HESI Psychiatric/Mental Health Practice
Exam
A 19-12 months-antique girl consumer with a diagnosis of anorexia nervosa desires to help
serve dinner trays to different clients on a psychiatric unit. What action must the nurse take?
- Encourage the client's self-motivation by means of asking her to skip trays for the relaxation of
the week.
- Provide a further challenge by asking the customer to assist feed the older clients.
- Suggest every other way for this consumer to take part within the unit's activities.
- Tell the client that sanatorium hints permit handiest group of workers to pass the trays. - ANS--
Suggest another way for this client to take part in the unit's activities.
Clients with anorexia have to no longer be allowed to plan or put together food for unit activities
and their wants to do so need to be redirected (C). These customers advantage pleasure from
supplying others with food and looking them devour. Such behaviors beef up their belief of
self-control. (A and B) are contraindicated for a customer with anorexia nervosa. (D) avoids
addressing the hassle, so it's far fine to indicate another hobby for the customer.
A 22-12 months-vintage male client is admitted to the emergency middle following a suicide
attempt. His statistics screen that this is his third suicide attempt inside the past years. He is
aware, however does not reply to verbal commands for remedy. Which assessment locating
ought to spark off the nurse to prepare the consumer for gastric lavage?
- He ingested the drug 3 hours previous to admission to the emergency middle.
- The family reports that he took a whole bottle of acetaminophen (Tylenol).
- He is unresponsive to commands and is not able to cooperate with emetic therapy.
- Those with repeated suicide attempts preference punishment to relieve their guilt. - ANS-- He
is unresponsive to instructions and is not able to cooperate with emetic therapy.
Because the consumer is not able to comply with commands, emetic therapy could be very
tough to implement and gastric lavage would be essential (C). (A and B) ought to be taken into
consideration in figuring out the direction of treatment, however they're no longer the premise for
figuring out if gastric lavage may be implemented. Medical remedies should by no means be
used as "punitive" measures (D).
A 25-12 months-antique woman client has been specifically stressed and the nurse unearths
her trying to depart the psychiatric unit. She tells the nurse, "Please permit me pass! I have to
,depart due to the fact the name of the game police are after me." Which reaction is fine for the
nurse to make?
- "No one is once you, you are secure right here."
- "You'll experience higher after you have rested."
- "I understand you need to experience lonely and nervous."
- "Come with me on your room and I will sit down with you." - ANS-- "Come with me to your
room and I will sit down with you."
(D) is the great response because it gives assist without judgment or needs. (A) is arguing with
the patron's fable. (B) is offering false reassurance. (C) is a contravention of therapeutic verbal
exchange in that the nurse is telling the client how she feels (anxious and lonely), as opposed to
allowing the client to explain her personal emotions. Hallucinating and/or delusional clients are
not capable of discussing their emotions, in particular once they perceive a crisis.
A 27-yr-old girl customer is admitted to the psychiatric medical institution with a analysis of
bipolar disease, manic segment. She is traumatic and active. Which intervention need to the
nurse include on this client's plan of care?
- Schedule her to attend diverse organization sports.
- Reinforce her ability to make her personal decisions.
- Encourage her to perceive emotions of anger.
- Provide a established environment with little stimuli. - ANS-- Provide a established
environment with little stimuli.
Clients in the manic phase of a bipolar sickness require reduced stimuli and a structured
environment (D). Plan noncompetitive sports that can be executed by myself. (A) is
contraindicated; stimuli ought to be reduced as an awful lot as possible. Impulsive
choice-making is feature of clients with bipolar disease. To save you future headaches, the
nurse need to display these customers' choices and help them within the choice-making manner
(B). (C) is greater often related to despair than with bipolar ailment.
A 30-12 months-old sales manager tells the nurse, "I am considering a activity alternate. I don't
feel like I am dwelling up to my capacity." Which of Maslow's developmental tiers is the sales
manager trying to obtain?
- Self-Actualization.
- Loving and Belonging.
- Basic Needs.
- Safety and Security. - ANS-- Self-Actualization.
Self-actualization is the best stage of Maslow's improvement ranges, which is an attempt to fulfill
one's complete ability (C). (B) is identifying aid structures. (C) is the first degree of Maslow's
developmental levels and is the foundation upon which better wishes rest. Individuals who feel
, secure and stable (D) in their environment understand themselves as having bodily safety and
shortage fear of harm.
