HESI Comprehensive Review for NCLEX- || || || ||
RN Exam Psychiatric questions with
|| || || || ||
answers
A client in the critical care unit who has been oriented suddenly becomes
|| || || || || || || || || || || || ||
disoriented and fearful. Assessment of vital signs and other physical
|| || || || || || || || || ||
parameters reveals no significant changes, and the nurse formulates the
|| || || || || || || || || ||
diagnosis of confusion related to ICU psychosis. Which nursing action is best
|| || || || || || || || || || || ||
for this client's behavior?
|| || ||
A. Move all medical equipment away from the client's bedside.
|| || || || || || || || ||
|| B. Allay fears by teaching the client about the causes of the disease.
|| || || || || || || || || || || ||
|| C. Cluster care to allow for brief rest periods during the day.
|| || || || || || || || || || ||
D. Encourage visitation by the client's family members, including the client's
|| || || || || || || || || || || ||
young children. - CORRECT ANSWERS ✔✔C. Cluster care to allow for brief
|| || || || || || || || || || || ||
rest periods during the day.
|| || || ||
The best intervention is to organize care so that the client can experience rest
|| || || || || || || || || || || || || ||
periods. The critical care unit contains many lifesaving treatment modalities
|| || || || || || || || || ||
that offer clients an array of auditory, visual, and even painful stimuli. These
|| || || || || || || || || || || || ||
stressors can result in isolation and confusion.
|| || || || || ||
The nurse is reviewing techniques of therapeutic communication with a
|| || || || || || || || || ||
student nurse. Which of the student's statements will the nurse indicate as
|| || || || || || || || || || || ||
therapeutic? (Select all that apply.) || || || ||
,A. "Am I correct in restating that you are feeling less anxious today?"
|| || || || || || || || || || || ||
|| B. "In looking back at what you said, you stated you are feeling better."
|| || || || || || || || || || || || ||
|| C. "Why do you think you are feeling better today?"
|| || || || || || || || ||
|| D. "Surely you did not mean that you are feeling better today."
|| || || || || || || || || || ||
|| E. "Help me understand what you are feeling today?" - CORRECT ANSWERS
|| || || || || || || || || || ||
|| ✔✔A. "Am I correct in restating that you are feeling less anxious today?"
|| || || || || || || || || || || ||
|| B. "In looking back at what you said, you stated you are feeling better."
|| || || || || || || || || || || || ||
|| E. "Help me understand what you are feeling today?"
|| || || || || || || ||
While in group therapy, a client who is diagnosed with posttraumatic stress
|| || || || || || || || || || || ||
disorder (PTSD) is processing an experience from the war in Iraq when
|| || || || || || || || || || || ||
another client tips over a chair. What action should the nurse take when the
|| || || || || || || || || || || || || ||
client with PTSD falls to the floor in a fetal position?
|| || || || || || || || || ||
A. Confront the client who tipped over the chair about the inconsiderate
|| || || || || || || || || || || ||
behavior.
B. Dismiss the other clients from the group therapy session for a 10-minute
|| || || || || || || || || || || || || ||
break.
C. Reinforce reality to the client on the floor and remove him to a quiet
|| || || || || || || || || || || || || || || ||
space.
D. Call a security code and medicate both clients with an antianxiety drug. -
|| || || || || || || || || || || || || || ||
CORRECT ANSWERS ✔✔C. Reinforce reality to the client on the floor and
|| || || || || || || || || || || ||
remove him to a quiet space. || || || || ||
The client who is diagnosed with PTSD is re-experiencing the traumatic
|| || || || || || || || || || ||
experience and needs reality reassurance (confirmation that there is no
|| || || || || || || || || ||
danger at this time) and reduced stimuli.
|| || || || || ||
,The parent and a 6-year-old present to the clinic for routine well-child care.
|| || || || || || || || || || || || ||
The child weighs 35 pounds 15.9 kg; is wearing torn and dirty clothing; and,
|| || || || || || || || || || || || || ||
sits quietly with an apparent subtle rocking motion. What are the nurse's next
|| || || || || || || || || || || ||
actions? (Select all that apply.)
|| || || || ||
A. Take the child's height, and vital signs.
|| || || || || || ||
B. Check the clothing closet at the clinic for size appropriate clothing.
|| || || || || || || || || || ||
C. Assess the child for any bruising, or lacerations.
|| || || || || || || ||
D. Ask the accompanying parent to leave the room.
|| || || || || || || ||
E. Ask the child about attendance at school.
|| || || || || || ||
F. Stay with the child during the healthcare provider's assessment. -
|| || || || || || || || || || ||
CORRECT ANSWERS ✔✔A. Take the child's height, and vital signs. || || || || || || || || ||
