Hesi Psychiatric Mental Health Practice
nn nn nn nn nn
Exam Exam Questions And Answers With
nn nn nn nn nn nn
Complete Solutions 100% Updated 2025
nn nn nn nn nn
nn
1. nn
A nnmale nnclient nnwith nnschizophrenia nnwho nnis nntaking nnfluphenazine nndecanoate
nn(Prolixin nndecanoate) nnis nnbeing nndischarged nnin nnthe nnmorning. nnA nnrepeat nndose nnof
nnmedication nnis nnscheduled nnfor nn20 nndays nnafter nndischarge. nnThe nnclient nntells nnthe
nnnurse nnthat nnhe nnis nngoing nnon nnvacation nnin nnthe nnBahamas nnand nnwill nnreturn nnin nn18
nndays. nnWhich nnstatement nnby nnthe nnclient nnindicates nna nnneed nnfor nnhealth nnteaching? nn
A) When nnI nnreturn nnfrom nnmy nntropical nnisland nnvacation, nnI nnwill nngo nnto nnthe nnclinic
nnto nnget nnmy nnProlixin nninjection. nn nn
B) While nnI nnam nnon nnvacation nnand nnwhen nnI nnreturn, nnI nnwill nnnot nneat nnor nndrink
nnanything nnthat nncontains nnalcohol. nn nn
C) I nnwill nnnotify nnthe nnhealthcare nnprovider nnif nnI nnhave nna nnsore nnthroat nnor nnflu-like
nnsymptoms. nn nnD) nnI nnwill nncontinue nnto nntake nnmy nnbenztropine nnmesylate nn(Cogentin)
nnevery nnday. nn- nnPhotosensitivity nnis nna nnside nneffect nnof nnProlixin nnand nna nnvacation nnin
nnthe nnBahamas nn(with nnits nntropical nnisland nnclimate) nnincreases nnthe nnclient's nnchance
nnof nnexperiencing nnthis nnside nneffect. nnHe nnshould nnbe nninstructed nnto nnavoid nndirect nnsun
nn(A) nnand nnwear nnsunscreen. nn(B, nnC, nnand nnD) nnindicate nnaccurate nnknowledge. nnAlcohol
nnacts nnsynergistically nnwith nnProlixin nn(B). nn(C) nnlists nnsigns nnof nnagranulocytosis, nnwhich
nnis nnalso nna nnside nneffect nnof nnProlixin. nnIn nnorder nnto nnavoid nnextrapyramidal nnsymptoms
nn(EPS), nnanticholinergic nndrugs, nnsuch nnas nnCogentin, nnare nnoften nnprescribed
nnprophylactically nnwith nnProlixin. nn
nn
Correct nnAnswer(s): nnA nn
nn
2. nn
A nnmale nnclient nnis nnadmitted nnto nnthe nnmental nnhealth nnunit nnbecause nnhe nnwas nnfeeling
nndepressed nnabout nnthe nnloss nnof nnhis nnwife nnand nnjob. nnThe nnclient nnhas nna nnhistory nnof
nnalcohol nndependency nnand nnadmits nnthat nnhe nnwas nndrinking nnalcohol nn12 nnhours nnago.
