NU473 HESI PSYCHIATRIC/MENTAL
HEALTH PRACTICE EXAM - 75
QUESTIONS (UMB NU473 NURS473 NU
473 NURS 473 EVIDENCE-CONCEPTS OF
HEALTH AND ILLNESS IV (UMB UMASS
BOSTON, SPRING 2025)
PSYCHIATRIC/MENTAL HEALTH
PRACTICE EXAM - 75 QUESTIONS)
ANSWERED CORRECTLY TO PASS!!
,1 of 75
Term
The nurse is planning discharge for a male client with schizophrenia.
The client insists that he is returning to his apartment, although the
healthcare provider informed him that he will be moving to a
boarding home. What is the most important nursing problem for
discharge planning?
o Ineffective denial related to situational anxiety.
o Ineffective coping related to inadequate support.
o Social isolation related to difficult interactions.
o Self-care deficit related to cognitive impairment.
Give this one a try later!
o Projecting feelings onto the nurse.
· Projection is attributing one's own thoughts, impulses, or behaviors
onto another--it may be the mother who might be harming the child and
she is
attributing her actions to the nurse. The other evaluations are not the most likely
based on the child's history of previous injuries.
o Ineffective denial related to situational anxiety.
· The client is unable to acknowledge the move to a boarding home, which
is related to denial related to situational anxiety. the other problem
statements may also be indicated but the client's use of denial as a
defense mechanism keeps the client from dealing with his feelings about
living
arrangements.
o What do you believe the news commentator said to you?
· It is imperative that the nurse determine what the client believes she heard.
The idea of reference may be to hurt herself or someone else, and the main
function of the psychiatric nurse is to maintain safety. The other responses are
not the priority.
, o Increased self-understanding.
· Middle adulthood is characterized by self-reflection, understanding,
acceptance, and generativity or guidance of children. The other developmental
tasks are not specific to middle adulthood.
Don't know?
2 of 75
Term
A client who has been admitted to the psychiatric unit tells the
nurse, "My problems are so bad that no one can help me." Which
response is best for the nurse to make?
o How can I help?
o Things probably aren't as bad as they seem right now.
o Let's talk about what is right with your life.
o I hear how miserable you are, but things will get better soon.
Give this one a try later!
o 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.
o How can I help?
, · Offering self shows empathy and caring and is the best response to
provide. The other responses do not convey that the nurse is listening to
the client's distress.
o Chlordiazepoxide (Librium).
· Librium, an antianxiety drug as well as other benzodiazepines, is used in
titrated doses to reduce the severity of abrupt benzodiazepine withdrawal.
The other
medications are not indicated for benzodiazepine withdrawal.
o Flat affect.
· Disinterest, and diminished or lack of facial expression is characteristic
of schizophrenia and is referred to as a flat affect. The other findings are
not associated with schizophrenia.
Don't know?
HEALTH PRACTICE EXAM - 75
QUESTIONS (UMB NU473 NURS473 NU
473 NURS 473 EVIDENCE-CONCEPTS OF
HEALTH AND ILLNESS IV (UMB UMASS
BOSTON, SPRING 2025)
PSYCHIATRIC/MENTAL HEALTH
PRACTICE EXAM - 75 QUESTIONS)
ANSWERED CORRECTLY TO PASS!!
,1 of 75
Term
The nurse is planning discharge for a male client with schizophrenia.
The client insists that he is returning to his apartment, although the
healthcare provider informed him that he will be moving to a
boarding home. What is the most important nursing problem for
discharge planning?
o Ineffective denial related to situational anxiety.
o Ineffective coping related to inadequate support.
o Social isolation related to difficult interactions.
o Self-care deficit related to cognitive impairment.
Give this one a try later!
o Projecting feelings onto the nurse.
· Projection is attributing one's own thoughts, impulses, or behaviors
onto another--it may be the mother who might be harming the child and
she is
attributing her actions to the nurse. The other evaluations are not the most likely
based on the child's history of previous injuries.
o Ineffective denial related to situational anxiety.
· The client is unable to acknowledge the move to a boarding home, which
is related to denial related to situational anxiety. the other problem
statements may also be indicated but the client's use of denial as a
defense mechanism keeps the client from dealing with his feelings about
living
arrangements.
o What do you believe the news commentator said to you?
· It is imperative that the nurse determine what the client believes she heard.
The idea of reference may be to hurt herself or someone else, and the main
function of the psychiatric nurse is to maintain safety. The other responses are
not the priority.
, o Increased self-understanding.
· Middle adulthood is characterized by self-reflection, understanding,
acceptance, and generativity or guidance of children. The other developmental
tasks are not specific to middle adulthood.
Don't know?
2 of 75
Term
A client who has been admitted to the psychiatric unit tells the
nurse, "My problems are so bad that no one can help me." Which
response is best for the nurse to make?
o How can I help?
o Things probably aren't as bad as they seem right now.
o Let's talk about what is right with your life.
o I hear how miserable you are, but things will get better soon.
Give this one a try later!
o 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.
o How can I help?
, · Offering self shows empathy and caring and is the best response to
provide. The other responses do not convey that the nurse is listening to
the client's distress.
o Chlordiazepoxide (Librium).
· Librium, an antianxiety drug as well as other benzodiazepines, is used in
titrated doses to reduce the severity of abrupt benzodiazepine withdrawal.
The other
medications are not indicated for benzodiazepine withdrawal.
o Flat affect.
· Disinterest, and diminished or lack of facial expression is characteristic
of schizophrenia and is referred to as a flat affect. The other findings are
not associated with schizophrenia.
Don't know?
