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
The nurse should include which interventions in the plan of care for a severely depressed client
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
with neurovegetative symptoms? (Select all that apply.)
Il` Il` Il` Il` Il` Il` Il`
o Permit rest periods as needed.
Il` Il` Il` Il` Il`
o Speaking slowly and simply.
Il` Il` Il` Il`
o Place the client on suicide precautions.
Il` Il` Il` Il` Il` Il`
o Observe and encourage food and fluid intake.
Il` Il` Il` Il` Il` Il` Il`
o Encourage vigorous exercise and long walks on the unit.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Permit rest periods as needed.
Il` Il` Il` Il` Il`
o Speaking slowly and simply.
Il` Il` Il` Il`
o Place the client on suicide precautions.
Il` Il` Il` Il` Il` Il`
o Observe and encourage food and fluid intake.
Il` Il` Il` Il` Il` Il` Il`
· Neurovegetative symptoms that accompany the mood disorder of depression include
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
physiological disruptions, such as anorexia, constipation, sleep disturbance, and psychomotor
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
retardation. The client's plan of care should include measures that promote the client's comfort
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
and well-being, such as rest, nutrition, suicide precautions, and simple communications. Vigorous
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
exercise and long walks are not indicated for clients in a neurovegetative state.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
We have an expert-written solution to this problem!
,Which diet selection by a client who is depressed and taking the MAO inhibitor tranylcypromine
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
sulfate (Parnate) indicates to the nurse that the client understands the dietary restrictions
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
imposed by this medication regimen?
Il` Il` Il` Il` Il`
o Hamburger, French fries, and chocolate milkshake.
Il` Il` Il` Il` Il` Il`
o Liver and onions, broccoli, and decaffeinated coffee.
Il` Il` Il` Il` Il` Il` Il`
o Pepperoni and cheese pizza, tossed salad, and a soft drink.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Roast beef, baked potato with butter, and iced tea.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Roast beef, baked potato with butter, and iced tea.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
· Foods with tyramine interact with MAOI antidepressant, such as Parnate, and can cause a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
hypertensive crisis that is life-threatening. Roast beef, potatoes, butter, and tea do not contain
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
tyramine. The other selections contain tyramine and should be avoided by the client who is taking
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Parnate.
Il`
We have an expert-written solution to this problem!
AD
An older male client in the intensive care unit who has been oriented suddenly becomes
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
disoriented and fearful. Assessment of vital signs and other physical parameters reveal no
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
significant change and the nurse formulates the client's problem as confusion related to ICU
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
psychosis. Which intervention is most important for the nurse implement?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Move all machines away from the client's immediate area.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Attempt to allay the client's fears by explaining the etiology of confusion.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Cluster care so brief periods of rest can be scheduled during the day.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Extend visitation times for family and friends.
Il` Il` Il` Il` Il` Il` Il`
o Cluster care so brief periods of rest can be scheduled during the day.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
· The critical care environment confronts clients with an environment which is stressful and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
heightened by treatment modalities that may prove to be lifesaving. These stressors can result in
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
isolation or sensory overload that leads to confusion. The best intervention is to cluster care to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
provide the client with uninterrupted rest periods. The other actions may not be possible.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
,A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Reassure the client by telling him that his fear of the admission procedure is to be expected.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Tell the client that no one is accusing him of murder and remind him that the hospital is a safe
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
place.
Il`
o Assess the content of the hallucinations by asking the client what he is hearing.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Ignore the behavior and make no response at all to his delusional statements.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Assess the content of the hallucinations by asking the client what he is hearing.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
· Further assessment is indicated and the nurse should obtain information about what the client
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
believes the voices are telling him--they may be telling him to kill himself or the nurse. The other
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
actions are not indicated.
Il` Il` Il` Il`
We have an expert-written solution to this problem!
The nurse is assessing a client's intelligence. Which factor should the nurse remember during this
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
part of the mental status exam?
Il` Il` Il` Il` Il` Il`
o Acute psychiatric illnesses impair intelligence.
Il` Il` Il` Il` Il`
o Intelligence is influenced by social and cultural beliefs.