nnVital nnsigns nnare: nntemperature, nn100° nnF, nnpulse nn100, nnand nnBP nn142/100. nnThe nnnurse
nnplans nnto nngive nnthe nnclient nnlorazepam nn(Ativan) nnbased nnon nnwhich nnpriority nnnursing
nndiagnosis? nn
A) Risk nnfor nninjury nnrelated nnto nnsuicidal nnideation. nn nn
B) Risk nnfor nninjury nnrelated nnto nnalcohol nndetoxification. nn nn
C) Knowledge nndeficit nnrelated nnto nnineffective nncoping. nn nn
D) Health nnseeking nnbehaviors nnrelated nnto nnpersonal nncrisis. nn- nnThe nnmost nnimportant
nnnursing nndiagnosis nnis nnrelated nnto nnalcohol nndetoxification nn(B) nnbecause nnthe nnclient
nnhas nnelevated nnvital nnsigns, nna nnsign nnof nnalcohol nndetoxification. nnMaintaining nnclient
nnsafety nnrelated nnto nn(A) nnshould nnbe nnaddressed nnafter nngiving nnthe nnclient nnAtivan
, nnfor nnelevated nnvital nnsigns nnsecondary nnto nnalcohol nnwithdrawal. nn(C nnand nnD) nncan
nnbe nnaddressed nnwhen nnimmediate nnneeds nnfor nnsafety nnare nnmet. nn
nn nn
Correct nnAnswer(s): nnB nn
nn
3. nn
The nncharge nnnurse nnis nncollaborating nnwith nnthe nnnursing nnstaff nnabout nnthe nnplan
nnof nncare nnfor nna nnclient nnwho nnis nnvery nndepressed. nnWhat nnis nnthe nnmost
nnimportant nnintervention nnto nnimplement nnduring nnthe nnfirst nn48 nnhours nnafter nnthe
nnclient's nnadmission nnto nnthe nnunit? nnA) nnMonitor nnappetite nnand nnobserve nnintake
nnat nnmeals. nn nn
B) Maintain nnsafety nnin nnthe nnclient's nnmilieu. nn nn
C) Provide nnongoing, nnsupportive nncontact. nn nn
D) Encourage nnparticipation nnin nnactivities. nn- nnThe nnmost nnimportant nnreason nnfor
nnclosely nnobserving nna nndepressed nnclient nnimmediately nnafter nnadmission nnis nnto
nnmaintain nnsafety nn(B), nnsince nnsuicide nnis nna nnrisk nnwith nndepression. nn(A, nnC, nnand
nnD) nnare nnall nnimportant nninterventions, nnbut nnsafety nnis nnthe nnpriority. nn
nn nn
Correct nnAnswer(s): nnB nn
nn
4. nn
A nn38-year-old nnfemale nnclient nnis nnadmitted nnwith nna nndiagnosis nnof nnparanoid
nnschizophrenia. nnWhen nnher nntray nnis nnbrought nnto nnher, nnshe nnrefuses nnto nneat nnand nntells
nnthe nnnurse, nn"I nnknow nnyou nnare nntrying nnto nnpoison nnme nnwith nnthat nnfood." nnWhich
nnresponse nnis nnmost nnappropriate nnfor nnthe nnnurse nnto nnmake? nn
A) I'll nnleave nnyour nntray nnhere. nnI nnam nnavailable nnif nnyou nnneed nnanything nnelse. nn nn
B) You're nnnot nnbeing nnpoisoned. nnWhy nndo nnyou nnthink nnsomeone nnis nntrying nnto nnpoison
nnyou? nn nn
C) No nnone nnon nnthis nnunit nnhas nnever nndied nnfrom nnpoisoning. nnYou're nnsafe nnhere. nn nn
D) I nnwill nntalk nnto nnyour nnhealthcare nnprovider nnabout nnthe nnpossibility nnof nnchanging
nnyour nndiet. nn- nn(A) nnis nnthe nnbest nnchoice nncited. nnThe nnnurse nndoes nnnot nnargue nnwith
nnthe nnclient nnnor nndemand nnthat nnshe nneat, nnbut nnoffers nnsupport nnby nnagreeing nnto
nn"be nnthere nnif nnneeded", nne.g., nnto nnwarm nnthe nnfood. nn(B nnand nnC) nnare nnarguing nnwith
nnthe nnclient's nndelusions, nnand nn(B) nnasks nn"why" nnwhich nnis nnusually nnnot nna nngood
nnquestion nnfor nna nnpsychotic nnclient. nn(D) nnhas nnnothing nnto nndo nnwith nnthe nnactual
nnproblem; nni.e., nnthe nnproblem nnis nnnot nnthe nndiet nn(she nnthinks nnany nnfood nngiven nnto
nnher nnis nnpoisoned.) nn
nn
