approved by the FDA for
PTSD."
B. "Antidepressants are now considered first-line treatment choice for PTSD."
C. "Many people have adverse reactions to antianxiety drugs."
D. "Because of their addictive properties, antianxiety drugs are less desirable."
E. "There have been no controlled studies on the effect of antianxiety drugs on
PTSD."
Trauma - Answer- An extremely distressing experience that causes severe
emotional shock and may have long-lasting psychological effects is called
_________________.
Anxiolytic drugs - Answer- Antianxiety drugs are also called
______________________ and minor tranquilizers.
Narcissistic - Answer- Traits associated with schizoid, obsessive-compulsive, and
_____________________ personality disorders are commonly seen in clients with
the diagnosis of body dysmorphic disorder.
30 mL/hr - Answer- When monitoring an adult client with Fluid Volume Deficit, the
nurse is aware that the minimum acceptable urine output is ______?
1225 mL/day - Answer- Your 18 months old client weighs 32 pounds and has been
having vomiting and diarrhea for the past two days. Mucous beds are dry and the
a. Alprazolam - Answer- Shane, a veteran of the war in Iraq, has been diagnosed
with post-traumatic stress disorder (PTSD). He is a client of a VA outpatient clinic.
He tells the nurse that he experiences panic attacks. Which of the following
medications may be prescribed for Shane to treat his panic attacks?
a. Alprazolam
b. Lithium
c. Carbamazepine
d. Haldol
1. Ensuring therapeutic termination
2.Collaborating to set appropriate goals
4. Promoting client insight into problematic behavior
5.Meeting both the physical and psychological needs of the client - Answer- Which of
the following characteristics should be included in a therapeutic nurse-client
relationship? (Select 4 that apply.)
1.Ensuring therapeutic termination
2.Collaborating to set appropriate goals
3.Meeting the psychological needs of the nurse and the client
4.Promoting client insight into problematic behavior
5.Meeting both the physical and psychological needs of the client
1.A biker sporting an eagle tattoo on his biceps
2.A mother spanking her son for playing with matches
4.A teenage boy isolating himself and playing loud music
5.A teenage girl writing, "No one understands me" - Answer- Which of the following
individuals are communicating a message? (Select 4 that apply.)
1.A biker sporting an eagle tattoo on his biceps
2.A mother spanking her son for playing with matches
3.A father checking for new e-mail on a regular basis
4.A teenage boy isolating himself and playing loud music
5.A teenage girl writing, "No one understands me"
3.Occupational therapist and psychologist
4.Recreational therapist and art therapist.
5.Mental health technician and chaplain - Answer- A nurse attends an
interdisciplinary team meeting regarding a newly admitted client. Which of the
following individuals are typically included as members of the interdisciplinary
treatment team in psychiatry? (Select 3 that apply.)
1.Social worker and hospital volunteer
2.Respiratory therapist and psychiatrist
3.Occupational therapist and psychologist
4.Recreational therapist and art therapist.
5.Mental health technician and chaplain
2.A democratic form of government exists.
,5.Unit responsibilities are assigned according to client capabilities. - Answer- Which
of the following conditions promote a therapeutic community? (Select 2 that apply.)
1.The unit schedule includes unlimited free time for personal reflection.
2.A democratic form of government exists.
3.The individual is the sole focus of therapy.
4.A flexible schedule is determined by client needs.
5.Unit responsibilities are assigned according to client capabilities.
2.Emphasize the need for and importance of confidentiality within the group.
3. Work with group members to establish rules that will govern the group.
5. Ensure that group rules do not interfere with goal fulfillment. - Answer- Which of
the following behavioral skills should a nurse implement when leading a group that is
functioning in the orientation phase of group development? (Select 3 that apply.)
1.Help the leader to resolve conflicts and foster cohesiveness within the group.
2.Emphasize the need for and importance of confidentiality within the group.
3.Work with group members to establish rules that will govern the group.
4.Encourage members to provide feedback to each other about individual progress.
5.Ensure that group rules do not interfere with goal fulfillment.
Group - Answer- A ______________________ is a collection of individuals whose
association is founded on shared commonalities of interest, values, norms, or
purpose.
Milieu - Answer- A scientific structuring of the environment in order to effect
behavioral changes and to improve the psychological health and functioning of the
individual is defined as ________________________ therapy.
Countertransference - Answer- ___________________ refers to a nurse's
behavioral and emotional response to a client. These responses may be related to
unresolved feelings toward significant others from the nurse's past.
Rapport - Answer- The term ________________________ implies special feelings
on the part of both the client and the nurse, based on acceptance, warmth,
friendliness, common interest, a sense of trust, and a nonjudgmental attitude.
1.Diabetes mellitus
2.Cushing's disease
3.A hypothalamus lesion - Answer- Which of the following would contribute to a
client's excessive weight gain? (Select all that apply.)(There are 3 correct answers)
1.Diabetes mellitus
2.Cushing's disease
3.A hypothalamus lesion
4.Hyperthyroidism
5.High levels of serotonin
2.Bingeing and purging with a diagnosis of bulimia nervosa
3.Binge eating with a diagnosis of obesity - Answer- A nurse should identify
topiramate (Topamax) as the drug of choice for which of the following conditions?
