PSYCH HESI Test Bank
A bipolar customer involves the health center and tells the nurse that the next time she sees her
sister she is going to kill her. What must the nurse do? - ANS-Inform the sister
A commercial enterprise man is harassed approximately his finances, has tension, and
sleeplessness - ANS-restriction consumption of sugar and caffeine
A patron becomes agitated when the nurse is speakme together with his wife. She has no
longer eaten in three days. What must the nurse do? - ANS-Take to a quiet room and deliver PB
crackers.
A purchaser turns into upset whilst the nurse he requests is not assigned to him. What is the
nurses pleasant response? - ANS-Advise the patron that nursing assignments aren't based
totally on purchaser requests.
A consumer is available in after being in a car accident and is experiencing alcohol withdrawal,
magnesium level of 1.1, cardiac dysrhythmias. What would you give first? - ANS-Magnesium
A consumer comes in the ED with DTs. What have to the nurse do first? - ANS-Administer
Ativan
A customer involves the nurses station and instructed the nurse that her roommate had reduce
her wrists inside the toilet. After assessing and dressing the injuries, what should the nurse do
next? - ANS-Move the customer to a personal room through the nurses station
A purchaser diagnosed with despair tells the nurse that her husband wants her to "fix herself up"
and placed on quality clothes. The patron maintains through pronouncing that she believes her
husband is inquisitive about any other lady. What must the nurse respond to the client? - ANS-I
assist you to bathe and dress before he comes to visit
A consumer identified with schizophrenia has been refusing prescribed oral remedy for
several days. The patron has broken a chair and is coming after some other consumer with the
damaged chair leg, threatening to do physical harm. What must the nurse do first? -
ANS-Remove the alternative client from the room
A customer in organization is talking about her prostitution. The nurse asks her if she changed
into abused by using her parents. She states, my mother ran my father out when I became
younger. What protection mechanism was used? - ANS-Repression
, A purchaser within the dayroom had tipped over a table and is escalating and has picked up a
chair which she is threatening to throw at some other purchaser. What should the nurse do first?
- ANS-Go and get extra personnel assistance
A consumer is careworn in an acute care health facility putting. What could assist the analysis of
delirium rather than dementia? - ANS-Delirium: commenced on the health center
A consumer is told to are available in by buddies. Customers bitch consist of dropping his job,
simply were given a divorce, unmarried dad with 2 youngsters. What will be the exceptional
question for the nurse to invite? - ANS-What is troubling you the maximum?
A consumer desires to scrub her arms for 2 hours before able to go on with her morning. She
doesnt need to take a seat at the chairs inside the dayroom for fear of having grimy. What is this
mechanism? - ANS-Compulsion
A consumer on LSD comes into the ER. How do you method the purchaser? - ANS-speak
calmly and soothing to the patron
a customer taking meth and benzos - what would the nurse put together to do for overdose? -
ANS-deliver narcan
A client tells the nurse that he has a fear of flying on an airplane but needs to wait a
work-related assembly out of the country and will ought to fly to get there. What can the nurse
do to assist this customer? - ANS-Instruct him to visualize flying to the meeting destination
A customer tells the nurse that he's an completed author and that directors of television
suggests touch him for pointers on actors and places. The nurse realizes this patron is
experiencing delusions of ... - ANS-grandiosity
A patron tells the nurse that his father died after the patron notion approximately it for a few
days. The nurse suspects that the purchaser is delusional and is demonstrating ... -
ANS-magical thinking
A purchaser who's refusing to take his medicine is wandering on the unit and stepping into and
out of residents rooms. What is the concern? - ANS-Wandering inside and out of different clients
rooms
A consumer with a hx of melancholy and abusing alcohol with their despair getting worse. What
is the maximum vital nursing dx? - ANS-Ineffective coping
A patron with alzheimers maintains asking for his mother. What is the nurses appropiate
response? - ANS-Your mothers now not right here but you are secure.
