ALL HESI FUNDAMENTALS EXAM TEST BANK UPDATED 2024 COMPREHENSIVE
QUESTIONS AND ANSWERS WITH RATIONALES
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress SeWhich action should be performed to avoid the most common
cause of fatal transfusion reactions? - (ANSWER)Have two qualified health care
professionals check the blood component infthe purpose of therapeutic interaction -
(ANSWER)to allow the client to autonomy to make choices when appropriate. keep
statements value-free, advice free, and reassurance-free
what action should the nurse take in a psychiatric situation when the client describes a
physical problem? - (ANSWER)assess. example: if a client has schizophrenia complains of
chest pain take their blood pressure
basic communication principles - (ANSWER)establish trust, nonjudgemental
attitude,active listening, offer self, accept client's feelings, validate client's statements,
matter of fact approach
nausea is a common complaint after ECT - (ANSWER)vomiting by an unconscious can lead
to aspiration. maintain a paten airway
common physiological responses to anxiety - (ANSWER)increased heart rate, and blood
pressure, rapid shallow respirations, dry mouth, tight feeling in throat, tremors, muscle
twitching, anorexia, urinary frequency, palmar sweating
nurse-client anxiety - (ANSWER)anxiety is contagious, nurse needs to asses on anxiety
level and remain calm. it helps gain control, decrease anxiety, and increase feelings of
security
,desensitization - (ANSWER)is the nursing intervention for phobia disorders. --assess client
to recognize the factors associated with feared stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
the nurse should place an anxious client where there are reduced environmental stimuli -
(ANSWER)quiet area of the unit away from the nurse's station
the best time for interaction with a client is at the completion of the performed ritual -
(ANSWER)the client's anxiety is lowest at this time and its an optimal time for learning
compulsive acts are used in response to anxiety, which may or may not be related to the
obsession. its the nurse's responsibility help alleviate anxiety - (ANSWER)its the nurse's
responsibility help alleviate anxiety, interfering will increase the anxiety
as long as the client's acts are free of violence: nurse should.... - (ANSWER)-actively listen
to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
ford clients with PTSD, the nurse should.... - (ANSWER)-actively listen to client's stories of
experiences surrounding the traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve regarding possible
means of controlling anxiety related to the event
,-encourage group therapy with other clients who have experienced the same traumatic
event
be aware of your own feelings when dealing with this somatoform clients. - (ANSWER)the
pain is real to the person experiencing it
theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... - (ANSWER)-acknowledge the symptom or complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
avoid giving clients with dissociative disorders too much information about past events at
one time - (ANSWER)the various types of amnestic that accompany dissociative disorders
provide protection from pain and too much to soon can cause decompensation
personality disorders are long standing behavioral traits that are maladaptive responses
to anxiety and that cause difficulty in relating to and working with other individuals -
(ANSWER)persons with personality disorders are usually comfortable with their disorders
and believe that they are right and the world is wrong and have little motivation
people with anorexia gain pleasure from providing others with food and watching them
eat - (ANSWER)these behaviors reinforce their perception of self-control. don not allow
these clients to plan or prepare food for unit-based activities
individuals with Bulimia often use syrup of ipecac to induce vomiting. if ipecac is not
vomited and is absorbed, cardiotoxicity may occur and cause conduction disturbances,
cardiac dysrhythmias, fatal myocarditis, and circulatory failure - (ANSWER)because heart
failure is not usually seen in this age group, it is often overlooked. assess for edema and
listen to breath sounds
, physical assessment and nutritional support are a priority, the physiological implication
are great. nursing interventions should increase self-esteem and develop a positive body
image. - (ANSWER)family therapy is most effective because issues of control are common
in these (eating disorders.) therapy is usually long term
the most important s/s of depression are a depressed mood with a loss of interest in the
pleasures in life - (ANSWER)the client has a sustained loss
s/s of depression - (ANSWER)-significant change in appetite
-insomnia
-fatigue or lack of energy
-feelings of hopelessness
-loss of ability to concentrate
-preoccupation with death or suicide
depressed clients have difficulty hearing and accepting compliments because of their
lowered self-concept - (ANSWER)comment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they - (ANSWER)begin to take an
interest in their appearance or begin to perform self-care activities
the nurse should suspect an imminent suicide attempt if a depressed client becomes
"better" - (ANSWER)be aware a happy affect may signify the the client feels relieved that a
plan has been made and is prepared for the suicide attempt
when dealing with a depressed client the nurse should assist with personal hygiene tasks
and encourage the client to initiate grooming activities even when they dont feel like
doing so - (ANSWER)this helps to promote self-esteem and a sense of control