Il` Il` Il` Il` Il` Il` Il` Il`
o Poor concentration skills suggests limited intelligence.
Il` Il` Il` Il` Il` Il`
o The inability to think abstractly indicates limited intelligence.
Il` Il` Il` Il` Il` Il` Il` Il`
o Intelligence is influenced by social and cultural beliefs.
Il` Il` Il` Il` Il` Il` Il` Il`
· Social and cultural beliefs have significant impact on intelligence. The other factors do not
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
necessarily suggest limited intelligence.
Il` Il` Il` Il`
We have an expert-written solution to this problem!
, A young adult male client, diagnosed with paranoid schizophrenia, believes that world is trying to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
poison him. What intervention should the nurse include in this client's plan of care?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Remind the client that his suspicions are not true.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Ask one nurse to spend time with the client daily.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Encourage the client to participate in group activities.
Il` Il` Il` Il` Il` Il` Il` Il`
o Assign the client to a room closest to the activity room.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Ask one nurse to spend time with the client daily.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
· A client with paranoid schizophrenia has difficulty with trust and developing a trusting
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
relationships, the plan of care should include providing one nurse to spend time with the client
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
daily, which is likely to be therapeutic for this client. The other actions are too stressful for the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
client and not indicated.
Il` Il` Il` Il`
We have an expert-written solution to this problem!
The nurse is assessing a client who is admitted with a diagnosis of depression. Which findings is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
characteristic of depression?
Il` Il` Il`
o Grandiose ideation.
Il` Il`
o Self-destructive thoughts.
Il` Il`
o Suspiciousness of others.
Il` Il` Il`
o A negative view of self and the future.
Il` Il` Il` Il` Il` Il` Il` Il`
o A negative view of self and the future.
Il` Il` Il` Il` Il` Il` Il` Il`
· Negative self-image and feelings of hopelessness about the future are specific findings in
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
depression. The other findings are not the underlying manifestations in depression.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
We have an expert-written solution to this problem!
The nurse is taking a history for a female client who is requesting a routine female exam. Which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
assessment finding requires follow-up?
Il` Il` Il` Il`
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
The nurse should include which interventions in the plan of care for a severely depressed client
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
with neurovegetative symptoms? (Select all that apply.)
Il` Il` Il` Il` Il` Il` Il`
o Permit rest periods as needed.
Il` Il` Il` Il` Il`
o Speaking slowly and simply.
Il` Il` Il` Il`
o Place the client on suicide precautions.
Il` Il` Il` Il` Il` Il`
o Observe and encourage food and fluid intake.
Il` Il` Il` Il` Il` Il` Il`
o Encourage vigorous exercise and long walks on the unit.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Permit rest periods as needed.
Il` Il` Il` Il` Il`
o Speaking slowly and simply.
Il` Il` Il` Il`
o Place the client on suicide precautions.
Il` Il` Il` Il` Il` Il`
o Observe and encourage food and fluid intake.
Il` Il` Il` Il` Il` Il` Il`
· Neurovegetative symptoms that accompany the mood disorder of depression include
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
physiological disruptions, such as anorexia, constipation, sleep disturbance, and psychomotor
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
retardation. The client's plan of care should include measures that promote the client's comfort
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
and well-being, such as rest, nutrition, suicide precautions, and simple communications. Vigorous
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
exercise and long walks are not indicated for clients in a neurovegetative state.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
We have an expert-written solution to this problem!
,Which diet selection by a client who is depressed and taking the MAO inhibitor tranylcypromine
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
sulfate (Parnate) indicates to the nurse that the client understands the dietary restrictions
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
imposed by this medication regimen?
Il` Il` Il` Il` Il`
o Hamburger, French fries, and chocolate milkshake.
Il` Il` Il` Il` Il` Il`
o Liver and onions, broccoli, and decaffeinated coffee.
Il` Il` Il` Il` Il` Il` Il`
o Pepperoni and cheese pizza, tossed salad, and a soft drink.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Roast beef, baked potato with butter, and iced tea.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Roast beef, baked potato with butter, and iced tea.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
· Foods with tyramine interact with MAOI antidepressant, such as Parnate, and can cause a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
hypertensive crisis that is life-threatening. Roast beef, potatoes, butter, and tea do not contain
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
tyramine. The other selections contain tyramine and should be avoided by the client who is taking
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Parnate.
