PSYCHIATRIC/MENTAL
HEALTH ASSIGNMENT EXAM
HESI PRACTICE PART 2
QUESTIONS AND VERIFIED
ANSWERS SOLUTIONS
LATEST UPDATE 2025\2026
GRADED A+
"#"The nurse should include which interventions in the plan of care for a severely depressed
client with neurovegetative symptoms? (Select all that apply.)
Permit rest periods as needed.
Speaking slowly and simply.
,Place the client on suicide precautions.
Observe and encourage food and fluid intake.
Encourage vigorous exercise and long walks on the unit. -VERIFIED SOLUTION- Permit rest
periods as needed.
Speaking slowly and simply.
Place the client on suicide precautions.
Observe and encourage food and fluid intake.
Neurovegetative symptoms that accompany the mood disorder of depression include
physiological disruptions, such as anorexia, constipation, sleep disturbance, and psychomotor
retardation. The client's plan of care should include measures that promote the client's comfort
and well-being, such as rest, nutrition, suicide precautions, and simple communications.
Vigorous exercise and long walks are not indicated for clients in a neurovegetative state.
"#"The nurse is planning the care for an adult client with acute depression. Which intervention
should the nurse implement to help the client deal with depression?
Ensure that the client's day is filled with group activities.
Assist the client in exploring feelings of shame, anger, and guilt.
Allow the client to initiate and determine activities of daily living.
Encourage the client to explore the rationale for depression. -VERIFIED SOLUTION- Assist
the client in exploring feelings of shame, anger, and guilt.
, Depression is associated with feelings of shame, anger, and guilt. Exploring such feelings with
the client is an important nursing intervention for a client who is acutely depressed. The other
interventions are not indicated.
"#"A client who is being treated with lithium carbonate for bipolar disorder develops diarrhea,
vomiting, and drowsiness. What action should the nurse take?
Notify the healthcare provider immediately and prepare for administration of an antidote.
Notify the healthcare provider of the symptoms prior to the next administration of the drug.
Record the symptoms as normal side effects and continue administration of the prescribed
dosage.
Hold the medication and refuse to administer additional amounts of the drug. -VERIFIED
SOLUTION- Notify the healthcare provider of the symptoms prior to the next administration
of the drug.
Early side effects of lithium carbonate that occur with a serum lithium levels below 2.0 mEq/L
generally follow a progressive pattern beginning with diarrhea, vomiting, drowsiness, and
muscular weakness. The nurse should notify the healthcare provider before giving the next dose,
which can contribute to higher serum drug levels that may cause ataxia, tinnitus, blurred vision,
and large dilute urine output. The other actions are not indicated.
"#"An older female client with Alzheimer's disease is wandering the busy halls of the extended
care facility and asks the nurse, "Where should I stand for the parade?" Which response should
the nurse provide?
HEALTH ASSIGNMENT EXAM
HESI PRACTICE PART 2
QUESTIONS AND VERIFIED
ANSWERS SOLUTIONS
LATEST UPDATE 2025\2026
GRADED A+
"#"The nurse should include which interventions in the plan of care for a severely depressed
client with neurovegetative symptoms? (Select all that apply.)
Permit rest periods as needed.
Speaking slowly and simply.
,Place the client on suicide precautions.
Observe and encourage food and fluid intake.
Encourage vigorous exercise and long walks on the unit. -VERIFIED SOLUTION- Permit rest
periods as needed.
Speaking slowly and simply.
Place the client on suicide precautions.
Observe and encourage food and fluid intake.
Neurovegetative symptoms that accompany the mood disorder of depression include
physiological disruptions, such as anorexia, constipation, sleep disturbance, and psychomotor
retardation. The client's plan of care should include measures that promote the client's comfort
and well-being, such as rest, nutrition, suicide precautions, and simple communications.
Vigorous exercise and long walks are not indicated for clients in a neurovegetative state.
"#"The nurse is planning the care for an adult client with acute depression. Which intervention
should the nurse implement to help the client deal with depression?
Ensure that the client's day is filled with group activities.
Assist the client in exploring feelings of shame, anger, and guilt.
Allow the client to initiate and determine activities of daily living.
Encourage the client to explore the rationale for depression. -VERIFIED SOLUTION- Assist
the client in exploring feelings of shame, anger, and guilt.
, Depression is associated with feelings of shame, anger, and guilt. Exploring such feelings with
the client is an important nursing intervention for a client who is acutely depressed. The other
interventions are not indicated.
"#"A client who is being treated with lithium carbonate for bipolar disorder develops diarrhea,
vomiting, and drowsiness. What action should the nurse take?
Notify the healthcare provider immediately and prepare for administration of an antidote.
Notify the healthcare provider of the symptoms prior to the next administration of the drug.
Record the symptoms as normal side effects and continue administration of the prescribed
dosage.
Hold the medication and refuse to administer additional amounts of the drug. -VERIFIED
SOLUTION- Notify the healthcare provider of the symptoms prior to the next administration
of the drug.
Early side effects of lithium carbonate that occur with a serum lithium levels below 2.0 mEq/L
generally follow a progressive pattern beginning with diarrhea, vomiting, drowsiness, and
muscular weakness. The nurse should notify the healthcare provider before giving the next dose,
which can contribute to higher serum drug levels that may cause ataxia, tinnitus, blurred vision,
and large dilute urine output. The other actions are not indicated.
"#"An older female client with Alzheimer's disease is wandering the busy halls of the extended
care facility and asks the nurse, "Where should I stand for the parade?" Which response should
the nurse provide?