C. Assess the child for any bruising, or lacerations.
|| || || || || || || ||
D. Ask the accompanying parent to leave the room.
|| || || || || || || ||
E. Ask the child about attendance at school.
|| || || || || || ||
F. Stay with the child during the healthcare provider's assessment.
|| || || || || || || || ||
Checking for appropriate clothing is a nice gesture, but that action does
|| || || || || || || || || || || ||
nothing to protect the child or assess for further signs of neglect. The
|| || || || || || || || || || || || ||
remaining assessments will help validate for neglect. The normal height and
|| || || || || || || || || || ||
weight for this child should be 45 pounds/20.4 kg and 45 inches/114 cm. This
|| || || || || || || || || || || || || ||
child is underweight for its age, but a height and comparison of stature to the
|| || || || || || || || || || || || || || ||
parents will help confirm those findings. The subtle rocking motion may be
|| || || || || || || || || || || ||
an indication of emotional abuse. The goal of the nurse is to provide a safe
|| || || || || || || || || || || || || || ||
and secure environment for the child. Nurses are mandatory reporters for
|| || || || || || || || || || ||
suspected abuse. ||
, A client states to the new nurse, "I can't tell you something important because
|| || || || || || || || || || || || ||
you will tell the other nurses." What is a therapeutic response by the new
|| || || || || || || || || || || || || || ||
nurse? (Select all that apply.) || || || ||
A. "I promise not to tell anyone what is on your mind; your concerns are safe
|| || || || || || || || || || || || || || || ||
with me." ||
B. "What you share with me is confidential; I guarantee I will not say a word
|| || || || || || || || || || || || || || || || ||
to anyone."
||
|| C. "You can trust me not to tell your concerns to the other nurses."
|| || || || || || || || || || || || ||
D. "Since the information you have is important to you; I encourage you to
|| || || || || || || || || || || || || || ||
share."
E. "I urge you to tell me what is on your mind; you have something to
|| || || || || || || || || || || || || || || || ||
disclose." - CORRECT ANSWERS ✔✔D. "Since the information you have is
|| || || || || || || || || || ||
important to you; I encourage you to share." || || || || || || ||
E. "I urge you to tell me what is on your mind; you have something to
|| || || || || || || || || || || || || || || || ||
disclose."
The nurse cannot promise not to tell/share information. That is never
|| || || || || || || || || || ||
appropriate in a therapeutic relationship. It is therapeutic to encourage the
|| || || || || || || || || || ||
client to share important information.
|| || || ||
The therapy nurse is working with a client admitted with an erratic type of
|| || || || || || || || || || || || || ||
personality disorder. Which client behaviors indicate to the nurse that the
|| || || || || || || || || || ||
therapy is beginning to be effective? (Select all that apply.)
|| || || || || || || || ||
A. The client no longer wishes to do self-harm.
|| || || || || || || ||
|| B. A happy and bright affect is evident in the client's face.
|| || || || || || || || || || ||
RN Exam Psychiatric questions with
|| || || || ||
answers
A client in the critical care unit who has been oriented suddenly becomes
|| || || || || || || || || || || || ||
disoriented and fearful. Assessment of vital signs and other physical
|| || || || || || || || || ||
parameters reveals no significant changes, and the nurse formulates the
|| || || || || || || || || ||
diagnosis of confusion related to ICU psychosis. Which nursing action is best
|| || || || || || || || || || || ||
for this client's behavior?
|| || ||
A. Move all medical equipment away from the client's bedside.
|| || || || || || || || ||
|| B. Allay fears by teaching the client about the causes of the disease.
|| || || || || || || || || || || ||
|| C. Cluster care to allow for brief rest periods during the day.
|| || || || || || || || || || ||
D. Encourage visitation by the client's family members, including the client's
|| || || || || || || || || || || ||
young children. - CORRECT ANSWERS ✔✔C. Cluster care to allow for brief
|| || || || || || || || || || || ||
rest periods during the day.
|| || || ||
The best intervention is to organize care so that the client can experience rest
|| || || || || || || || || || || || || ||
periods. The critical care unit contains many lifesaving treatment modalities
|| || || || || || || || || ||
that offer clients an array of auditory, visual, and even painful stimuli. These
|| || || || || || || || || || || || ||
stressors can result in isolation and confusion.
|| || || || || ||
The nurse is reviewing techniques of therapeutic communication with a
|| || || || || || || || || ||
student nurse. Which of the student's statements will the nurse indicate as
|| || || || || || || || || || || ||
therapeutic? (Select all that apply.) || || || ||
,A. "Am I correct in restating that you are feeling less anxious today?"
|| || || || || || || || || || || ||
|| B. "In looking back at what you said, you stated you are feeling better."
|| || || || || || || || || || || || ||
|| C. "Why do you think you are feeling better today?"
|| || || || || || || || ||
|| D. "Surely you did not mean that you are feeling better today."
|| || || || || || || || || || ||
|| E. "Help me understand what you are feeling today?" - CORRECT ANSWERS
|| || || || || || || || || || ||
|| ✔✔A. "Am I correct in restating that you are feeling less anxious today?"
|| || || || || || || || || || || ||
|| B. "In looking back at what you said, you stated you are feeling better."
|| || || || || || || || || || || || ||
|| E. "Help me understand what you are feeling today?"
|| || || || || || || ||
While in group therapy, a client who is diagnosed with posttraumatic stress
|| || || || || || || || || || || ||
disorder (PTSD) is processing an experience from the war in Iraq when
|| || || || || || || || || || || ||
another client tips over a chair. What action should the nurse take when the
|| || || || || || || || || || || || || ||
client with PTSD falls to the floor in a fetal position?
|| || || || || || || || || ||
A. Confront the client who tipped over the chair about the inconsiderate
|| || || || || || || || || || || ||
behavior.