Correct nnAnswer(s): nnA nn
nn
5. nn
A nnclient nnwho nnis nnbeing nntreated nnwith nnlithium nncarbonate nnfor nnbipolar nndisorder
nndevelops nndiarrhea, nnvomiting, nnand nndrowsiness. nnWhat nnaction nnshould nnthe nnnurse
nntake? nn
A) Notify nnthe nnhealthcare nnprovider nnimmediately nnand nnprepare nnfor nnadministration
nnof nnan nnantidote. nn nn
,B) Notify nnthe nnhealthcare nnprovider nnof nnthe nnsymptoms nnprior nnto nnthe nnnext
nnadministration nnof nnthe nndrug. nn nn
C) Record nnthe nnsymptoms nnas nnnormal nnside nneffects nnand nncontinue
nnadministration nnof nnthe nnprescribed nndosage. nn nn
D) Hold nnthe nnmedication nnand nnrefuse nnto nnadminister nnadditional nnamounts nnof nnthe
nndrug. nn- nnEarly nnside nneffects nnof nnlithium nncarbonate nn(occurring nnwith nnserum nnlithium
nnlevels nnbelow nn2.0 nnmEq nnper nnliter) nngenerally nnfollow nna nnprogressive nnpattern
nnbeginning nnwith nndiarrhea, nnvomiting, nndrowsiness, nnand nnmuscular nnweakness. nnAt
nnhigher nnlevels, nnataxia, nntinnitus, nnblurred nnvision, nnand nnlarge nndilute nnurine nnoutput
nnmay nnoccur. nn(B) nnis nnthe nnbest nnchoice. nnAlthough nnthese nnare nnexpected nnsymptoms,
nnthe nnhealthcare nnprovider nnshould nnbe nnnotified nnprior nnto nnthe nnnext nnadministration nnof
nnthe nndrug. nn(A, nnC, nnand nnD) nnwould nnnot nnreflect nngood nnnursing nnjudgment. nn
nn
Correct nnAnswer(s): nnB nn
nn
6. nn
The nnparents nnof nna nn14-year-old nnboy nnbring nntheir nnson nnto nnthe nnhospital. nnHe nnis
nnlethargic, nnbut nnresponsive. nnThe nnmother nnstates, nn"I nnthink nnhe nntook nnsome nnof nnmy
nnpain nnpills." nnDuring nninitial nnassessment nnof nnthe nnteenager, nnwhat nninformation nnis
nnmost nnimportant nnfor nnthe nnnurse nnto nnobtain nnfrom nnthe nnparents? nn
A) If nnhe nnhas nnseemed nndepressed nnrecently. nn nn
B) If nna nndrug nnoverdose nnhas nnever nnoccurred nnbefore. nn nn
C) If nnhe nnmight nnhave nntaken nnany nnother nndrugs. nn nn
D) If nnhe nnhas nna nndesire nnto nnquit nntaking nndrugs. nn- nnKnowledge nnof nnall nnsubstances
nntaken nn(C) nnwill nnguide nnfurther nntreatment, nnsuch nnas nnadministration nnof
nnantagonists, nnso nnobtaining nnthis nninformation nnhas nnthe nnhighest nnpriority. nn(A nnand
nnB) nnare nnalso nnvaluable nnin nnplanning nntreatment. nn(D) nnis nnnot nnappropriate nnduring
nnthe nnacute nnmanagement nnof nna nndrug nnoverdose. nn
nn nn
Correct nnAnswer(s): nnC nn
nn
7. nn
The nnwife nnof nna nnmale nnclient nnrecently nndiagnosed nnwith nnschizophrenia nnasks nnthe
nnnurse, nn"What nnexactly nnis nnschizophrenia? nnIs nnmy nnhusband nnall nnright?" nnWhich
nnresponse nnis nnbest nnfor nnthe nnnurse nnto nnprovide nnto nnthis nnfamily nnmember? nn
A) It nnsounds nnlike nnyou're nnworried nnabout nnyour nnhusband. nnLet's nnsit nndown nnand nntalk.
nn nn
B) It nnis nna nnchemical nnimbalance nnin nnthe nnbrain nnthat nncauses nndisorganized nnthinking. nn
nn
C) Your nnhusband nnwill nnbe nnjust nnfine nnif nnhe nntakes nnhis nnmedications nnregularly. nn nn
D) I nnthink nnyou nnshould nntalk nnto nnyour nnhusband's nnpsychologist nnabout nnthis nnquestion.
nn- nnThe nnnurse nnshould nnanswer nnthe nnclient's nnquestion nnwith nnfactual nninformation
nnand nnexplain nnthat nnschizophrenia nnis nna nnchemical nnimbalance nnin nnthe nnbrain nn(B).
