Psych HESI Hints.docx(Vr.1)100%
answered
Quiz:-The emergency department nurse is providing care for a rape victim. Which action
represents an essential element of care for this client?
Providing nonjudgmental care.
Conveying outrage that this occurred.
Sympathizing with the client's sense of shame.
Encouraging the client to divulge all the details
{{Answer}} ( Providing nonjudgmental care.)
Quiz:-The nurse is reviewing labs for a client who is taking clozapine, 25mg QD for
treatment of disorganized schizophrenia. The labs are documented as follows: RBC 4.5
million/mcL, WBC 1000/mcL, TSH 1.2 mc-IU. Based on these results, which order
should the nurse anticipate the health care provider to write?
Discontinue clozapine.
Administer levothyroxine sodium 25 mcg QD.
Administer ferrous sulfate 100mg QD.
Decrease clozapine to 12.5 mg QD, start levothyroxine sodium 50 mcg QD.
{{Answer}} ( Discontinue clozapine.
Rationale
Agranulocytosis is an adverse side effect of clozapine that can cause lethal infections.
Based on the client's results, clozapine should be discontinued; the thyroid and RBC
results are normal and do not need to be treated.)
Quiz:-The visiting nurse is assessing a client with early-stage dementia who has
recently been prescribed donepezil (Aricept). Which information obtained from the
client's family member demonstrates that the medication is effective?
The client is showering and getting dressed with minimal assistance.
,The client uses confabulation to cover up memory loss.
The client did not attend the family reunion last weekend.
The client arranges to have groceries delivered.
{{Answer}} ( The client is showering and getting dressed with minimal assistance.)
Quiz:-A client with stage 2 Alzheimer's disease is being cared for at home by the
spouse. The client's spouse tells the nurse about the emotional difficulties involved in
providing fulltime care at home. Which self-care activity is most important for the nurse
to recommend to the spouse?
Periodic times of respite from caregiving.
Regular attendance at church services.
Participation in reminiscence therapy.
Establishment of a predictable daily schedule.
{{Answer}} ( Periodic times of respite from caregiving.
Rationale
Caregiver role strain may be attributed to many different factors. The nurse must
become familiar with this diagnosis in order to accurately assess the caregiver and offer
effective interventions. One important recommendation is to have the caregiver
incorporate periodic breaks as part of the daily routine to relieve stress. The nurse
should contact the client's manager and provide the client's caregiver a list of agencies
offering "Respite Care".)
Quiz:-A client with delirium keeps attempting to get out of bed and has fallen twice,
despite being under close-observation. The charge nurse calls the health care provider
to obtain an order for mechanical restraints. Which statement is correct regarding the
mechanical restraint policy?
The client will need to remain on close-observation with a documentation note every 15
minutes.
The client no longer require close-observation, but must be checked at regular intervals.
The client may be sedated and left alone as long as the restraints remain in place.
Restraints may be applied based on verbal orders received over the phone.
, {{Answer}} ( The client will need to remain on close-observation with a documentation
note every 15 minutes.)
Quiz:-A client with long-term alcohol addiction is admitted to the emergency department.
Which medications should the nurse anticipate the healthcare provider will prescribe for
this client?
Diazepam.
Methadone.
Multivitamins.
Thiamine (vitamin B1).
Monoamine oxidase inhibitors.
{{Answer}} ( Diazepam.
Multivitamins.
Thiamine (vitamin B1).)
Quiz:-The nurse is caring for a victim of severe emotional violence inflicted by her
husband. The client states that the abuse occurs most often when her husband is
intoxicated, and that he is always remorseful afterwards. She also tells the nurse that
her husband's father was an alcoholic who beat him and his mother. What evidence
exists that the husband is at risk of becoming a perpetrator of physical abuse?
Past childhood abuse.
Feelings of remorse.
Temporary behavioral changes.
Excessive alcohol consumption.
{{Answer}} ( Past childhood abuse.)
Quiz:-The nurse is interviewing a newly admitted client with major depression. Which
statement by the client is evidence of a genetic etiology of this mood disorder?
My mother was diagnosed with bipolar affective disorder.
