Mental Health/Psych HESI 50 Questions and Answers:New
Predictor with complete solution
Correct
Incorrect
Questions and answers
1 of 50
Term
A client who has been hospitalized for 2 weeks for paranoia complains
continuously to the staff that someone is trying to steal their clothing.
What is the correct action for the nurse to take based on the client's
complaints?
A. Enroll the client in an exercise class to promote positive activities.
B. Place a lock on the client's closet to allay the client's concerns.
,C. Promote extinction of the ideation by ignoring the client.
D. Explain to the client that these suspicions are certainly false.
Give this one a go later!
ANS: C
Depression is associated with feelings of guilt, and clients are often not aware of
these feelings (C). Awareness is the first step in dealing with guilt (or any other
feeling), so the nurse's efforts should be directed toward increasing the client's
awareness of feelings. Although a goal may be changed based on an evaluation of
interventions to meet the goal, a goal should never be ignored (A). (B) dismisses the
client's symptoms as age-related. Setting goals for the nursing care plan is a
function of the nurse (D), although the nurse can collaborate with the treatment
team.
ANS: C
Drug abusers tend to be manipulative, so (C) is the best interpretation of the client's
statement at this time in the client's treatment. He has been in treatment only 2 days,
which is not enough time to benefit from the program, so (A and D) are highly
unlikely. Although defense mechanisms (B) are frequently used to decrease anxiety,
this statement is more likely because of (C).
ANS: B
Although these are expected symptoms, the health care provider should be
notified prior to the next administration of the drug (B). Early side effects of lithium
carbonate (occurring with serum lithium levels below 2 mEq/L) generally follow a
progressive pattern, beginning with diarrhea, vomiting, drowsiness, and muscular
weakness (C). At higher levels, ataxia, tinnitus, blurred vision, and large dilute urine
output may occur. (A) will lower the lithium level. (D) is not warranted.
, ANS: A
Diverting the client's attention from paranoid ideation (A) and encouraging
the client to engage in positive activities can be helpful in assisting to develop
a positive self-image. (B) actually supports paranoid ideation. (C) may lower
self-esteem. The nurse should not argue with the client about the delusions
(D).
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2 of 50
Term
The nurse notes multiple burns on the arms and chest of a 2-year-old
Vietnamese child who is being treated for dehydration. When
questioned, the child's father states that he treated the child's vomiting
with the cultural practice termed coining, which resulted in burned
areas. Which expected outcome statement has the highest priority?
A. The child will be protected from further harm.
B. The family's cultural values will be respected.
C. The parents will express regret at harming their child.
D. The parents will demonstrate an ability to care for burn wounds.
Give this one a go later!
, ANS: C
It is the nurse's legal responsibility to report all suspected cases of child abuse (C),
and notifying the nurse manager or charge nurse starts the legal reporting process.
(A, B, and D) delay the first step in reporting the abuse.
ANS: A
Feelings of hopelessness (A) are characteristic of one who is depressed. Although
(B) might be indicative of depression, further assessment would be required to rule
out an organic cause before attributing the statement to depression. (C and D) are
indicative of a paranoid personality.
ANS: A
During cocaine withdrawal, the nurse should expect (A) and a pattern of withdrawal
symptoms similar to those of one who uses amphetamines. (B, C, and D) are signs
and symptoms of a person who is high on cocaine rather than one who is
experiencing withdrawal from cocaine.
ANS: A
The nurse's highest priority is to ensure that no further harm befalls the child
(A). (B, C, and D) are also important objectives but are secondary to (A).
Don't know?
3 of 50
Term
Predictor with complete solution
Correct
Incorrect
Questions and answers
1 of 50
Term
A client who has been hospitalized for 2 weeks for paranoia complains
continuously to the staff that someone is trying to steal their clothing.
What is the correct action for the nurse to take based on the client's
complaints?
A. Enroll the client in an exercise class to promote positive activities.
B. Place a lock on the client's closet to allay the client's concerns.
,C. Promote extinction of the ideation by ignoring the client.
D. Explain to the client that these suspicions are certainly false.
Give this one a go later!
ANS: C
Depression is associated with feelings of guilt, and clients are often not aware of
these feelings (C). Awareness is the first step in dealing with guilt (or any other
feeling), so the nurse's efforts should be directed toward increasing the client's
awareness of feelings. Although a goal may be changed based on an evaluation of
interventions to meet the goal, a goal should never be ignored (A). (B) dismisses the
client's symptoms as age-related. Setting goals for the nursing care plan is a
function of the nurse (D), although the nurse can collaborate with the treatment
team.
ANS: C
Drug abusers tend to be manipulative, so (C) is the best interpretation of the client's
statement at this time in the client's treatment. He has been in treatment only 2 days,
which is not enough time to benefit from the program, so (A and D) are highly
unlikely. Although defense mechanisms (B) are frequently used to decrease anxiety,
this statement is more likely because of (C).
ANS: B
Although these are expected symptoms, the health care provider should be
notified prior to the next administration of the drug (B). Early side effects of lithium
carbonate (occurring with serum lithium levels below 2 mEq/L) generally follow a
progressive pattern, beginning with diarrhea, vomiting, drowsiness, and muscular
weakness (C). At higher levels, ataxia, tinnitus, blurred vision, and large dilute urine
output may occur. (A) will lower the lithium level. (D) is not warranted.
, ANS: A
Diverting the client's attention from paranoid ideation (A) and encouraging
the client to engage in positive activities can be helpful in assisting to develop
a positive self-image. (B) actually supports paranoid ideation. (C) may lower
self-esteem. The nurse should not argue with the client about the delusions
(D).
Don't know?
2 of 50
Term
The nurse notes multiple burns on the arms and chest of a 2-year-old
Vietnamese child who is being treated for dehydration. When
questioned, the child's father states that he treated the child's vomiting
with the cultural practice termed coining, which resulted in burned
areas. Which expected outcome statement has the highest priority?
A. The child will be protected from further harm.
B. The family's cultural values will be respected.
C. The parents will express regret at harming their child.
D. The parents will demonstrate an ability to care for burn wounds.
Give this one a go later!
, ANS: C
It is the nurse's legal responsibility to report all suspected cases of child abuse (C),
and notifying the nurse manager or charge nurse starts the legal reporting process.
(A, B, and D) delay the first step in reporting the abuse.
ANS: A
Feelings of hopelessness (A) are characteristic of one who is depressed. Although
(B) might be indicative of depression, further assessment would be required to rule
out an organic cause before attributing the statement to depression. (C and D) are
indicative of a paranoid personality.
ANS: A
During cocaine withdrawal, the nurse should expect (A) and a pattern of withdrawal
symptoms similar to those of one who uses amphetamines. (B, C, and D) are signs
and symptoms of a person who is high on cocaine rather than one who is
experiencing withdrawal from cocaine.
ANS: A
The nurse's highest priority is to ensure that no further harm befalls the child
(A). (B, C, and D) are also important objectives but are secondary to (A).
Don't know?
3 of 50
Term