nn(A) nnis nna nntherapeutic nnresponse nnbut nndoes nnnot nnanswer nnthe nnquestion, nnand
nnmay nnbe nnan nnappropriate nnresponse nnafter nnthe nnnurse nnanswers nnthe nnquestion
nnasked. nnAlthough nn(C) nnis nnlikely nntrue nnto nnsome nndegree, nnit nnis nnalso nntrue nnthat
nnsome nnclients nncontinue nnto nnhave nndisorganized nnthinking nneven nnwith nnantipsychotic
, nnmedications. nnReferring nnthe nnspouse nnto nnthe nnpsychologist nn(D) nnis nnavoiding nnthe
nnissue; nnthe nnnurse nncan nnand nnshould nnanswer nnthe nnquestion. nn
nn
Correct nnAnswer(s): nnB nn
nn
8. nn
The nncommunity nnhealth nnnurse nntalks nnto nna nnmale nnclient nnwho nnhas nnbipolar nndisorder.
nnThe nnclient nnexplains nnthat nnhe nnsleeps nn4 nnto nn5 nnhours nna nnnight nnand nnis nnworking
nnwith nnhis nnpartner nnto nnstart nntwo nnnew nnbusinesses nnand nnbuild nnan nnempire. nnThe
nnclient nnstopped nntaking nnhis nnmedications nnseveral nndays nnago. nnWhat nnnursing
nnproblem nnhas nnthe nnhighest nnpriority? nnA) nnExcessive nnwork nnactivity. nn nn
B) Decreased nnneed nnfor nnsleep. nn nn
C) Medication nnmanagement. nn nn
D) Inflated nnself-esteem. nn- nnThe nnmost nnimportant nnnursing nnproblem nnis nnmedication
nnmanagement nn(C) nnbecause nncompliance nnwith nnthe nnmedication nnregimen nnwill
nnhelp nnprevent nn
hospitalization. nnThe nnclient nnis nnalso nnexhibiting nnsigns nnof nn(A, nnB, nnand nnC);
nnhowever, nnthese nn
nn
problems nndo nnnot nnhave nnthe nnpriority nnof nnmedication
nnmanagement.
nn
Correct nnAnswer(s): nnC nn
nn
9. nn
At nna nnsupport nnmeeting nnof nnparents nnof nna nnteenager nnwith nnpolysubstance
nndependency, nna nnparent nnstates, nn"Each nntime nnmy nnson nntries nnto nnquit nntaking nndrugs,
nnhe nngets nnso nndepressed nnthat nnI'm nnafraid nnhe nnwill nncommit nnsuicide." nnThe nnnurse's
nnresponse nnshould nnbe nnbased nnon nnwhich nninformation? nnA) nnAddiction nnis nna nnchronic,
nnincurable nndisease. nn nn
B) Tolerance nnto nnthe nneffects nnof nndrugs nncauses nnfeelings nnof nndepression. nn nn
C) Feelings nnof nndepression nnfrequently nnlead nnto nndrug nnabuse nnand nnaddiction. nn nn
D) Careful nnmonitoring nnshould nnbe nnprovided nnduring nnwithdrawal nnfrom nnthe nndrugs. nn-
nnThe nnpriority nnis nnto nnteach nnthe nnparents nnthat nntheir nnson nnwill nnneed nnmonitoring
nnand nnsupport nnduring nnwithdrawal nn(D) nnto nnensure nnthat nnhe nndoes nnnot nnattempt
nnsuicide. nnAlthough nn(A nnand nnC) nnare nntrue, nnthey nnare nnnot nnas nnrelevant nnto nnthe
nnparent's nnexpressed nnconcern. nnThere nnis nnno nninformation nnto nnsupport nn(B). nn
nn nn
Correct nnAnswer(s): nnD nn
nn
10. nn
