PSYCH HESI Exam Questions Ans And Answers With Correct Solutions

A nurse is explaining a fire drill routine to a group of clients. A client becomes disruptive and continually interrupts the group. What is the nurse's best response? - ANS When you interrupt, I cannot explain what to do to the group. A client comes in after being in a car accident and is experiencing alcohol withdrawal, magnesium level of 1.1, cardiac dysrhythmias. What would you give first? - ANS Magnesium When performing a Mental Status Exam (MSE) on a client which assessment intervention would best assist the nurse? - ANS Ask the client to interpret the proverb a stitch in time saves nine. A women was just told of her husbands diagnosis of terminal cancer. What would the nurse offer for the wife? - ANS How would you like to be involved with your husbands care? A nurse is to remove staples form an abdominal incision, the client is very anxious. What is the most important intervention? - ANS Attempt to distract the client with general conversation A man diagnosed with bipolar disorder states, "I don't understand. I believe in God and have not done anything to deserve this." What is the nurses best response? - ANS You did not do anything wrong. You have a chemical imbalance in your brain. A client becomes upset when the nurse he requests is not assigned to him. what is the nurses best response? - ANS Advise the client that nursing assignments are not based on client requests. A client needs to wash her hands for 2 hours before able to go on with her morning. She doesnt want to sit on the chairs in the dayroom for fear of getting dirty. What is this mechanism? - ANS Compulsion A client in group is talking about her prostitution. The nurse asks her if she was abused by her parents. She states, my mother ran my father out when I was young. What defense mechanism was used? - ANS Repression A woman calls the crisis hotline and says she has a loaded gun and is going to kill herself. To maintain patient confidentiality, what would the nurse do? - ANS Contact the person the client chooses to go to the home and remove the weapon A client with anger management issues uses belt making and bangs the leather heavily. What defense mechanism is being used? - ANS sublimation A bipolar client comes to the clinic and tells the nurse that the next time she sees her sister she is going to kill her. What should the nurse do? - ANS Inform the sister What would then nurses highest priority for a newly admitted depressed client upon admission? - ANS The nurse should go through the clients belongings Who is most prone to being abused? - ANS Females over 75 living with families