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Table of Contents Table of Contents Chapter 01: Practicing the Science and the Art of Psychiatric Nursing Chapter 02: Mental Health and Mental Illness Chapter 03: Theories and Therapies Chapter 04: Biological Basis for Understanding Psychopharmacology Chapter 05: Settings for Psychiatric Care Chapter 06: Legal and Ethical Basis for Practice Chapter 07: Nursing Process and QSEN: The Foundation for Safe and Effective Care Chapter 08: Communication Skills: Medium for All Nursing Practice ...

6. Identify the euphemism in the following passage: "Today we gather to remember Thomas the Cat. He was the cutest kitten around. Now that he's gone to the giant catnip patch in the sky, he'll be missed by everyone." Giant catnip patch in the sky The cutest kitten around He’ll be missed by everyone Today we gather to remember 7. The plastic surgery improved the _______ of her face. Choose the option that best completes the above sentence. Bearing Serenity Contour Cataract 8. M...

11. To obtain a certification in a specialty area, the nurse will have to complete: ANS: 3 Set minimum practice requirements are based on the certification the nurse is seeking. After passing the initial examination, the nurse maintains certification by ongoing continuing education and clinical or administrative practice. Individual states do not grant certification by request. Certification in a specialty area requires passing the examination for certification in that area and meeting min...

5. The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client in the immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment has the highest priority before initiating the PCA pump? A) The expiration date on the morphine syringe in the pump. B) The rate and depth of the client's respirations. C) The type of anesthesia used during ...

1.Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? A. States having difficulty with color perception B. Presents with opacity of the lens upon assessment C. Complains of seeing a cobweb-type structure in the visual field D. Reports the need to use a magnifying glass to see small print Rationale: Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which constitutes a medical emergency. Clients...

1. The nurse is caring for four clients on a medical–surgical unit. Which client should the nurse see initially? 1. A client admitted with hepatitis A who has had severe diarrhea for the last 24 hours 2. A client admitted with pneumonia who is has small amounts of yellow productive sputum 3. A client admitted with fever of unknown origin (FUO) who has been without fever for the last 48 hours 4. A client admitted with a wound infection whose WBC is 8,500 mm3 Answer: 1 Rationale: The n...

Which action demonstrates that the nurse understands the purpose of the Rapid Response Team? a. Monitoring the client for changes in postoperative status such as wound infection b. Documenting all changes observed in the client and maintaining a postoperative flow sheet c. Notifying the physician of the client’s change in blood pressure from 140 to 88 mm Hg systolic d. Notifying the physician of the client’s increase in restlessness after medication change The Joint Commission focu...

MULTIPLE CHOICE 1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does the CNMs scope of practice include? a. Practice independent from medical supervision b. Comprehensive prenatal care c. Attendance at all deliveries d. Cesarean sections ANS: B The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a backup physician is available in case of unforeseen problems. DIF: Cognitive L...

6. This type of condition is also known as a birth defect. a. organic disorder c. genetics b. developmental disorder d. Down syndrome ANS: B PTS: 1 7. Diseases such as the flu are spread through contact with contaminated respiratory droplets in _____ transmission. a. indirect contact c. airborne b. food-borne d. waterborne ANS: C PTS: 1 8. The study of the anatomy, physiology, pathology, and chemistry of the cell is known as _____. a. cytology c. genome b. pathology d. nucleus ANS: A...

A school nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse identify as a primary prevention strategy? a. provide nutritional counseling for students who have diabetes (3) b. report suspected child neglect to the proper authorities (2) c. conduct vision and hearing screening for kindergarten enrollment (2) d. demonstrate proper handwashing techniques A school nurse is conducting hearing screening procedures in an elementary school. ...

1) A child with iron deficiency anemia is ordered ferrous sulfate (Ferralyn), an oral iron supplement. When teaching the child and parent how to administer this preparation, the mother asks why she needs to mix the supplement with citrus juice. Which response by the nurse is best? a. "The vitamin C in the citrus juice helps with iron absorption." b. "Having food and juice in the stomach helps with iron absorption." c. "The citrus juice counteracts the unpleasant taste of the iron." ...

1. A nurse is giving a presentation about preventing mental illness to college freshmen. A student asks, “What does it mean to be mentally healthy?” Which of the following potential responses by the nurse is best? A) “Mental health is difficult to define and depends on cultural norms.” B) “Mental health is marked by productivity, fulfilling relationships, and adaptability.” C) “Mental health is characterized by the absence of mental illness.” D) “Mental health is the per...

MULTIPLE CHOICE 1. A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patient’s expression of pain? a. It reduces the patient’s perception of pain. b. It is intensified by the vertex position of the fetus. c. It is influenced by culture. d. It can be completely controlled by nonpharmacological techniques. ANS: C Culture influences how women feel about birth and what is an acceptable respo...

Which would be a reason for a student nurse to use the DSM? A) Identifying the medical diagnosis B) Treat clients C) Evaluate treatments D) Understand the reason for the admission and the nature of psychiatric illnesses. Ans D Feedback: Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resource to understand the reason for the admission and to begin building knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis...

A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make? 1) "An escharotomy surgically removes dead tissue." 2) "A cannula will be inserted into the bone to infuse fluids and antibiotics." 3) "A piece of skin will be removed and grafted over the burned area." 4) "Large incisions will be made in the bur...

HESI Exit Exam (CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER HESI EXAMS) Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? A. States having difficulty with color perception B. Presents with opacity of the lens upon assessment C. Complains of seeing a cobweb-type structure in the visual field D. Reports the need to use a magnifying glass to see small print Rationale: Visualization of a cobweb- or hairnet-typ...