Evolve HESI 2 High-Quality Questions with Expert
Answers Graded questions with answers Questions
from World-Leading Universities With Thorough
Explanations and Correct Responses
a 30 year old sales manager tells the nurse "i am thinking about a job change. i don't feel
like i am living up to my potential." which of maslows developmental stages is the sales
manager attempting to achieve - CORRECT ANSWER- -self actualization: self actualization
is the highest level of maslows developmental stages, which is an attempt to fulfill ones full
potential.. loving and belonging is identifying support systems.. basic needs is the first level
of maslows developmental stages and is the foundation upon which higher needs rest..
individuals who feel safe and secure in their environment perceive themselves as having
physical safety and lack fear of harm
the nurse observes a client who is admitted to the mental health unit and identifies that the
client is talking continuously, using words that rhyme but have no context or relationship
with one topic to the next in the conversation. this clients behavior and thought processes
are consistent with which syndrome - CORRECT ANSWER- -schizophrenia: the client is
demonstrating symptoms of schizophrenia, such as disorganized speech that may include
word salad (communication that includes both real and imaginary words in no logical
order), incoherent speech, and clanging (rhyming).. dementia is a global impairment of
intellectual (cognitive) functions that may be progressive, such as alzheimers or organic
brain syndrome.. depression is typified by psychomotor retardation, and the client appears
to be slowed down in movement, in speech, and would appear listless and disheveled
a homeless person who is in the manic phase of bipolar disorder is admitted to the mental
health unit.. which lab finding obtained on admission is most important for the nurse to
report to the HCP - CORRECT ANSWER- -decreased thyroid stimulating hormone level:
hyperthyroidism causes an increased level of serum thyroid hormones (T3 and T4), which
inhibit the release of TSH, so the clients manic behavior may be related to an endocrine
disorder.. elevated liver function profile, increased WBC count, and decreased hematocrit
and hemoglobin levels are abnormal findings that are commonly found in the homeless
population because of poor sanitation, poor nutrition, and the prevalence of substance
abuse
,an adult male client who was admitted to the mental health unit yesterday tells the nurse
that microchips were planted in his head for military surveillance of his every move.. which
response is best for the nurse to provide - CORRECT ANSWER- -go to occupational therapy
and start a project: delusions often generate fear and isolation, so the nurse should help
the client participate in activities that avoid focusing on the false belief and encourage
interaction with others.. delusions are often well-fixed, and though saying "you are in a
hospital, and i am the nurse caring for you" reinforces reality, it is argumentative and
dismisses the clients fears.. it is often difficult for the client to recognize the relationship
between delusions and anxiety ("it must be difficult for you to control your anxiety"), and
the nurse should reassure the client that he is in a safe place.. dismissing delusional
thinking ("you are not in a war now, this is the US"), is unrealistic bc neurochemical
imbalances that cause positive symptoms of schizophrenia require antipsychotic drug
therapy
the nurse is assessing a clients intelligence.. which factor should the nurse remember
during this part of the mental status exam - CORRECT ANSWER- -intelligence is influenced
by social and cultural beliefs: social and cultural beliefs have significant impact on
intelligence.. chronic psychiatric illness may impair intelligence, especially if it remains
untreated.. limited concentration does not suggest limited intelligence.. difficulties with
abstractions are suggestive of psychotic thinking, not limited intelligence
at a support meeting of parents of a teenager with polysubstance dependency, a parent
states "each time my son tries to quit taking drugs, he gets so depressed that I'm afraid he
will commit suicide".. the nurses response should be based on which information -
CORRECT ANSWER- -careful monitoring should be provided during withdrawal from the
drugs: the priority is to teach the parents that their son will need monitoring and support
during withdrawal to ensure that he does not attempt suicide
the wife of a male client recently diagnosed with schizophrenia asks the nurse, "what
exactly is schizophrenia? is my husband all right?".. which response is best for the nurse to
provide - CORRECT ANSWER- -it is a chemical imbalance in the brain that causes
disorganized thinking: the nurse should answer the clients question with factual
information and explain that schizophrenia is a chemical imbalance in the brain
, a young adult male client, diagnosed with paranoid schizophrenia, believes that the world
is trying to poison him.. what intervention should the nurse include in this clients plan of
care - CORRECT ANSWER- -ask one nurse to spend time with the client daily: a client with
paranoid schizophrenia has difficulty with trust and developing a trusting relationship with
one nurse is likely to be therapeutic for this client
the community health nurse talks to a male client who has bipolar disorder.. the client
explains that he sleeps 4-5 hours a night and is working with his partner to start two new
businesses and build an empire.. the client stopped taking his meds several days ago..
