p p p
(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAMA
p p p p p p p p p p
ND OTHER HESI EXAMS) p p p
1. Whilepcaringpforpanpolderpclient,pthepnursepobservespmultiplepbruisespoverpthepclient’splegs,parms
,pback,pandpglutealpareas.pWhenpthepclientpcontact,pthepnursepsuspectspelderpabuse.pWhatpaction
pshouldpthepnursepindicate?
➢ Measurepandpdocumentpsize,pshapepandpcolorpofpthepbruisedpareas.
2. Apclientpwhopisphomelesspispdiagnosedpwithpschizophreniapandpadmittedponpanpinvoluntarypbasisptop
epmentalphealthphospitalp4pdayspago.pThepclientpstoppedptakingpprescribedpantipsychoticpdrugspappr
oximatelyponepmonthpago.pSincephospitalizationpthepclientpcontinuesptophaveppoorpjudgmentpandpr
efusespallpmedications.pWhatpactionpshouldpthepnurseptake?
➢ Administerpaplongpactingpantipsychoticpmedicationpsopthatpthepclientpcanpbepdischargedpto
apshelter.p?
3. Afterpreceivingptreatmentpforpanorexia,papstudentpaskspthepschoolpnursepforppermissionptopworkpinpt
hepschoolpcafeteriapasppartpofpthepschool’spwokpstudypprogram.pWhatpactionpshouldpthepnurseptake?
➢ Recommendpassignmentptopthepreceptionist’spoffice.
4. Apmalepclientpcomesptopthepemergencypcenterpbecausephephaspanperectionpthatpwillpnotpresolve
.pThepclientpreportspthatphepisptakingptrazodonep(desyrel)pforpinsomnia.pWhichpinformationpispmos
tpimportantpforpthepnurseptopaskpthispclient?
➢ Havepyouptakenpanypmedicationpforperectilepdysfunction?
5. Onpadmissionptopthepmentalphealthpunit,papclientpdiagnosedpwithpschizophreniaptellspthepnurseptha
tphepispthepsonpofpGod.pBasedponpthispstatement,pwhichpinterventionpshouldpthepnursepincludepinpthi
spclient’spplanpofpcare?
➢ Confrontphispdelusionpaspnotpconsistentpwithpreality.
6. Thepnurseponpthepdaypshiftpreceivespreportpaboutpapclientpwithpdepressionpwhopwaspinpbedpmostpo
fpthepweekend.pThepnursepwalkspintopthepclient’sproompinpthepmorningpandpfindspthepclientpinpbed.
pWhatpinterventionpIpbestpforpthepnurseptopimplement?
➢ Assistpthepclientptopgetpoutpofpbedpandpinvolvedpinpanpactivity.
7. WhichpclientpinformationpindicatespthepneedpforpthepnurseptopusepthepCAGEpquestionnairepdurin
gpthepadmissionpinterview?
➢ Describespselfpaspapsocialpdrinkerpwhopdrinkspalcoholicpbeveragespdaily.
8. Apfemalepclientpadmittedptopthepmentalphealthpunitpstatsptopshoutpandpscreampatpthepnurse.pWhatpi
sphepbestpapproachpforpthepnurseptoptake?
➢ Staypquietlypwithpthepclient.
9. Apwomanpispbroughtptoptheppsychiatricpclinicpbypherphusband.pHepreportspthatphispwifepispreluctan
tptopleavephomepbecausepofpwhatpshepdescribespaspapfearpofpopenpplacespandpcrows.pWhichpnursi
ngpproblemspappliesptopthepclient’spbehavior?
➢ Anxietyprelatedptoprealporpperceivedpthreatptopphysicalpintegrity.
10. Apclientpispreceivingpbenztropinepmesylatep(Cogentin)pforpdrug-
inducedpextrapyramidalpsyndromep(EPS).pWhichpfindingpindicatespthatpthepRNpshouldpfu
rtherpevaluatepthepclient?
➢ Presencepofpapdrypmouth.
11. Apmalepclientpinpthepmentalphealthpunitpispguardedpandpvaguelypanswerspthepnurse’spquestions.pHe
pisolatespinphisproompandpsometimespopenspthepdoorptoppeekpintopthephall.pWhichpproblempcanpth
epRNpanticipate?
Thispstudypsourcepwaspdownloadedpbyp100000829219024pfrompCourseHero.componp08-22-2022p09:22:25pGMTp-
05:00
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, ➢ Delusionspofppersecution.
Thispstudypsourcepwaspdownloadedpbyp100000829219024pfrompCourseHero.componp08-22-2022p09:22:25pGMTp-
05:00
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