The nnnurse nnobserves nna nnfemale nnclient nnwith nnschizophrenia nnwatching nnthe nnnews nnon
nnTV. nnShe nnbegins nnto nnlaugh nnsoftly nnand nnsays, nn"Yes, nnmy nnlove, nnI'll nndo nnit." nnWhen
nnthe nnnurse nnquestions nnthe nnclient nnabout nnher nncomment nnshe nnstates, nn"The nnnews
nncommentator nnis nnmy nnlover nnand nnhe nnspeaks nnto nnme nneach nnevening. nnOnly nnI nncan
nnunderstand nnwhat nnhe nnsays." nnWhat nnis nnthe nnbest nnresponse nnfor nnthe nnnurse nnto
nnmake? nn
A) What nndo nnyou nnbelieve nnthe nnnews nncommentator nnsaid nnto nnyou? nn nn
nn nn nn nn nn
Exam Exam Questions And Answers With
nn nn nn nn nn nn
Complete Solutions 100% Updated 2025
nn nn nn nn nn
nn
1. nn
A nnmale nnclient nnwith nnschizophrenia nnwho nnis nntaking nnfluphenazine nndecanoate
nn(Prolixin nndecanoate) nnis nnbeing nndischarged nnin nnthe nnmorning. nnA nnrepeat nndose nnof
nnmedication nnis nnscheduled nnfor nn20 nndays nnafter nndischarge. nnThe nnclient nntells nnthe
nnnurse nnthat nnhe nnis nngoing nnon nnvacation nnin nnthe nnBahamas nnand nnwill nnreturn nnin nn18
nndays. nnWhich nnstatement nnby nnthe nnclient nnindicates nna nnneed nnfor nnhealth nnteaching? nn
A) When nnI nnreturn nnfrom nnmy nntropical nnisland nnvacation, nnI nnwill nngo nnto nnthe nnclinic
nnto nnget nnmy nnProlixin nninjection. nn nn
B) While nnI nnam nnon nnvacation nnand nnwhen nnI nnreturn, nnI nnwill nnnot nneat nnor nndrink
nnanything nnthat nncontains nnalcohol. nn nn
C) I nnwill nnnotify nnthe nnhealthcare nnprovider nnif nnI nnhave nna nnsore nnthroat nnor nnflu-like
nnsymptoms. nn nnD) nnI nnwill nncontinue nnto nntake nnmy nnbenztropine nnmesylate nn(Cogentin)
nnevery nnday. nn- nnPhotosensitivity nnis nna nnside nneffect nnof nnProlixin nnand nna nnvacation nnin
nnthe nnBahamas nn(with nnits nntropical nnisland nnclimate) nnincreases nnthe nnclient's nnchance
nnof nnexperiencing nnthis nnside nneffect. nnHe nnshould nnbe nninstructed nnto nnavoid nndirect nnsun
nn(A) nnand nnwear nnsunscreen. nn(B, nnC, nnand nnD) nnindicate nnaccurate nnknowledge. nnAlcohol
nnacts nnsynergistically nnwith nnProlixin nn(B). nn(C) nnlists nnsigns nnof nnagranulocytosis, nnwhich
nnis nnalso nna nnside nneffect nnof nnProlixin. nnIn nnorder nnto nnavoid nnextrapyramidal nnsymptoms
nn(EPS), nnanticholinergic nndrugs, nnsuch nnas nnCogentin, nnare nnoften nnprescribed
nnprophylactically nnwith nnProlixin. nn
nn
Correct nnAnswer(s): nnA nn
nn
2. nn
A nnmale nnclient nnis nnadmitted nnto nnthe nnmental nnhealth nnunit nnbecause nnhe nnwas nnfeeling
nndepressed nnabout nnthe nnloss nnof nnhis nnwife nnand nnjob. nnThe nnclient nnhas nna nnhistory nnof
nnalcohol nndependency nnand nnadmits nnthat nnhe nnwas nndrinking nnalcohol nn12 nnhours nnago.