what nursing problem has the highest priority - CORRECT ANSWER- -medication mgmt: the
most important nursing problem is medication mgmt because compliance with the
medication regimen will help prevent hospitalization
a female client with OCD is describing her obsessions and compulsions and asks the nurse
why these make her feel safer.. what information should the nurse include in this clients
teaching plan - CORRECT ANSWER- -compulsions relieve anxiety, anxiety is the key reason
for OCD, obsessive thoughts are linked to levels of neurochemicals, antidepressant meds
increase serotonin levels: to promote client understanding and compliance, the teaching
plan should include explanations about the origin and treatment options of OCD
symptomology.. compulsions are behaviors that help relieve anxiety, which is a vague
feeling related to unknown fears, that motivate behavior to help the client cope and feel
secure.. all obsessions do not result in compulsive behavior.. OCD is supported by the
neurophysiology theory, which attributes a diminished level of neurochemicals,
particularly serotonin, and responds to SSRIs
the nurse observes a female client with schizophrenia watching the news on TV.. she
begins to laugh softly and says, "yes my love ill do it".. when the nurse questions the client
about her comment she states, "the news commentator is my lover and he speaks to me
each evening.. only i can understand what he says".. what is the best response for the nurse
to make - CORRECT ANSWER- -what do you believe the news commentator said to you: it is
imperative that the nurse determine what the client believes she heard.. the idea of
reference may be to hurt herself or someone else, and the main function of a psychiatric
nurse is to maintain safety
Answers Graded questions with answers Questions
from World-Leading Universities With Thorough
Explanations and Correct Responses
a 30 year old sales manager tells the nurse "i am thinking about a job change. i don't feel
like i am living up to my potential." which of maslows developmental stages is the sales
manager attempting to achieve - CORRECT ANSWER- -self actualization: self actualization
is the highest level of maslows developmental stages, which is an attempt to fulfill ones full
potential.. loving and belonging is identifying support systems.. basic needs is the first level
of maslows developmental stages and is the foundation upon which higher needs rest..
individuals who feel safe and secure in their environment perceive themselves as having
physical safety and lack fear of harm
the nurse observes a client who is admitted to the mental health unit and identifies that the
client is talking continuously, using words that rhyme but have no context or relationship
with one topic to the next in the conversation. this clients behavior and thought processes
are consistent with which syndrome - CORRECT ANSWER- -schizophrenia: the client is
demonstrating symptoms of schizophrenia, such as disorganized speech that may include
word salad (communication that includes both real and imaginary words in no logical
order), incoherent speech, and clanging (rhyming).. dementia is a global impairment of
intellectual (cognitive) functions that may be progressive, such as alzheimers or organic
brain syndrome.. depression is typified by psychomotor retardation, and the client appears
to be slowed down in movement, in speech, and would appear listless and disheveled
a homeless person who is in the manic phase of bipolar disorder is admitted to the mental
health unit.. which lab finding obtained on admission is most important for the nurse to
report to the HCP - CORRECT ANSWER- -decreased thyroid stimulating hormone level:
hyperthyroidism causes an increased level of serum thyroid hormones (T3 and T4), which
inhibit the release of TSH, so the clients manic behavior may be related to an endocrine
disorder.. elevated liver function profile, increased WBC count, and decreased hematocrit
and hemoglobin levels are abnormal findings that are commonly found in the homeless
population because of poor sanitation, poor nutrition, and the prevalence of substance
abuse
,an adult male client who was admitted to the mental health unit yesterday tells the nurse
that microchips were planted in his head for military surveillance of his every move.. which
response is best for the nurse to provide - CORRECT ANSWER- -go to occupational therapy
and start a project: delusions often generate fear and isolation, so the nurse should help
the client participate in activities that avoid focusing on the false belief and encourage
