Question

The healthcare provider prescribes cytovene 375 mg every 12 hours to infuse over 90 minutes. The pharmacy delivers cytovene 375 mg in a 150 mL IV bag. How man ML/hour should the nurse program the infusion pump? (Enter a whole number only)

Answer 1

Correct Answers:

100

Rationale :

✴️ Use the formula: Volume (mL) ÷ Time (hr) = mL/hr

✴️ 150 mL ÷ 1.5 hr = 100 mL/hr

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Answer 2

Correct Answers:

Helping clients identify areas of problem in their lives.

Rationale :

🔹 The working phase is where the group engages in problem-solving and behavior change.

🔹 This phase allows members to explore deep-seated issues and develop insight with guidance.

🔹 Nurses facilitate growth by encouraging client accountability and promoting healthy feedback.

🔹 It’s distinguished from earlier phases like orientation, where roles and rapport are established.

🔹 The goal of this stage is constructive action: identifying problems and experimenting with solutions.

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Answer 3

Correct Answers:

Refusal of oral psychiatric medication so the healthcare provider (HCP) prescribes an 1M injection.

Rationale :

🔺 Forcing medication without following due process (e.g., court order or emergency) violates the client's right to refuse treatment.

🔺 Unless there's imminent harm, a client has the legal right to decline psychotropic medication.

🔺 An IM order without assessing consent or considering alternatives may breach ethical and legal principles.

🔺 Even in inpatient psychiatric settings, clients maintain certain civil liberties, including bodily autonomy.

🔺 Emergency use of IM meds must be justified with documentation that the client is a danger to self or others.

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Answer 4

Correct Answers:

Chemical imbalances causing mental illness can be managed with medication.

Rationale :

🔹 Schizophrenia is linked to neurochemical disturbances, particularly dopamine dysregulation.

🔹 Antipsychotic medications target these chemical imbalances to reduce hallucinations and delusions.

🔹 Clients and families benefit from education that ties scientific understanding with treatment outcomes.

🔹 This explanation helps reduce stigma and promotes medication adherence and trust in care.

🔹 Though genetics and environment may play a role, neurotransmitter imbalance remains a central theory in schizophrenia.

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Answer 5

Correct Answers:

Repression.

Rationale :

🟪 Repression involves unconsciously blocking out painful memories, especially those from childhood trauma.

🟪 The client's inability to recall potential sexual abuse despite behaviors that suggest trauma (promiscuity, prostitution) is indicative of repressed experiences.

🟪 Repression is a protective psychological mechanism, helping clients cope with overwhelming emotions until they are ready to process them.

🟪 It is common in survivors of childhood trauma, particularly when there’s no conscious memory of the events.

🟪 The nurse should recognize repression as a non-voluntary process, not to be forced, but explored with therapeutic support.

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Answer 6

Correct Answers:

“The other nurses and I are hero to help you got better.”

Rationale :

🟧 This response addresses splitting behavior, a common trait in borderline personality disorder, without reinforcing it.

🟧 It maintains professional boundaries while emphasizing the therapeutic role of the entire healthcare team.

🟧 It avoids validating the client's distorted perception and instead redirects focus to recovery goals.

🟧 The use of team-based language helps promote consistency and limit staff manipulation.

🟧 This response is supportive, nonjudgmental, and therapeutic, which is crucial in personality disorder care.

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Answer 7

Correct Answers:

Silence allows the client to reflect on what was said.

Rationale :

🟨 Therapeutic silence is a communication technique that gives the client time to process emotions and thoughts.

🟨 It promotes self-reflection and may encourage the client to explore feelings more deeply.

🟨 Silence demonstrates attentive presence, which supports emotional expression in grieving or distressed clients.

🟨 This nonverbal intervention helps clients feel safe and in control of the dialogue during vulnerable moments.

🟨 It avoids premature interruption and respects the client's internal emotional process.

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Answer 8

Correct Answers:

Allow the client to identify the way he interacts.

Rationale :

🟤 The nurse is using a modeling or mirroring technique to promote self-awareness in the client.

🟤 This approach helps the client observe and reflect on nonverbal behaviors that may hinder communication.

🟤 It is particularly helpful in adolescents with low self-esteem or social anxiety, who may be unaware of their body language.

🟤 The goal is not confrontation, but gentle insight-building that encourages the client to explore alternatives.

🟤 This method fosters a therapeutic alliance by promoting understanding without judgment.

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Answer 9

Correct Answers:

10

Rationale :

💠 If the label contains 30 doses of 250 mg:

💠 1 dose = every 8 hours → 3 doses per day

💠 30 doses ÷ 3 per day = 10 days

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Answer 10

Correct Answers:

Ask the dienes partner if the staff may show where coffee can be obtained while waiting.

Rationale :

🟥 This non-confrontational strategy creates an opportunity to speak with the client privately, which is essential in IPV screening.

