HESI: Obsessive Compulsive Disorder
Exam Questions and Answers 100% Pass
Scenario 1
Hospitalization
The psychiatrist completes an assessment and admits the client to the inpatient
adult unit. After the admitting procedures are complete, the client's parents leave
for home and the client immediately becomes increasingly agitated, and begins
crying and hyperventilating. The nurse informs the client that the psychiatrist is
writing prescriptions for medication to help alleviate the anxiety and will check on
the status of the prescription, and be back with the medication as soon as it is
available.
Which nursing action is indicated next? - ANSWER-Ask another nurse to check
on the status of the medications prescribed and return to the client's room and stay
with her.
Scenario 1
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,The medication becomes available and the nurse partially opens the packet
containing the oral lorazepam 2 mg. The nurse empties the medication into a paper
medication cup then hands the cup to the client with a glass of water. The client
refuses to take the medication cup, and backs away from the nurse stating, "I heard
you coughing earlier. I don't want to take it from you." - ANSWER-Empty the pill
into the client's hand without touching the pill.
Section 2
Initial Nursing Assessment
The nurse completes an initial nursing intake assessment. When asked what
brought her to the hospital, The client replies, "I can't stop worrying about
everything. It's so bad I don't even want to get out of bed anymore" and she begins
to cry. The client admits to having had obsessive-compulsive disorder in the past
and she had been taking fluvoxamine for four years. She states she weaned herself
off the medication 2 months ago because she was starting college and the
medication made her tired. The client states: "I couldn't handle college though and
now I feel like a big failure. I'm just taking up space. I'm no good to anyone."
Which nursing concern should take priority? - ANSWER-Potential risk for suicide.
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, Section 2
The nurse recognizes a need to educate the client on the dangers of stopping her
medication without the supervision of her psychiatrist. The nurse makes a decision
to wait until a later time to provide this education.
Which rationale is the basis for the nurse's decision? - ANSWER-The client is
currently experiencing severe to panic levels of anxiety, so education will be
ineffective.
Section 3
Medications
The client takes the lorazepam from the nurse and then asks how the medication
will help and how soon it will work.
Which response by the nurse regarding lorazepam is accurate? - ANSWER-
Lorazepam will help control your anxiety making you feel calmer and it works
within 20-30 minutes when taken orally.
Section 4
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Exam Questions and Answers 100% Pass
Scenario 1
Hospitalization
The psychiatrist completes an assessment and admits the client to the inpatient
adult unit. After the admitting procedures are complete, the client's parents leave
for home and the client immediately becomes increasingly agitated, and begins
crying and hyperventilating. The nurse informs the client that the psychiatrist is
writing prescriptions for medication to help alleviate the anxiety and will check on
the status of the prescription, and be back with the medication as soon as it is
available.
Which nursing action is indicated next? - ANSWER-Ask another nurse to check
on the status of the medications prescribed and return to the client's room and stay
with her.
Scenario 1
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,The medication becomes available and the nurse partially opens the packet
containing the oral lorazepam 2 mg. The nurse empties the medication into a paper
medication cup then hands the cup to the client with a glass of water. The client
refuses to take the medication cup, and backs away from the nurse stating, "I heard
you coughing earlier. I don't want to take it from you." - ANSWER-Empty the pill
into the client's hand without touching the pill.
Section 2
Initial Nursing Assessment
The nurse completes an initial nursing intake assessment. When asked what
brought her to the hospital, The client replies, "I can't stop worrying about
everything. It's so bad I don't even want to get out of bed anymore" and she begins
to cry. The client admits to having had obsessive-compulsive disorder in the past
and she had been taking fluvoxamine for four years. She states she weaned herself
off the medication 2 months ago because she was starting college and the
medication made her tired. The client states: "I couldn't handle college though and
now I feel like a big failure. I'm just taking up space. I'm no good to anyone."
Which nursing concern should take priority? - ANSWER-Potential risk for suicide.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
, Section 2
The nurse recognizes a need to educate the client on the dangers of stopping her
medication without the supervision of her psychiatrist. The nurse makes a decision
to wait until a later time to provide this education.
Which rationale is the basis for the nurse's decision? - ANSWER-The client is
currently experiencing severe to panic levels of anxiety, so education will be
ineffective.
Section 3
Medications
The client takes the lorazepam from the nurse and then asks how the medication
will help and how soon it will work.
Which response by the nurse regarding lorazepam is accurate? - ANSWER-
Lorazepam will help control your anxiety making you feel calmer and it works
within 20-30 minutes when taken orally.
Section 4
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