HESI EXIT EXAM

A nurse on the psychiatric unit of the hospital has been assigned four clients for the shift. The assignment includes an 84-year-old client who is severely depressed, a 73-year-old client who is being discharged, a 53-year-old client who was admitted for lithium toxicity, and a 48-year-old client who has panic attacks. Which client should the nurse evaluate first after receiving report? A young female client admitted to the trauma center after being sexually assaulted continues to talk about the rape. Toward what goal should the primary nursing intervention be directed? A client is dying. Hesitatingly, his wife says to the nurse, “I’d like to tell him how much I love him, but I don’t want to upset him.” Which is the best response by the nurse? A nonviolent client on the psychiatric unit suddenly refuses to take the prescribed antipsychotic medication. What should the nurse do? Which psychotherapeutic theory uses hypnosis, dream interpretation, and free association as methods to release repressed feelings? A depressed client has been taking Paroxetine (Paxil) 20 mg by mouth once a day for 4 weeks. The practitioner concludes that there is no clinical improvement in the client’s condition and increases the daily dose to 30 mg. The medication is supplied in an oral suspension of 10 mg/5 mL. How many milliliters of Paxil solution should the nurse instruct the client to take? Record your answer using a whole number. __________ mL A parent of a 13-year-old adolescent with recently diagnosed Hodgkin disease tells a nurse, “I don’t want her to know about the diagnosis.” How should the nurse respond? A client who is to undergo dilation and curettage and conization of the cervix for cancer appears tense and anxious. What is the best approach for the nurse to support the client emotionally? A client in the hyperactive phase of a mood disorder, bipolar type, is receiving lithium. A nurse sees that the client’s lithium blood level is 1.8 mEq/L. What is the most appropriate nursing action? An 18-year-old woman is brought to the emergency department by her two roommates after being found unconscious in the bathroom. Laboratory tests are ordered. The nurse reviewing the findings notes that the urinalysis is positive for flunitrazepam (Rohypnol). The nurse knows that flunitrazepam is often used: In the second stage of labor, the nurse should plan to discourage a client from holding her breath longer than 6 seconds while pushing with each contraction. What complication does this prevent?