nnVital nnsigns nnare: nntemperature, nn100° nnF, nnpulse nn100, nnand nnBP nn142/100. nnThe nnnurse
nnplans nnto nngive nnthe nnclient nnlorazepam nn(Ativan) nnbased nnon nnwhich nnpriority nnnursing
nndiagnosis? nn
A) Risk nnfor nninjury nnrelated nnto nnsuicidal nnideation. nn nn
B) Risk nnfor nninjury nnrelated nnto nnalcohol nndetoxification. nn nn
C) Knowledge nndeficit nnrelated nnto nnineffective nncoping. nn nn
D) Health nnseeking nnbehaviors nnrelated nnto nnpersonal nncrisis. nn- nnThe nnmost nnimportant
nnnursing nndiagnosis nnis nnrelated nnto nnalcohol nndetoxification nn(B) nnbecause nnthe nnclient
nnhas nnelevated nnvital nnsigns, nna nnsign nnof nnalcohol nndetoxification. nnMaintaining nnclient
nnsafety nnrelated nnto nn(A) nnshould nnbe nnaddressed nnafter nngiving nnthe nnclient nnAtivan
, nnfor nnelevated nnvital nnsigns nnsecondary nnto nnalcohol nnwithdrawal. nn(C nnand nnD) nncan
nnbe nnaddressed nnwhen nnimmediate nnneeds nnfor nnsafety nnare nnmet. nn
nn nn
Correct nnAnswer(s): nnB nn
nn
3. nn
The nncharge nnnurse nnis nncollaborating nnwith nnthe nnnursing nnstaff nnabout nnthe nnplan
nnof nncare nnfor nna nnclient nnwho nnis nnvery nndepressed. nnWhat nnis nnthe nnmost
nnimportant nnintervention nnto nnimplement nnduring nnthe nnfirst nn48 nnhours nnafter nnthe
nnclient's nnadmission nnto nnthe nnunit? nnA) nnMonitor nnappetite nnand nnobserve nnintake
nnat nnmeals. nn nn
B) Maintain nnsafety nnin nnthe nnclient's nnmilieu. nn nn
C) Provide nnongoing, nnsupportive nncontact. nn nn
D) Encourage nnparticipation nnin nnactivities. nn- nnThe nnmost nnimportant nnreason nnfor
nnclosely nnobserving nna nndepressed nnclient nnimmediately nnafter nnadmission nnis nnto
nnmaintain nnsafety nn(B), nnsince nnsuicide nnis nna nnrisk nnwith nndepression. nn(A, nnC, nnand
nnD) nnare nnall nnimportant nninterventions, nnbut nnsafety nnis nnthe nnpriority. nn
nn nn
Correct nnAnswer(s): nnB nn
nn
4. nn
A nn38-year-old nnfemale nnclient nnis nnadmitted nnwith nna nndiagnosis nnof nnparanoid
nnschizophrenia. nnWhen nnher nntray nnis nnbrought nnto nnher, nnshe nnrefuses nnto nneat nnand nntells
nnthe nnnurse, nn"I nnknow nnyou nnare nntrying nnto nnpoison nnme nnwith nnthat nnfood." nnWhich
nnresponse nnis nnmost nnappropriate nnfor nnthe nnnurse nnto nnmake? nn
A) I'll nnleave nnyour nntray nnhere. nnI nnam nnavailable nnif nnyou nnneed nnanything nnelse. nn nn
B) You're nnnot nnbeing nnpoisoned. nnWhy nndo nnyou nnthink nnsomeone nnis nntrying nnto nnpoison
nnyou? nn nn
C) No nnone nnon nnthis nnunit nnhas nnever nndied nnfrom nnpoisoning. nnYou're nnsafe nnhere. nn nn
D) I nnwill nntalk nnto nnyour nnhealthcare nnprovider nnabout nnthe nnpossibility nnof nnchanging
nnyour nndiet. nn- nn(A) nnis nnthe nnbest nnchoice nncited. nnThe nnnurse nndoes nnnot nnargue nnwith
nnthe nnclient nnnor nndemand nnthat nnshe nneat, nnbut nnoffers nnsupport nnby nnagreeing nnto
nn"be nnthere nnif nnneeded", nne.g., nnto nnwarm nnthe nnfood. nn(B nnand nnC) nnare nnarguing nnwith
nnthe nnclient's nndelusions, nnand nn(B) nnasks nn"why" nnwhich nnis nnusually nnnot nna nngood
nnquestion nnfor nna nnpsychotic nnclient. nn(D) nnhas nnnothing nnto nndo nnwith nnthe nnactual
nnproblem; nni.e., nnthe nnproblem nnis nnnot nnthe nndiet nn(she nnthinks nnany nnfood nngiven nnto
nnher nnis nnpoisoned.) nn
nn