A 35-year-old male patron on the psychiatric unit of a standard hospital believes that a person is
making an attempt to poison him. The nurse is aware that a purchaser's delusions are maximum
in all likelihood related to his
- early youth experiences involving authority problems.
- anger about being hospitalized.
- low shallowness.
- phobic worry of food. - ANS-- low shallowness.
Psychotic clients have difficulty with believe and feature low self-esteem (C). Nursing care need
to be directed at constructing believe and selling advantageous self-esteem. Activities with
constrained attention and no competition must be endorsed if you want to construct vanity. (A,
B, and D) are not in particular associated with the development of delusions.
A 35-year-vintage male purchaser who has been hospitalized for 2 weeks for persistent
paranoia continues to country that someone is attempting to thieve his apparel. The most
appropriate action for the nurse to take is to
- inspire the customer to actively take part in assigned activities at the unit.
- location a lock at the customer's closet.
- ignore the client's paranoid ideation to extinguish those behaviors.
- provide an explanation for to the purchaser that his suspicions are false. - ANS-- inspire the
purchaser to actively participate in assigned activities at the unit.
Diverting the patron's interest from paranoid ideation and inspiring him to finish assignments
may be beneficial in supporting him to expand a high quality self-photograph (A). The patron's
problem isn't security, and (B) truly helps his paranoid ideation. (C) is not correct because
ignoring the purchaser's symptoms may additionally decrease his shallowness. The nurse
should not argue with the patron approximately his delusions (D), and ought to no longer try to
reason with the purchaser regarding his paranoid ideation.
A 38-year-old girl consumer is admitted with a prognosis of paranoid schizophrenia. When her
tray is delivered to her, she refuses to devour and tells the nurse, "I realize you are attempting to
poison me with that food." Which response would be maximum appropriate for the nurse to
make?
- "I'll depart your tray here. I am available if you want whatever else."
- "You're now not being poisoned. Why do you watched a person is trying to poison you?"
- "No one in this unit has ever died from poisoning. You're safe here."
Exam
A 19-12 months-antique girl consumer with a diagnosis of anorexia nervosa desires to help
serve dinner trays to different clients on a psychiatric unit. What action must the nurse take?
- Encourage the client's self-motivation by means of asking her to skip trays for the relaxation of
the week.
- Provide a further challenge by asking the customer to assist feed the older clients.
- Suggest every other way for this consumer to take part within the unit's activities.
- Tell the client that sanatorium hints permit handiest group of workers to pass the trays. - ANS--
Suggest another way for this client to take part in the unit's activities.
Clients with anorexia have to no longer be allowed to plan or put together food for unit activities
and their wants to do so need to be redirected (C). These customers advantage pleasure from
supplying others with food and looking them devour. Such behaviors beef up their belief of
self-control. (A and B) are contraindicated for a customer with anorexia nervosa. (D) avoids
addressing the hassle, so it's far fine to indicate another hobby for the customer.
A 22-12 months-vintage male client is admitted to the emergency middle following a suicide
attempt. His statistics screen that this is his third suicide attempt inside the past years. He is
aware, however does not reply to verbal commands for remedy. Which assessment locating
ought to spark off the nurse to prepare the consumer for gastric lavage?
- He ingested the drug 3 hours previous to admission to the emergency middle.
- The family reports that he took a whole bottle of acetaminophen (Tylenol).
- He is unresponsive to commands and is not able to cooperate with emetic therapy.
- Those with repeated suicide attempts preference punishment to relieve their guilt. - ANS-- He
is unresponsive to instructions and is not able to cooperate with emetic therapy.
Because the consumer is not able to comply with commands, emetic therapy could be very
tough to implement and gastric lavage would be essential (C). (A and B) ought to be taken into
consideration in figuring out the direction of treatment, however they're no longer the premise for
figuring out if gastric lavage may be implemented. Medical remedies should by no means be
used as "punitive" measures (D).
A 25-12 months-antique woman client has been specifically stressed and the nurse unearths
her trying to depart the psychiatric unit. She tells the nurse, "Please permit me pass! I have to
,depart due to the fact the name of the game police are after me." Which reaction is fine for the
nurse to make?
