TOP PSYCH HESI NR 328 NEW EXAM WITH Q&A UPDATED ANSWERS 100% GUARANTEED A+

TOP PSYCH HESI NR 328 NEW EXAM WITH Q&A UPDATED ANSWERS 100% GUARANTEED A+ The emergency department nurse is providing care for a rape victim. Which action represents an essential element of care for this client? Providing nonjudgmental care. Conveying outrage that this occurred. Sympathizing with the client's sense of shame. Encouraging the client to divulge all the details - CORRECT ANSWER-Providing nonjudgmental care. The nurse is reviewing labs for a client who is taking clozapine, 25mg QD for treatment of disorganized schizophrenia. The labs are documented as follows: RBC 4.5 million/mcL, WBC 1000/mcL, TSH 1.2 mc-IU. Based on these results, which order should the nurse anticipate the health care provider to write? Discontinue clozapine. Administer levothyroxine sodium 25 mcg QD. Administer ferrous sulfate 100mg QD. Decrease clozapine to 12.5 mg QD, start levothyroxine sodium 50 mcg QD. - CORRECT ANSWER-Discontinue clozapine. Rationale Agranulocytosis is an adverse side effect of clozapine that can cause lethal infections. Based on the client's results, clozapine should be discontinued; the thyroid and RBC results are normal and do not need to be treated. The visiting nurse is assessing a client with early-stage dementia who has recently been prescribed donepezil (Aricept). Which information obtained from the client's family member demonstrates that the medication is effective? The client is showering and getting dressed with minimal assistance. The client uses confabulation to cover up memory loss. The client did not attend the family reunion last weekend. The client arranges to have groceries delivered. - CORRECT ANSWER-The client is showering and getting dressed with minimal assistance. A client with stage 2 Alzheimer's disease is being cared for at home by the spouse. The client's spouse tells the nurse about the emotional difficulties involved in providing fulltime care at home. Which self-care activity is most important for the nurse to recommend to the spouse? Periodic times of respite from caregiving. Regular attendance at church services. Participation in reminiscence therapy. Establishment of a predictable daily schedule. - CORRECT ANSWER-Periodic times of respite from caregiving. Rationale Caregiver role strain may be attributed to many different factors. The nurse must become familiar with this diagnosis in order to accurately assess the caregiver and offer effective interventions. One important recommendation is to have the caregiver incorporate periodic breaks as part of the daily routine to relieve stress. The nurse should contact the client's manager and provide the client's caregiver a list of agencies offering "Respite Care". A client with delirium keeps attempting to get out of bed and has fallen twice, despite being under close-observation. The charge nurse calls the health care provider to obtain an order for mechanical restraints. Which statement is correct regarding the mechanical restraint policy? The client will need to remain on close-observation with a documentation note every 15 minutes. The client no longer require close-observation, but must be checked at regular intervals. The client may be sedated and left alone as long as the restraints remain in place. Restraints may be applied based on verbal orders received over the phone. - CORRECT ANSWER-The client will need to remain on close-observation with a documentation note every 15 minutes. A client with long-term alcohol addiction is admitted to the emergency department. Which medications should the nurse anticipate the healthcare provider will prescribe for this client? Diazepam. Methadone. Multivitamins. Thiamine (vitamin B1). Monoamine oxidase inhibitors. - CORRECT ANSWER-Diazepam. Multivitamins. Thiamine (vitamin B1). The nurse is caring for a victim of severe emotional violence inflicted by her husband. The client states that the abuse occurs most often when her husband is intoxicated, and that he is always remorseful afterwards. She also tells the nurse that her husband's father was an alcoholic who beat him and his mother. What evidence exists that the husband is at risk of becoming a perpetrator of physical abuse? Past childhood abuse. Feelings of remorse. Temporary behavioral changes. Excessive alcohol consumption. - CORRECT ANSWER-Past childhood abuse. The nurse is interviewing a newly admitted client with major depression. Which statement by the client is evidence of a genetic etiology of this mood disorder? My mother was diagnosed with bipolar affective disorder. My uncle was diagnosed with schizophrenia. My cousin was hospitalized with suicidal ideation last year. My niece is being evaluated for borderline personality disorder. - CORRECT ANSWER-My mother was diagnosed with bipolar affective disorder. What are some of the family risk factors the nurse should look for when interviewing a client who is suspected of being in an abusive relationship? Mental health problems in the nuclear family.. Substance abuse by household members. Family relationships that appear dysfunctional. The ethnic and cultural background of the family. Educational background of client and family members. - CORRECT ANSWER-Mental health problems in the nuclear family.. Substance abuse by household members. Family relationships that appear dysfunctional. A student nurse working as an aide in a memory care facility asks the charge nurse if there is a neurobiological basis for the deterioration in cognitive function in Alzheimer's disease. Which explanation by the nurse is correct regarding the etiology of neurocognitive decline? "Decreases in neurotransmitters affect parts of the brain responsible for memory." "A decrease in body mass causes a decrease in the mass of the brain." "Untreated psychological problems slow down the thinking and reasoning processes." "Nutritional deficiencies cause a decrease in metabolism that inhibits the amount of glucose available to the brain." - CORRECT ANSWER-Decreases in neurotransmitters affect parts of the brain responsible for memory." The interdisciplinary treatment team is designing a plan for a client with antisocial personality. The client's behaviors include lying to other clients, flattering the primary nurse, verbally abusing a client who has Alzheimer's disease, and being argumentative at counseling sessions. Which behavior is the priority for the treatment team to address? Verbal abuse of another client. Lying to the other clients. Flattering his primary nurse. Arguing during counseling sessions. - CORRECT ANSWER-Verbal abuse of another client. The nurse is providing care to a client suspected of Munchausen. The nurse should understand that which example demonstrates a breach of a client's constitutional right to privacy? Releasing information to the client's employer without consent. Discussing the client's history with other staff during care planning. Documenting the client's daily behaviors during hospitalization. Asking the family to share information about the client's behavior before hospitalization. - CORRECT ANSWER-Releasing information to the client's employer without consent. The nurse notes that a client is experiencing panic-level anxiety during a group meeting in the community room. Which intervention should be implemented immediately? Provide calm, brief, and directive communication. Administer anxiolytic medication, as ordered. Teach the client relaxation techniques. Prepare staff members to restrain the client. - CORRECT ANSWER-Provide calm, brief, and directive communication. Rationale Clients experiencing severe- to panic-level anxiety often feel out of control and need to know they are safe from their own impulses. This can be achieved through firm, short, and simple statements. Reinforcing commonalities in the environment and pointing out reality when there are distortions can also be useful when caring for a severely anxious client. A client who compulsively performs handwashing rituals throughout the day is being treated for obsessive compulsive disorder (OCD). Which behavior change indicates that treatment has been effective? Arrives at the dining hall on time for every meal for the last 2 days. Exhibits good hygiene habits for the last week. Reads educational material regarding his illness.