(Select all that apply.)(There are 2 correct answers)
1.Amenorrhea with a diagnosis of anorexia nervosa
,2.Bingeing and purging with a diagnosis of bulimia nervosa
3.Binge eating with a diagnosis of obesity
4.Emaciation with a diagnosis of bulimia nervosa
5.Weight loss with a diagnosis of anorexia nervosa
1. "In this disorder, binge eating occurs, on average, at least two days a week for six
months."
4. "In this disorder, distress regarding binge eating is absent."
5. "In this disorder, binge eating occurs exclusively during the course of bulimia
nervosa." - Answer- A nursing instructor is teaching about the DSM-5 criteria for the
diagnosis of binge-eating disorder. Which of the following student statements
indicates that further instruction is needed? (Select all that apply.)(There are 3
correct answers)
1."In this disorder, binge eating occurs, on average, at least two days a week for six
months."
2."In this disorder, distress regarding binge eating is present."
3."In this disorder, binge eating occurs, on average, at least once a week for three
months."
4."In this disorder, distress regarding binge eating is absent."
5."In this disorder, binge eating occurs exclusively during the course of bulimia
nervosa."
True - Answer- True/False
Anorexia nervosa deals with issues of control and a struggle between dependence
and independence.
True - Answer- True/False
Bulimia deals with loss of control (binge eating) and guilt (purging).
True - Answer- True/False
Fatty foods are the common food intolerances for clients with cholelithiasis.
1. reporting any bile-colored drainage or pus from any incision. - Answer- Teaching
in relation to home management following a laparoscopic cholecystectomy should
include
1. reporting any bile-colored drainage or pus from any incision.
2. keeping the bandages on the puncture sites for 48 hours.
3. using over-the-counter antiemetics if nausea and vomiting occur.
4. emptying and measuring the contents of the bile bag from the T tube every day.
1. laparoscopic cholecystectomy is the treatment of choice in most clients who are
symptomatic. - Answer- The nursing management of the client with cholecystitis
associated with cholelithiasis is based on the knowledge that
1. laparoscopic cholecystectomy is the treatment of choice in most clients who are
symptomatic.
2. shock-wave therapy sould be tried initially.
3. once gallstones are removed, they tend not to recur.
4. the disorder can be successfully treated with oral bile salts that dissolve
gallstones.
, 2. keeps the tube supported and free of kinks. - Answer- To care for a T-tube in a
client following an open/incisional cholecystectomy, the nurse
1. attaches the tube to low continuous suction.
2. keeps the tube supported and free of kinks.
3. clamps the tube when ambulating the client.
4. irrigates the tube with 10-mL sterile saline every 2 to 4 hours.
4. "A low-fat diet is recommended for a few weeks after surgery until the intestine
adjusts to receiving a continuous flow of bile." - Answer- A client with chronic
cholecystitis asks the nurse whether she will need to continue a low-fat diet after she
has a cholecystectomy. The best response by the nurse is,
1. "A low-fat diet will prevent the development of further gallstones and should be
continued."
2. "Yes, because you will not have a gallbladder to store bile, you will not be able to
digest fats adequately."
3. "Removal of the gallbladder will eliminate the source of your pain associated with
fat intake, so you may eat whatever you like."
4. "A low-fat diet is recommended for a few weeks after surgery until the intestine
adjusts to receiving a continuous flow of bile."
B. "Antidepressants are now considered first-line treatment choice for PTSD."
D. "Because of their addictive properties, antianxiety drugs are less desirable."
E. "There have been no controlled studies on the effect of antianxiety drugs on
PTSD." - Answer- A client diagnosed with PTSD states, "Why did my doctor
prescribe an antidepressant rather than an antianxiety drug for me?" Which of the
following are the most appropriate nursing responses? (Select all that apply.)
A. "I'm not sure, because antianxiety drugs have been approved by the FDA for
PTSD."
B. "Antidepressants are now considered first-line treatment choice for PTSD."
C. "Many people have adverse reactions to antianxiety drugs."
D. "Because of their addictive properties, antianxiety drugs are less desirable."
E. "There have been no controlled studies on the effect of antianxiety drugs on
PTSD."
Trauma - Answer- An extremely distressing experience that causes severe
emotional shock and may have long-lasting psychological effects is called
_________________.
Anxiolytic drugs - Answer- Antianxiety drugs are also called
______________________ and minor tranquilizers.
Narcissistic - Answer- Traits associated with schizoid, obsessive-compulsive, and
_____________________ personality disorders are commonly seen in clients with
the diagnosis of body dysmorphic disorder.
30 mL/hr - Answer- When monitoring an adult client with Fluid Volume Deficit, the
nurse is aware that the minimum acceptable urine output is ______?
1225 mL/day - Answer- Your 18 months old client weighs 32 pounds and has been
having vomiting and diarrhea for the past two days. Mucous beds are dry and the