Il`
We have an expert-written solution to this problem!
AD
An older male client in the intensive care unit who has been oriented suddenly becomes
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
disoriented and fearful. Assessment of vital signs and other physical parameters reveal no
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
significant change and the nurse formulates the client's problem as confusion related to ICU
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
psychosis. Which intervention is most important for the nurse implement?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Move all machines away from the client's immediate area.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Attempt to allay the client's fears by explaining the etiology of confusion.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Cluster care so brief periods of rest can be scheduled during the day.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Extend visitation times for family and friends.
Il` Il` Il` Il` Il` Il` Il`
o Cluster care so brief periods of rest can be scheduled during the day.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
· The critical care environment confronts clients with an environment which is stressful and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
heightened by treatment modalities that may prove to be lifesaving. These stressors can result in
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
isolation or sensory overload that leads to confusion. The best intervention is to cluster care to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
provide the client with uninterrupted rest periods. The other actions may not be possible.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
,A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Reassure the client by telling him that his fear of the admission procedure is to be expected.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Tell the client that no one is accusing him of murder and remind him that the hospital is a safe
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
place.
Il`
o Assess the content of the hallucinations by asking the client what he is hearing.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Ignore the behavior and make no response at all to his delusional statements.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Assess the content of the hallucinations by asking the client what he is hearing.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
· Further assessment is indicated and the nurse should obtain information about what the client
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
believes the voices are telling him--they may be telling him to kill himself or the nurse. The other
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
actions are not indicated.
Il` Il` Il` Il`
We have an expert-written solution to this problem!
The nurse is assessing a client's intelligence. Which factor should the nurse remember during this
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
part of the mental status exam?
Il` Il` Il` Il` Il` Il`
o Acute psychiatric illnesses impair intelligence.
Il` Il` Il` Il` Il`
o Intelligence is influenced by social and cultural beliefs.
Il` Il` Il` Il` Il` Il` Il` Il`
o Poor concentration skills suggests limited intelligence.
Il` Il` Il` Il` Il` Il`
o The inability to think abstractly indicates limited intelligence.
Il` Il` Il` Il` Il` Il` Il` Il`
o Intelligence is influenced by social and cultural beliefs.
Il` Il` Il` Il` Il` Il` Il` Il`
· Social and cultural beliefs have significant impact on intelligence. The other factors do not
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
necessarily suggest limited intelligence.
Il` Il` Il` Il`
We have an expert-written solution to this problem!
, A young adult male client, diagnosed with paranoid schizophrenia, believes that world is trying to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
poison him. What intervention should the nurse include in this client's plan of care?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Remind the client that his suspicions are not true.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Ask one nurse to spend time with the client daily.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Encourage the client to participate in group activities.
Il` Il` Il` Il` Il` Il` Il` Il`
o Assign the client to a room closest to the activity room.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
o Ask one nurse to spend time with the client daily.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
· A client with paranoid schizophrenia has difficulty with trust and developing a trusting
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
relationships, the plan of care should include providing one nurse to spend time with the client
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
daily, which is likely to be therapeutic for this client. The other actions are too stressful for the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
client and not indicated.
Il` Il` Il` Il`
We have an expert-written solution to this problem!
The nurse is assessing a client who is admitted with a diagnosis of depression. Which findings is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
characteristic of depression?
Il` Il` Il`
o Grandiose ideation.
Il` Il`
o Self-destructive thoughts.
Il` Il`
o Suspiciousness of others.
Il` Il` Il`
o A negative view of self and the future.
Il` Il` Il` Il` Il` Il` Il` Il`
o A negative view of self and the future.
Il` Il` Il` Il` Il` Il` Il` Il`
· Negative self-image and feelings of hopelessness about the future are specific findings in
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
depression. The other findings are not the underlying manifestations in depression.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
We have an expert-written solution to this problem!
The nurse is taking a history for a female client who is requesting a routine female exam. Which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
assessment finding requires follow-up?
Il` Il` Il` Il`