- "No one is once you, you are secure right here."
- "You'll experience higher after you have rested."
- "I understand you need to experience lonely and nervous."
- "Come with me on your room and I will sit down with you." - ANS-- "Come with me to your
room and I will sit down with you."
(D) is the great response because it gives assist without judgment or needs. (A) is arguing with
the patron's fable. (B) is offering false reassurance. (C) is a contravention of therapeutic verbal
exchange in that the nurse is telling the client how she feels (anxious and lonely), as opposed to
allowing the client to explain her personal emotions. Hallucinating and/or delusional clients are
not capable of discussing their emotions, in particular once they perceive a crisis.
A 27-yr-old girl customer is admitted to the psychiatric medical institution with a analysis of
bipolar disease, manic segment. She is traumatic and active. Which intervention need to the
nurse include on this client's plan of care?
- Schedule her to attend diverse organization sports.
- Reinforce her ability to make her personal decisions.
- Encourage her to perceive emotions of anger.
- Provide a established environment with little stimuli. - ANS-- Provide a established
environment with little stimuli.
Clients in the manic phase of a bipolar sickness require reduced stimuli and a structured
environment (D). Plan noncompetitive sports that can be executed by myself. (A) is
contraindicated; stimuli ought to be reduced as an awful lot as possible. Impulsive
choice-making is feature of clients with bipolar disease. To save you future headaches, the
nurse need to display these customers' choices and help them within the choice-making manner
(B). (C) is greater often related to despair than with bipolar ailment.
A 30-12 months-old sales manager tells the nurse, "I am considering a activity alternate. I don't
feel like I am dwelling up to my capacity." Which of Maslow's developmental tiers is the sales
manager trying to obtain?
- Self-Actualization.
- Loving and Belonging.
- Basic Needs.
- Safety and Security. - ANS-- Self-Actualization.
Self-actualization is the best stage of Maslow's improvement ranges, which is an attempt to fulfill
one's complete ability (C). (B) is identifying aid structures. (C) is the first degree of Maslow's
developmental levels and is the foundation upon which better wishes rest. Individuals who feel
, secure and stable (D) in their environment understand themselves as having bodily safety and
shortage fear of harm.
A 35-year-old male patron on the psychiatric unit of a standard hospital believes that a person is
making an attempt to poison him. The nurse is aware that a purchaser's delusions are maximum
in all likelihood related to his
- early youth experiences involving authority problems.
- anger about being hospitalized.
- low shallowness.
- phobic worry of food. - ANS-- low shallowness.
Psychotic clients have difficulty with believe and feature low self-esteem (C). Nursing care need
to be directed at constructing believe and selling advantageous self-esteem. Activities with
constrained attention and no competition must be endorsed if you want to construct vanity. (A,
B, and D) are not in particular associated with the development of delusions.
A 35-year-vintage male purchaser who has been hospitalized for 2 weeks for persistent
paranoia continues to country that someone is attempting to thieve his apparel. The most
appropriate action for the nurse to take is to
- inspire the customer to actively take part in assigned activities at the unit.
- location a lock at the customer's closet.
- ignore the client's paranoid ideation to extinguish those behaviors.
- provide an explanation for to the purchaser that his suspicions are false. - ANS-- inspire the
purchaser to actively participate in assigned activities at the unit.
Diverting the patron's interest from paranoid ideation and inspiring him to finish assignments
may be beneficial in supporting him to expand a high quality self-photograph (A). The patron's
problem isn't security, and (B) truly helps his paranoid ideation. (C) is not correct because
ignoring the purchaser's symptoms may additionally decrease his shallowness. The nurse
should not argue with the patron approximately his delusions (D), and ought to no longer try to
reason with the purchaser regarding his paranoid ideation.
A 38-year-old girl consumer is admitted with a prognosis of paranoid schizophrenia. When her
tray is delivered to her, she refuses to devour and tells the nurse, "I realize you are attempting to
poison me with that food." Which response would be maximum appropriate for the nurse to
make?
- "I'll depart your tray here. I am available if you want whatever else."
- "You're now not being poisoned. Why do you watched a person is trying to poison you?"
- "No one in this unit has ever died from poisoning. You're safe here."