QUESTIONS AND ANSWERS WITH RATIONALES
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress SeWhich action should be performed to avoid the most common
cause of fatal transfusion reactions? - (ANSWER)Have two qualified health care
professionals check the blood component infthe purpose of therapeutic interaction -
(ANSWER)to allow the client to autonomy to make choices when appropriate. keep
statements value-free, advice free, and reassurance-free
what action should the nurse take in a psychiatric situation when the client describes a
physical problem? - (ANSWER)assess. example: if a client has schizophrenia complains of
chest pain take their blood pressure
basic communication principles - (ANSWER)establish trust, nonjudgemental
attitude,active listening, offer self, accept client's feelings, validate client's statements,
matter of fact approach
nausea is a common complaint after ECT - (ANSWER)vomiting by an unconscious can lead
to aspiration. maintain a paten airway
common physiological responses to anxiety - (ANSWER)increased heart rate, and blood
pressure, rapid shallow respirations, dry mouth, tight feeling in throat, tremors, muscle
twitching, anorexia, urinary frequency, palmar sweating
nurse-client anxiety - (ANSWER)anxiety is contagious, nurse needs to asses on anxiety
level and remain calm. it helps gain control, decrease anxiety, and increase feelings of
security
,desensitization - (ANSWER)is the nursing intervention for phobia disorders. --assess client
to recognize the factors associated with feared stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
the nurse should place an anxious client where there are reduced environmental stimuli -
(ANSWER)quiet area of the unit away from the nurse's station
the best time for interaction with a client is at the completion of the performed ritual -
(ANSWER)the client's anxiety is lowest at this time and its an optimal time for learning
compulsive acts are used in response to anxiety, which may or may not be related to the
obsession. its the nurse's responsibility help alleviate anxiety - (ANSWER)its the nurse's
responsibility help alleviate anxiety, interfering will increase the anxiety
as long as the client's acts are free of violence: nurse should.... - (ANSWER)-actively listen
to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
ford clients with PTSD, the nurse should.... - (ANSWER)-actively listen to client's stories of
experiences surrounding the traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve regarding possible
means of controlling anxiety related to the event
,-encourage group therapy with other clients who have experienced the same traumatic
event
be aware of your own feelings when dealing with this somatoform clients. - (ANSWER)the
pain is real to the person experiencing it
theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... - (ANSWER)-acknowledge the symptom or complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
avoid giving clients with dissociative disorders too much information about past events at
one time - (ANSWER)the various types of amnestic that accompany dissociative disorders
provide protection from pain and too much to soon can cause decompensation
personality disorders are long standing behavioral traits that are maladaptive responses
to anxiety and that cause difficulty in relating to and working with other individuals -
(ANSWER)persons with personality disorders are usually comfortable with their disorders
and believe that they are right and the world is wrong and have little motivation
people with anorexia gain pleasure from providing others with food and watching them
eat - (ANSWER)these behaviors reinforce their perception of self-control. don not allow
these clients to plan or prepare food for unit-based activities
individuals with Bulimia often use syrup of ipecac to induce vomiting. if ipecac is not
vomited and is absorbed, cardiotoxicity may occur and cause conduction disturbances,
cardiac dysrhythmias, fatal myocarditis, and circulatory failure - (ANSWER)because heart
failure is not usually seen in this age group, it is often overlooked. assess for edema and
listen to breath sounds
, physical assessment and nutritional support are a priority, the physiological implication
are great. nursing interventions should increase self-esteem and develop a positive body
image. - (ANSWER)family therapy is most effective because issues of control are common
in these (eating disorders.) therapy is usually long term
the most important s/s of depression are a depressed mood with a loss of interest in the
pleasures in life - (ANSWER)the client has a sustained loss
s/s of depression - (ANSWER)-significant change in appetite
-insomnia
-fatigue or lack of energy
-feelings of hopelessness
-loss of ability to concentrate
-preoccupation with death or suicide
depressed clients have difficulty hearing and accepting compliments because of their
lowered self-concept - (ANSWER)comment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they - (ANSWER)begin to take an
interest in their appearance or begin to perform self-care activities
the nurse should suspect an imminent suicide attempt if a depressed client becomes
"better" - (ANSWER)be aware a happy affect may signify the the client feels relieved that a
plan has been made and is prepared for the suicide attempt
when dealing with a depressed client the nurse should assist with personal hygiene tasks
and encourage the client to initiate grooming activities even when they dont feel like
doing so - (ANSWER)this helps to promote self-esteem and a sense of control