🟥 Victims often deny abuse when the perpetrator is present due to fear or coercion, making private assessment crucial.

🟥 Removing the partner diplomatically avoids escalation and respects the safety of both client and staff.

🟥 Once alone, the nurse can proceed with screening, documentation, and potential reporting if abuse is confirmed or suspected.

🟥 This reflects trauma-informed care, allowing the client to disclose at their own pace in a safe space.

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HESI RN Mental Health-Summer 2025

No.

1 :
The healthcare provider prescribes cytovene 375 mg every 12 hours to infuse over 90 minutes. The pharmacy delivers cytovene 375 mg in a 150 mL IV bag. How man ML/hour should the nurse program the infusion pump? (Enter a whole number only)

2 :
The nurse is leading a group on the inpatient psychiatric unit, Which approach should the nurse use during the working phase of group development?

3 :
The nurse working on a psychiatric unit is concerned about providing ethical and legally defensible care for clients on the unit. Which occurrence is an indication that a client's civil rights are being violated?

4 :
The mother of an adolescent with schizophrenia asks the nurse, "Is it true what I read on the Internet-that a brain chemical causes schizophrenia?” Which information should the nurse provide?

6 :
A client with borderline personality disorder tells the nurse, “You are the best nurse on the unit! The other nurses don’t care about me the way you do.’’ Which response should the nurse provide to this client?

7 :
A client is discussing feelings related to a recent loss with the nurse. The nurse remains silent when the client says. “I don’t know how I will go on.” Which is the reason for the nurse's behavior?

8 :
While sitting in the of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the nurse. The two trade places. and the nurse demonstrates the client’s behaviors. Which is the main goal of this therapeutic technique?

9 :
A client receives a prescription for amoxicillin 250 mg by mouth every 8 hours. The Client is to take the medication until the bottle is empty After the nurse reconstitutes the dry powder, how many days will the bottle of medication last? (Enter numerical value only.)

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HESI RN Mental Health-Summer 2025

No.

1 : The healthcare provider prescribes cytovene 375 mg every 12 hours to infuse over 90 minutes. The pharmacy delivers cytovene 375 mg in a 150 mL IV bag. How man ML/hour should the nurse program the infusion pump? (Enter a whole number only)

2 : The nurse is leading a group on the inpatient psychiatric unit, Which approach should the nurse use during the working phase of group development?

3 : The nurse working on a psychiatric unit is concerned about providing ethical and legally defensible care for clients on the unit. Which occurrence is an indication that a client's civil rights are being violated?

4 : The mother of an adolescent with schizophrenia asks the nurse, "Is it true what I read on the Internet-that a brain chemical causes schizophrenia?” Which information should the nurse provide?

6 : A client with borderline personality disorder tells the nurse, “You are the best nurse on the unit! The other nurses don’t care about me the way you do.’’ Which response should the nurse provide to this client?

7 : A client is discussing feelings related to a recent loss with the nurse. The nurse remains silent when the client says. “I don’t know how I will go on.” Which is the reason for the nurse's behavior?

8 : While sitting in the of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the nurse. The two trade places. and the nurse demonstrates the client’s behaviors. Which is the main goal of this therapeutic technique?

9 : A client receives a prescription for amoxicillin 250 mg by mouth every 8 hours. The Client is to take the medication until the bottle is empty After the nurse reconstitutes the dry powder, how many days will the bottle of medication last? (Enter numerical value only.)

1 :
The healthcare provider prescribes cytovene 375 mg every 12 hours to infuse over 90 minutes. The pharmacy delivers cytovene 375 mg in a 150 mL IV bag. How man ML/hour should the nurse program the infusion pump? (Enter a whole number only)

2 :
The nurse is leading a group on the inpatient psychiatric unit, Which approach should the nurse use during the working phase of group development?

3 :
The nurse working on a psychiatric unit is concerned about providing ethical and legally defensible care for clients on the unit. Which occurrence is an indication that a client's civil rights are being violated?

4 :
The mother of an adolescent with schizophrenia asks the nurse, "Is it true what I read on the Internet-that a brain chemical causes schizophrenia?” Which information should the nurse provide?

6 :
A client with borderline personality disorder tells the nurse, “You are the best nurse on the unit! The other nurses don’t care about me the way you do.’’ Which response should the nurse provide to this client?

7 :
A client is discussing feelings related to a recent loss with the nurse. The nurse remains silent when the client says. “I don’t know how I will go on.” Which is the reason for the nurse's behavior?

8 :
While sitting in the of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the nurse. The two trade places. and the nurse demonstrates the client’s behaviors. Which is the main goal of this therapeutic technique?

9 :
A client receives a prescription for amoxicillin 250 mg by mouth every 8 hours. The Client is to take the medication until the bottle is empty After the nurse reconstitutes the dry powder, how many days will the bottle of medication last? (Enter numerical value only.)