Correct nnAnswer(s): nnA nn
nn
5. nn
A nnclient nnwho nnis nnbeing nntreated nnwith nnlithium nncarbonate nnfor nnbipolar nndisorder
nndevelops nndiarrhea, nnvomiting, nnand nndrowsiness. nnWhat nnaction nnshould nnthe nnnurse
nntake? nn
A) Notify nnthe nnhealthcare nnprovider nnimmediately nnand nnprepare nnfor nnadministration
nnof nnan nnantidote. nn nn
,B) Notify nnthe nnhealthcare nnprovider nnof nnthe nnsymptoms nnprior nnto nnthe nnnext
nnadministration nnof nnthe nndrug. nn nn
C) Record nnthe nnsymptoms nnas nnnormal nnside nneffects nnand nncontinue
nnadministration nnof nnthe nnprescribed nndosage. nn nn
D) Hold nnthe nnmedication nnand nnrefuse nnto nnadminister nnadditional nnamounts nnof nnthe
nndrug. nn- nnEarly nnside nneffects nnof nnlithium nncarbonate nn(occurring nnwith nnserum nnlithium
nnlevels nnbelow nn2.0 nnmEq nnper nnliter) nngenerally nnfollow nna nnprogressive nnpattern
nnbeginning nnwith nndiarrhea, nnvomiting, nndrowsiness, nnand nnmuscular nnweakness. nnAt
nnhigher nnlevels, nnataxia, nntinnitus, nnblurred nnvision, nnand nnlarge nndilute nnurine nnoutput
nnmay nnoccur. nn(B) nnis nnthe nnbest nnchoice. nnAlthough nnthese nnare nnexpected nnsymptoms,
nnthe nnhealthcare nnprovider nnshould nnbe nnnotified nnprior nnto nnthe nnnext nnadministration nnof
nnthe nndrug. nn(A, nnC, nnand nnD) nnwould nnnot nnreflect nngood nnnursing nnjudgment. nn
nn
Correct nnAnswer(s): nnB nn
nn
6. nn
The nnparents nnof nna nn14-year-old nnboy nnbring nntheir nnson nnto nnthe nnhospital. nnHe nnis
nnlethargic, nnbut nnresponsive. nnThe nnmother nnstates, nn"I nnthink nnhe nntook nnsome nnof nnmy
nnpain nnpills." nnDuring nninitial nnassessment nnof nnthe nnteenager, nnwhat nninformation nnis
nnmost nnimportant nnfor nnthe nnnurse nnto nnobtain nnfrom nnthe nnparents? nn
A) If nnhe nnhas nnseemed nndepressed nnrecently. nn nn
B) If nna nndrug nnoverdose nnhas nnever nnoccurred nnbefore. nn nn
C) If nnhe nnmight nnhave nntaken nnany nnother nndrugs. nn nn
D) If nnhe nnhas nna nndesire nnto nnquit nntaking nndrugs. nn- nnKnowledge nnof nnall nnsubstances
nntaken nn(C) nnwill nnguide nnfurther nntreatment, nnsuch nnas nnadministration nnof
nnantagonists, nnso nnobtaining nnthis nninformation nnhas nnthe nnhighest nnpriority. nn(A nnand
nnB) nnare nnalso nnvaluable nnin nnplanning nntreatment. nn(D) nnis nnnot nnappropriate nnduring
nnthe nnacute nnmanagement nnof nna nndrug nnoverdose. nn
nn nn
Correct nnAnswer(s): nnC nn
nn
7. nn
The nnwife nnof nna nnmale nnclient nnrecently nndiagnosed nnwith nnschizophrenia nnasks nnthe
nnnurse, nn"What nnexactly nnis nnschizophrenia? nnIs nnmy nnhusband nnall nnright?" nnWhich
nnresponse nnis nnbest nnfor nnthe nnnurse nnto nnprovide nnto nnthis nnfamily nnmember? nn
A) It nnsounds nnlike nnyou're nnworried nnabout nnyour nnhusband. nnLet's nnsit nndown nnand nntalk.
nn nn
B) It nnis nna nnchemical nnimbalance nnin nnthe nnbrain nnthat nncauses nndisorganized nnthinking. nn
nn
C) Your nnhusband nnwill nnbe nnjust nnfine nnif nnhe nntakes nnhis nnmedications nnregularly. nn nn
D) I nnthink nnyou nnshould nntalk nnto nnyour nnhusband's nnpsychologist nnabout nnthis nnquestion.
nn- nnThe nnnurse nnshould nnanswer nnthe nnclient's nnquestion nnwith nnfactual nninformation
nnand nnexplain nnthat nnschizophrenia nnis nna nnchemical nnimbalance nnin nnthe nnbrain nn(B).