My uncle was diagnosed with schizophrenia.
answered
Quiz:-The emergency department nurse is providing care for a rape victim. Which action
represents an essential element of care for this client?
Providing nonjudgmental care.
Conveying outrage that this occurred.
Sympathizing with the client's sense of shame.
Encouraging the client to divulge all the details
{{Answer}} ( Providing nonjudgmental care.)
Quiz:-The nurse is reviewing labs for a client who is taking clozapine, 25mg QD for
treatment of disorganized schizophrenia. The labs are documented as follows: RBC 4.5
million/mcL, WBC 1000/mcL, TSH 1.2 mc-IU. Based on these results, which order
should the nurse anticipate the health care provider to write?
Discontinue clozapine.
Administer levothyroxine sodium 25 mcg QD.
Administer ferrous sulfate 100mg QD.
Decrease clozapine to 12.5 mg QD, start levothyroxine sodium 50 mcg QD.
{{Answer}} ( Discontinue clozapine.
Rationale
Agranulocytosis is an adverse side effect of clozapine that can cause lethal infections.
Based on the client's results, clozapine should be discontinued; the thyroid and RBC
results are normal and do not need to be treated.)
Quiz:-The visiting nurse is assessing a client with early-stage dementia who has
recently been prescribed donepezil (Aricept). Which information obtained from the
client's family member demonstrates that the medication is effective?
The client is showering and getting dressed with minimal assistance.
,The client uses confabulation to cover up memory loss.
The client did not attend the family reunion last weekend.
The client arranges to have groceries delivered.
{{Answer}} ( The client is showering and getting dressed with minimal assistance.)
Quiz:-A client with stage 2 Alzheimer's disease is being cared for at home by the
spouse. The client's spouse tells the nurse about the emotional difficulties involved in
providing fulltime care at home. Which self-care activity is most important for the nurse
to recommend to the spouse?
Periodic times of respite from caregiving.
Regular attendance at church services.
Participation in reminiscence therapy.
Establishment of a predictable daily schedule.
{{Answer}} ( Periodic times of respite from caregiving.
Rationale
Caregiver role strain may be attributed to many different factors. The nurse must
become familiar with this diagnosis in order to accurately assess the caregiver and offer
effective interventions. One important recommendation is to have the caregiver
incorporate periodic breaks as part of the daily routine to relieve stress. The nurse
should contact the client's manager and provide the client's caregiver a list of agencies
offering "Respite Care".)
Quiz:-A client with delirium keeps attempting to get out of bed and has fallen twice,
despite being under close-observation. The charge nurse calls the health care provider
to obtain an order for mechanical restraints. Which statement is correct regarding the
mechanical restraint policy?
The client will need to remain on close-observation with a documentation note every 15
minutes.
The client no longer require close-observation, but must be checked at regular intervals.
The client may be sedated and left alone as long as the restraints remain in place.
Restraints may be applied based on verbal orders received over the phone.
, {{Answer}} ( The client will need to remain on close-observation with a documentation
note every 15 minutes.)
Quiz:-A client with long-term alcohol addiction is admitted to the emergency department.
Which medications should the nurse anticipate the healthcare provider will prescribe for
this client?
Diazepam.
Methadone.
Multivitamins.
Thiamine (vitamin B1).
Monoamine oxidase inhibitors.
{{Answer}} ( Diazepam.
Multivitamins.
Thiamine (vitamin B1).)
Quiz:-The nurse is caring for a victim of severe emotional violence inflicted by her
husband. The client states that the abuse occurs most often when her husband is
intoxicated, and that he is always remorseful afterwards. She also tells the nurse that
her husband's father was an alcoholic who beat him and his mother. What evidence
exists that the husband is at risk of becoming a perpetrator of physical abuse?
Past childhood abuse.
Feelings of remorse.
Temporary behavioral changes.
Excessive alcohol consumption.
{{Answer}} ( Past childhood abuse.)
Quiz:-The nurse is interviewing a newly admitted client with major depression. Which
statement by the client is evidence of a genetic etiology of this mood disorder?
My mother was diagnosed with bipolar affective disorder.
My uncle was diagnosed with schizophrenia.
