Mental health HESI hints Questions and
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Purpose of therapeutic interaction
Ans: Allows them the autonomy to make choices when appropriate.
Keep statements value-free, advise-free, and reassurance free
Remember Just the facts
Ans: No opinions
What action should the nurse take in a psychiatric situation when the
client describes a physical problem?
Ans: Assess, assess, assess! Just because the focus of the client situation as
on his or her psychological needs, it does not mean that the nurse can
ignore physiological means
Basic communication principles
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Ans: Establish trust, demonstrate a nonjudgmental attitude, offer self be
empathetic not sympathetic, use active listening, accept and support
clients feelings, clarify and validate client statements, use matter-of-fact
approach
A nurse's nonverbal communication may be more important than
the verbal communication
Ans: Watch closed gestures
What information must be shared with other team members for the
client safety an optimal therapy
Ans: Suicide plan
What is a common complaint after ECT
Ans: Nausea. Vomiting by an unconscious client can lead to aspiration.
Because post-ECT clients are unconscious the nurse must observe closely
for the possibility of aspiration: maintain a patent airway
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What are common physiological responses to anxiety
Ans: Increased heart rate and blood pressure, rapid shallow respirations,
dry mouth and tight feeling in through, tremors and muscle tension,
anorexia, urinary frequency, and Palmer sweating
What must the nurse when a patient is having a panic attack?
Ans: The nurse must assess his or her own level of anxiety and remain
calm. A new comment nurse helps the client to gain control, decreased
anxiety, and increased feelings of security. Anxiety is very contagious.
Phobia
Ans: The nurse should acknowledge the feeling (fear) and refrain from
exposing the client to the identified fear. After trust is established, a
desensitization process may be prescribed. Desensitization is the nursing
intervention for phobia disorders
What does the nurse need to do when a patient describes a phobia