interaction with others.. delusions are often well-fixed, and though saying "you are in a
hospital, and i am the nurse caring for you" reinforces reality, it is argumentative and
dismisses the clients fears.. it is often difficult for the client to recognize the relationship
between delusions and anxiety ("it must be difficult for you to control your anxiety"), and
the nurse should reassure the client that he is in a safe place.. dismissing delusional
thinking ("you are not in a war now, this is the US"), is unrealistic bc neurochemical
imbalances that cause positive symptoms of schizophrenia require antipsychotic drug
therapy
the nurse is assessing a clients intelligence.. which factor should the nurse remember
during this part of the mental status exam - CORRECT ANSWER- -intelligence is influenced
by social and cultural beliefs: social and cultural beliefs have significant impact on
intelligence.. chronic psychiatric illness may impair intelligence, especially if it remains
untreated.. limited concentration does not suggest limited intelligence.. difficulties with
abstractions are suggestive of psychotic thinking, not limited intelligence
at a support meeting of parents of a teenager with polysubstance dependency, a parent
states "each time my son tries to quit taking drugs, he gets so depressed that I'm afraid he
will commit suicide".. the nurses response should be based on which information -
CORRECT ANSWER- -careful monitoring should be provided during withdrawal from the
drugs: the priority is to teach the parents that their son will need monitoring and support
during withdrawal to ensure that he does not attempt suicide
the wife of a male client recently diagnosed with schizophrenia asks the nurse, "what
exactly is schizophrenia? is my husband all right?".. which response is best for the nurse to
provide - CORRECT ANSWER- -it is a chemical imbalance in the brain that causes
disorganized thinking: the nurse should answer the clients question with factual
information and explain that schizophrenia is a chemical imbalance in the brain
, a young adult male client, diagnosed with paranoid schizophrenia, believes that the world
is trying to poison him.. what intervention should the nurse include in this clients plan of
care - CORRECT ANSWER- -ask one nurse to spend time with the client daily: a client with
paranoid schizophrenia has difficulty with trust and developing a trusting relationship with
one nurse is likely to be therapeutic for this client
the community health nurse talks to a male client who has bipolar disorder.. the client
explains that he sleeps 4-5 hours a night and is working with his partner to start two new
businesses and build an empire.. the client stopped taking his meds several days ago..
what nursing problem has the highest priority - CORRECT ANSWER- -medication mgmt: the
most important nursing problem is medication mgmt because compliance with the
medication regimen will help prevent hospitalization
a female client with OCD is describing her obsessions and compulsions and asks the nurse
why these make her feel safer.. what information should the nurse include in this clients
teaching plan - CORRECT ANSWER- -compulsions relieve anxiety, anxiety is the key reason
for OCD, obsessive thoughts are linked to levels of neurochemicals, antidepressant meds
increase serotonin levels: to promote client understanding and compliance, the teaching
plan should include explanations about the origin and treatment options of OCD
symptomology.. compulsions are behaviors that help relieve anxiety, which is a vague
feeling related to unknown fears, that motivate behavior to help the client cope and feel
secure.. all obsessions do not result in compulsive behavior.. OCD is supported by the
neurophysiology theory, which attributes a diminished level of neurochemicals,
particularly serotonin, and responds to SSRIs
the nurse observes a female client with schizophrenia watching the news on TV.. she
begins to laugh softly and says, "yes my love ill do it".. when the nurse questions the client
about her comment she states, "the news commentator is my lover and he speaks to me
each evening.. only i can understand what he says".. what is the best response for the nurse
to make - CORRECT ANSWER- -what do you believe the news commentator said to you: it is
imperative that the nurse determine what the client believes she heard.. the idea of
reference may be to hurt herself or someone else, and the main function of a psychiatric
nurse is to maintain safety