nn(A) nnis nna nntherapeutic nnresponse nnbut nndoes nnnot nnanswer nnthe nnquestion, nnand
nnmay nnbe nnan nnappropriate nnresponse nnafter nnthe nnnurse nnanswers nnthe nnquestion
nnasked. nnAlthough nn(C) nnis nnlikely nntrue nnto nnsome nndegree, nnit nnis nnalso nntrue nnthat
nnsome nnclients nncontinue nnto nnhave nndisorganized nnthinking nneven nnwith nnantipsychotic
, nnmedications. nnReferring nnthe nnspouse nnto nnthe nnpsychologist nn(D) nnis nnavoiding nnthe
nnissue; nnthe nnnurse nncan nnand nnshould nnanswer nnthe nnquestion. nn
nn
Correct nnAnswer(s): nnB nn
nn
8. nn
The nncommunity nnhealth nnnurse nntalks nnto nna nnmale nnclient nnwho nnhas nnbipolar nndisorder.
nnThe nnclient nnexplains nnthat nnhe nnsleeps nn4 nnto nn5 nnhours nna nnnight nnand nnis nnworking
nnwith nnhis nnpartner nnto nnstart nntwo nnnew nnbusinesses nnand nnbuild nnan nnempire. nnThe
nnclient nnstopped nntaking nnhis nnmedications nnseveral nndays nnago. nnWhat nnnursing
nnproblem nnhas nnthe nnhighest nnpriority? nnA) nnExcessive nnwork nnactivity. nn nn
B) Decreased nnneed nnfor nnsleep. nn nn
C) Medication nnmanagement. nn nn
D) Inflated nnself-esteem. nn- nnThe nnmost nnimportant nnnursing nnproblem nnis nnmedication
nnmanagement nn(C) nnbecause nncompliance nnwith nnthe nnmedication nnregimen nnwill
nnhelp nnprevent nn
hospitalization. nnThe nnclient nnis nnalso nnexhibiting nnsigns nnof nn(A, nnB, nnand nnC);
nnhowever, nnthese nn
nn
problems nndo nnnot nnhave nnthe nnpriority nnof nnmedication
nnmanagement.
nn
Correct nnAnswer(s): nnC nn
nn
9. nn
At nna nnsupport nnmeeting nnof nnparents nnof nna nnteenager nnwith nnpolysubstance
nndependency, nna nnparent nnstates, nn"Each nntime nnmy nnson nntries nnto nnquit nntaking nndrugs,
nnhe nngets nnso nndepressed nnthat nnI'm nnafraid nnhe nnwill nncommit nnsuicide." nnThe nnnurse's
nnresponse nnshould nnbe nnbased nnon nnwhich nninformation? nnA) nnAddiction nnis nna nnchronic,
nnincurable nndisease. nn nn
B) Tolerance nnto nnthe nneffects nnof nndrugs nncauses nnfeelings nnof nndepression. nn nn
C) Feelings nnof nndepression nnfrequently nnlead nnto nndrug nnabuse nnand nnaddiction. nn nn
D) Careful nnmonitoring nnshould nnbe nnprovided nnduring nnwithdrawal nnfrom nnthe nndrugs. nn-
nnThe nnpriority nnis nnto nnteach nnthe nnparents nnthat nntheir nnson nnwill nnneed nnmonitoring
nnand nnsupport nnduring nnwithdrawal nn(D) nnto nnensure nnthat nnhe nndoes nnnot nnattempt
nnsuicide. nnAlthough nn(A nnand nnC) nnare nntrue, nnthey nnare nnnot nnas nnrelevant nnto nnthe
nnparent's nnexpressed nnconcern. nnThere nnis nnno nninformation nnto nnsupport nn(B). nn
nn nn
Correct nnAnswer(s): nnD nn
nn
10. nn
The nnnurse nnobserves nna nnfemale nnclient nnwith nnschizophrenia nnwatching nnthe nnnews nnon
nnTV. nnShe nnbegins nnto nnlaugh nnsoftly nnand nnsays, nn"Yes, nnmy nnlove, nnI'll nndo nnit." nnWhen
nnthe nnnurse nnquestions nnthe nnclient nnabout nnher nncomment nnshe nnstates, nn"The nnnews
nncommentator nnis nnmy nnlover nnand nnhe nnspeaks nnto nnme nneach nnevening. nnOnly nnI nncan
nnunderstand nnwhat nnhe nnsays." nnWhat nnis nnthe nnbest nnresponse nnfor nnthe nnnurse nnto
nnmake? nn
A) What nndo nnyou nnbelieve nnthe nnnews nncommentator nnsaid nnto nnyou? nn nn
