1. The LPN/LVN calls security and has physical restrains applied when a
client who was admitted voluntarily becomes both physically and verbally
abusive while demanding to be discharged from the hospital. Which
represents the possible legal ramifications for the nurse associated with these
inte...
1 the lpnlvn calls security and has physical restrains applied when a client who was admitted voluntarily becomes both physically and verbally abusive whi
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HESI Practice
2017 MENTAL HEALTH
2017 Mental PN
Health PN HESI
Hesi SPECIALTY
Specialty V1 V1
1. The LPN/LVN calls security and has physical restrains applied when a
client who was admitted voluntarily becomes both physically and verbally
abusive while demanding to be discharged from the hospital. Which
represents the possible legal ramifications for the nurse associated with these
interventions? Select all that apply.
1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment
2) A nurse is working with a client who has sought counseling after
trying to rescue a neighbor involved in a house fire. Despite the client's
efforts, the neighbor died. Which action does the nurse engage in with
the client during the working phase of the nurse-client relationship?
1) Exploring the client's ability to function
2) Exploring the client's potential for self-harm
3) Inquiring about the client's perception of appraisal of the neighbor's
death
4) Inquiring about and examine the client's feelings that may block
adaptive coping
Correct Answer:4) Inquiring about and examine the client's feelings that
may block adaptive coping
3) A client who has just been sexually assaulted is calm and quiet. The
nurse analyzes this behavior as indicating which defense mechanism?
1) Denial
2) Projection
3) Rationalization
4) Intellectualization
,Correct Answer:1) Denial
4) Unresolved feelings related to loss most likely may be recognized
during which phase of the therapeutic nurse-client relationship?
1) Working
2) Trusting
3) Orientation
4) Termination
Correct Answer: 4) Termination
5) Which statement demonstrates the best understanding of the nurse's
role regarding ensuring that each client's rights are respected?
1) "Autonomy is the fundamental right of each and every client."
2) "A client's rights are guaranteed by both state and federal laws."
3) "Being respectful and concerned will ensure that I'm attentive to my
clients' rights."
4) "Regardless of the client's condition, all nurses have the duty to
respect client rights."
Correct Answer: 3) "Being respectful and concerned will ensure that I'm
attentive to my clients' rights."
6) A LPN/LVN employed in a mental health unit of a hospital is the
leader of a group psychotherapy session. The nurses's role in the
termination stage of group development is to:
1) Encourage problem solving
2) Encourage accomplishment of the group's work
3) Acknowledge the contributions of each group member
4) Encourage members to become acquainted with one another
Correct Answer: 3) Acknowledge the contributions of each group member
7) A male client with delirium becomes disoriented and confused in his
room at night. The best initial nursing intervention is to:
1) Move the client next to the nurse's station
, 2) Use an indirect light source and turn off the television
3) Keep the television and a soft light on during the night
4) Play soft music during the night, and maintain a well-lit room
2) Use an indirect light source and turn off the television
8) A client is admitted to a medical nursing unit with a diagnosis of
acute blindness. Many tests are performed, and there seems to be no
organic reason why this client cannot see. The client became blind after
witnessing a hit-and-run car accident, when a family of three was killed.
A LPN/LVN suspects that the client may be experiencing a:
1) Psychosis
2) Repression
3) Conversion Disorder
4) Dissociative Disorder
Correct Answer: 3) Conversion Disorder
9) A manic client announces to everyone in the day room that a stripper
is coming to perform this evening. When a nurse firmly states that this
is inappropriate and will not happen, the client becomes verbally
abusive and threatens physical violence to the nurse. Based on the
analysis of this situation, the LPN/LVN determines that the appropriate
action would be to:
1) Orient the client to time, person, and place
2) Tell the client that the behavior is inappropriate
3) Escort the manic client to her room, with assistance
4) Tell the client that smoking privileges are revoked for 24 hours
Correct Answer: 3) Escort the manic client to her room, with assistance
10) A LPN/LVN observes that a client is pacing, agitated, and
presenting aggressive gestures. The client's speech pattern is rapid, and
affect is belligerent. Based on these observations, the nurse's immediate
priority of care is to:
1) Provide safety for the client and other clients on the unit
2) Provide the clients on the unit with a sense of comfort and safety
3) Assist the staff in caring for the client in a controlled environment
4) Offer the client a less stimulated area to calm down and gain control
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