Final Exam HESI Review

Which intervention would the nurse use to promote the safety of a client experiencing alcohol withdrawal? a. infuse IV fluids b. monitor the level of anxiety c. obtain frequent VS. d. Administer chlordiazepoxide.

d. Administer chlordiazepoxide.

Which action would the nurse take for an adolescent client with anorexia nervosa? a. Reward weight gain by increasing privileges. b. Discuss the importance of eating a balanced diet. c. Encourage the client to use high-calorie foods in the diet. d. Suggest family therapy to focus on the client's behavior.

a. Reward weight gain by increasing privileges.

Which reaction toward the physical symptom would the nurse observe in a client with conversion disorder? a. anger b. apathy c. anxiety d. agitation

b. apathy

Which term or phrase would the nurse chart when a client with schizophrenia says, "Yes it's March. March is Little Women. That's literal, you know?" a. echolalia b. neologisms c. flight of ideas d. loose associations

d. loose associations

Which nursing intervention would be taken when the mother of an adolescent pt reports her child does not eat properly, performs strenuous exercise, and is very introverted? SATA. a. Monitoring the adolescent's fluid and electrolyte status. b. Checking for evidence of self-induce vomiting. c. Monitoring the adolescent for disturbances in family interactions. d. Counseling the adolescent about good personal hygiene and sanitation e. Developing a mutually agreeable targeted daily caloric intake goal

a. Monitoring the adolescent's fluid and electrolyte status. b. Checking for evidence of self-induce vomiting. c. Monitoring the adolescent for disturbances in family interactions. e. Developing a mutually agreeable targeted daily caloric intake goal

Which strategy would be effective for a client with alcohol use disorder who says, "Drinking is a way out of my depression"? a. a self help group b. psychoanalytical therapy c. a visit with a religious advisor d. talking with an alcoholic friend

a. a self help group

Which statement best defines a crisis? a. a threat to equilibrium b. an imbalance of emotions c. client's perception of the problem d. circumstance that requires external sources

a. a threat to equilibrium

Which substance listed in the DSM-5 is considered addictive and therefore, a substance of possible abuse? SATA. a. alcohol b. caffeine c. cannabis d. gambling e. hallucinogins f. antianxiety meds

a. alcohol b. caffeine c. cannabis e. hallucinogins f. antianxiety meds

Which feelings are often the basis of OCD? a. anxiety and guilt b. anger and hostility c. embarrasment and shame d. hopelessness and helplessness

a. anxiety and guilt

Which therapeutic communication technique would be useful for a client with major depressive disorder? SATA. a. reflecting b. offering self c. using silence d. paraphrasing e. asking open-ended questions f. encouraging comparison

a. reflecting b. offering self c. using silence d. paraphrasing e. asking open-ended questions f. encouraging comparison

Which assessment finding is associated with depression? a. the client has islands of intact memory b. the client has impaired recent or remote memory c. the client has impaired recent or immediate memory d. the client needs step by step instructions for simple tasks

a. the client has islands of intact memory

Which strategy would the nurse use to help depressed, withdrawn clients who exhibit sadness through nonverbal behavior? a. Increase structured physical activity. b. Cope with painful feelings by sharing them. c. Decide which unit activities the client can perform. d. Improve the ability to communicate with significant others.

b. Cope with painful feelings by sharing them.

Which initial action would the nurse take for a client admitted to an alcohol rehab center who on the 4th day after admission has a strong odor of alcohol on the breath? a. Ask where the client got the alcohol. b. Locate the source of the alcohol. c. Convey the staff's disappointment in this behavior. d. Document the client's drinking.

b. Locate the source of the alcohol.

A female adolescent has anorexia nervosa and is severely underweight. Which statement indicates that she is receiving secondary gains from her behavior? a. "I'm huge; I'm big as a house." b. "I get straight A's in all my subjects." c. "My mother keeps trying to get me to eat." d. "My hair is beginning to fall out in clumps."

c. "My mother keeps trying to get me to eat."

A client has been instructed to stop smoking. Which action would the nurse take upon finding a pack of cigarettes in the client's bathrobe? a. Notify the HCP. b. Report this to the nurse manager. c. Tell the client about finding the cigarettes. d. Discard the cigarettes without telling the client.

c. Tell the client about finding the cigarettes.

Which additional clinical manifestation would the nurse monitor for in a client with GAD who presents with restlessness and fatigue? a. hoarding b. panic attacks c. excessive worry d. fear of leaving the house

c. excessive worry

Which intervention would the nurse add to the plan of care for a client who engages in ritualistic behavior? a. Redirect the client's energy into activities to help others. b. Teach the client that the behavior is not serving a realistic purpose. c. Administer antianxiety meds that block out the memory of internal fears. d. Help the client understand that the behavior is caused by maladaptive coping with increased anxiety.

d. Help the client understand that the behavior is caused by maladaptive coping with increased anxiety.

Which relationship is the most important to the formation of personality? a. peer relationships b. sibling relationships c. spousal relationships d. parent-child relationships

d. parent-child relationships