B. Dismiss the other clients from the group therapy session for a 10-minute
|| || || || || || || || || || || || || ||
break.
C. Reinforce reality to the client on the floor and remove him to a quiet
|| || || || || || || || || || || || || || || ||
space.
D. Call a security code and medicate both clients with an antianxiety drug. -
|| || || || || || || || || || || || || || ||
CORRECT ANSWERS ✔✔C. Reinforce reality to the client on the floor and
|| || || || || || || || || || || ||
remove him to a quiet space. || || || || ||
The client who is diagnosed with PTSD is re-experiencing the traumatic
|| || || || || || || || || || ||
experience and needs reality reassurance (confirmation that there is no
|| || || || || || || || || ||
danger at this time) and reduced stimuli.
|| || || || || ||
,The parent and a 6-year-old present to the clinic for routine well-child care.
|| || || || || || || || || || || || ||
The child weighs 35 pounds 15.9 kg; is wearing torn and dirty clothing; and,
|| || || || || || || || || || || || || ||
sits quietly with an apparent subtle rocking motion. What are the nurse's next
|| || || || || || || || || || || ||
actions? (Select all that apply.)
|| || || || ||
A. Take the child's height, and vital signs.
|| || || || || || ||
B. Check the clothing closet at the clinic for size appropriate clothing.
|| || || || || || || || || || ||
C. Assess the child for any bruising, or lacerations.
|| || || || || || || ||
D. Ask the accompanying parent to leave the room.
|| || || || || || || ||
E. Ask the child about attendance at school.
|| || || || || || ||
F. Stay with the child during the healthcare provider's assessment. -
|| || || || || || || || || || ||
CORRECT ANSWERS ✔✔A. Take the child's height, and vital signs. || || || || || || || || ||
C. Assess the child for any bruising, or lacerations.
|| || || || || || || ||
D. Ask the accompanying parent to leave the room.
|| || || || || || || ||
E. Ask the child about attendance at school.
|| || || || || || ||
F. Stay with the child during the healthcare provider's assessment.
|| || || || || || || || ||
Checking for appropriate clothing is a nice gesture, but that action does
|| || || || || || || || || || || ||
nothing to protect the child or assess for further signs of neglect. The
|| || || || || || || || || || || || ||
remaining assessments will help validate for neglect. The normal height and
|| || || || || || || || || || ||
weight for this child should be 45 pounds/20.4 kg and 45 inches/114 cm. This
|| || || || || || || || || || || || || ||
child is underweight for its age, but a height and comparison of stature to the
|| || || || || || || || || || || || || || ||
parents will help confirm those findings. The subtle rocking motion may be
|| || || || || || || || || || || ||
an indication of emotional abuse. The goal of the nurse is to provide a safe
|| || || || || || || || || || || || || || ||
and secure environment for the child. Nurses are mandatory reporters for
|| || || || || || || || || || ||
suspected abuse. ||
, A client states to the new nurse, "I can't tell you something important because
|| || || || || || || || || || || || ||
you will tell the other nurses." What is a therapeutic response by the new
|| || || || || || || || || || || || || || ||
nurse? (Select all that apply.) || || || ||
A. "I promise not to tell anyone what is on your mind; your concerns are safe
|| || || || || || || || || || || || || || || ||
with me." ||
B. "What you share with me is confidential; I guarantee I will not say a word
|| || || || || || || || || || || || || || || || ||
to anyone."
||
|| C. "You can trust me not to tell your concerns to the other nurses."
|| || || || || || || || || || || || ||
D. "Since the information you have is important to you; I encourage you to
|| || || || || || || || || || || || || || ||
share."
E. "I urge you to tell me what is on your mind; you have something to
|| || || || || || || || || || || || || || || || ||
disclose." - CORRECT ANSWERS ✔✔D. "Since the information you have is
|| || || || || || || || || || ||
important to you; I encourage you to share." || || || || || || ||
E. "I urge you to tell me what is on your mind; you have something to
|| || || || || || || || || || || || || || || || ||
disclose."
The nurse cannot promise not to tell/share information. That is never
|| || || || || || || || || || ||
appropriate in a therapeutic relationship. It is therapeutic to encourage the
|| || || || || || || || || || ||
client to share important information.
|| || || ||
The therapy nurse is working with a client admitted with an erratic type of
|| || || || || || || || || || || || || ||
personality disorder. Which client behaviors indicate to the nurse that the
|| || || || || || || || || || ||
therapy is beginning to be effective? (Select all that apply.)
|| || || || || || || || ||
A. The client no longer wishes to do self-harm.
|| || || || || || || ||
|| B. A happy and bright affect is evident in the client's face.
|| || || || || || || || || || ||