A bipolar customer involves the health center and tells the nurse that the next time she sees her
sister she is going to kill her. What must the nurse do? - ANS-Inform the sister
A commercial enterprise man is harassed approximately his finances, has tension, and
sleeplessness - ANS-restriction consumption of sugar and caffeine
A patron becomes agitated when the nurse is speakme together with his wife. She has no
longer eaten in three days. What must the nurse do? - ANS-Take to a quiet room and deliver PB
crackers.
A purchaser turns into upset whilst the nurse he requests is not assigned to him. What is the
nurses pleasant response? - ANS-Advise the patron that nursing assignments aren't based
totally on purchaser requests.
A consumer is available in after being in a car accident and is experiencing alcohol withdrawal,
magnesium level of 1.1, cardiac dysrhythmias. What would you give first? - ANS-Magnesium
A consumer comes in the ED with DTs. What have to the nurse do first? - ANS-Administer
Ativan
A customer involves the nurses station and instructed the nurse that her roommate had reduce
her wrists inside the toilet. After assessing and dressing the injuries, what should the nurse do
next? - ANS-Move the customer to a personal room through the nurses station
A purchaser diagnosed with despair tells the nurse that her husband wants her to "fix herself up"
and placed on quality clothes. The patron maintains through pronouncing that she believes her
husband is inquisitive about any other lady. What must the nurse respond to the client? - ANS-I
assist you to bathe and dress before he comes to visit
A consumer identified with schizophrenia has been refusing prescribed oral remedy for
several days. The patron has broken a chair and is coming after some other consumer with the
damaged chair leg, threatening to do physical harm. What must the nurse do first? -
ANS-Remove the alternative client from the room
A customer in organization is talking about her prostitution. The nurse asks her if she changed
into abused by using her parents. She states, my mother ran my father out when I became
younger. What protection mechanism was used? - ANS-Repression
, A purchaser within the dayroom had tipped over a table and is escalating and has picked up a
chair which she is threatening to throw at some other purchaser. What should the nurse do first?
- ANS-Go and get extra personnel assistance
A consumer is careworn in an acute care health facility putting. What could assist the analysis of
delirium rather than dementia? - ANS-Delirium: commenced on the health center
A consumer is told to are available in by buddies. Customers bitch consist of dropping his job,
simply were given a divorce, unmarried dad with 2 youngsters. What will be the exceptional
question for the nurse to invite? - ANS-What is troubling you the maximum?
A consumer desires to scrub her arms for 2 hours before able to go on with her morning. She
doesnt need to take a seat at the chairs inside the dayroom for fear of having grimy. What is this
mechanism? - ANS-Compulsion
A consumer on LSD comes into the ER. How do you method the purchaser? - ANS-speak
calmly and soothing to the patron
a customer taking meth and benzos - what would the nurse put together to do for overdose? -
ANS-deliver narcan
A client tells the nurse that he has a fear of flying on an airplane but needs to wait a
work-related assembly out of the country and will ought to fly to get there. What can the nurse
do to assist this customer? - ANS-Instruct him to visualize flying to the meeting destination
A customer tells the nurse that he's an completed author and that directors of television
suggests touch him for pointers on actors and places. The nurse realizes this patron is
experiencing delusions of ... - ANS-grandiosity
A patron tells the nurse that his father died after the patron notion approximately it for a few
days. The nurse suspects that the purchaser is delusional and is demonstrating ... -
ANS-magical thinking
A purchaser who's refusing to take his medicine is wandering on the unit and stepping into and
out of residents rooms. What is the concern? - ANS-Wandering inside and out of different clients
rooms
A consumer with a hx of melancholy and abusing alcohol with their despair getting worse. What
is the maximum vital nursing dx? - ANS-Ineffective coping
A patron with alzheimers maintains asking for his mother. What is the nurses appropiate
response? - ANS-Your mothers now not right here but you are secure.
