MENTAL HEALTH/PSYCH
HESI REVIEW QUESTIONS
2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,The nurse is planning care with a Mexican client who is diagnosed with
depression. The client believes in "mal ojo" (the evil eye) and uses treatment by a root
healer. The nurse should do which of the following?
1. Avoid talking to the client about the root healer.
2. Explain to the client that Western medicine has a scientific, not mystical, basis.
3. Explain that such beliefs are superstitious and should be forgotten.
4. Involve the root healer in a consultation with the client, primary health care
provider, and nurse.
4.
Including the root healer gives credibility and respect to the client's cultural
beliefs. Avoiding talking about the healer demonstrates either ignorance or disregard for
the client's cultural values. Negative comparison of root healing with Western medicine
not only denigrates the client's beliefs but is likely to alienate and cause the client to
end
treatment.
After a period of unsuccessful treatment with Elavil (amitriptyline), a woman
diagnosed with depression is switched to Parnate (tranylcypromine). Which statement
by the client indicates the client understands the side effects of Parnate?
1. "I need to increase my intake of sodium."
2. "I must refrain from strenuous exercise."
3. "I must refrain from eating aged cheese or yeast products."
4. "I should decrease my intake of foods containing sugar."
3.
Cheese and yeast products contain tyramine which the client should avoid to
prevent a negative interaction with Parnate, a monoamine oxidase (MAO) inhibitor.
Sodium will not interact with Parnate and neither exercise nor sugar needs to be limited.
,A client is scheduled for the first electroconvulsive therapy (ECT) treatment in
the morning. The client has been unable to sleep but at 10 PM refused to take Restoril
as
the nurse suggested. The client is still unable to sleep at 11:15 PM. In what order should
the nurse do the following?
1. Sit quietly with the client.
2. Encourage the use of Restoril.
3. Offer use of MP3 player with relaxing music.
4. Discuss specific concerns.
1, 4, 3, 2
The client is likely anxious about the procedure. The nurse should first spend time
with the client and then discuss the client's concerns about the procedure. Next, the
nurse could suggest the client listen to relaxing music. The use of the sleeping
medication would only be considered as a last resort since it might interfere with the
effectiveness of the seizure required for the treatment.
The client is receiving 6 mg of selegiline transdermal system every 24 hours for
major depression. The nurse should judge teaching about Emsam to be effective when
the client makes which statement?
"I need to avoid using the sauna at the gym."
2. "I can cut the patch and use a smaller piece."
3. "I need to wait until the next day to put on a new patch if it falls off."
4. "I might gain at least 10 lb (4.5 kg) from the medication."
1.
, Selegiline transdermal system is the first transdermal monoamine oxidase
inhibitor. The client needs to avoid exposing the application site to external sources of
direct heat, such as saunas, heating lamps, electric blankets, heating pads, heated
water
beds, and prolonged direct sunlight because heat increases the amount of selegiline
that
is absorbed, resulting in elevated serum levels of selegiline. Cutting the patch and using
a smaller piece will result in a decreased amount of medication absorption, most likely
leading to a worsening of the symptoms of depression. The client should apply a new
patch as soon as possible if one falls off to ensure an adequate amount of medication
absorption. Selegiline is not associated with significant weight gain, although a weight
gain of 1 to 2 lb (2.2 to 4.4 kg) is possible.
A client has been taking 30 mg of duloxetine hydrochloride (Cymbalta) twice
daily for 2 months because of depression and vague aches and pains. While interacting
with the nurse, the client discloses a pattern of drinking a six-pack of beer daily for the
past 10 years to help with sleep. What should the nurse do first?
1. Refer the client to the dual diagnosis program at the clinic.
2. Share the information at the next interdisciplinary treatment conference.
3. Report the client's beer consumption to the primary health care provider.
4. Teach the client relaxation exercises to perform before bedtime.
3.
The nurse should report the client's beer consumption to the primary health care
provider. Duloxetine should not be administered to a client with renal or hepatic
insufficiency because the medication can elevate liver enzymes and, together with
substantial alcohol use, can cause liver injury. Referring the client to the dual diagnosis
program, sharing information at the next interdisciplinary treatment conference, and
teaching the client relaxation exercises are helpful interventions for the nurse to
HESI REVIEW QUESTIONS
2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,The nurse is planning care with a Mexican client who is diagnosed with
depression. The client believes in "mal ojo" (the evil eye) and uses treatment by a root
healer. The nurse should do which of the following?
1. Avoid talking to the client about the root healer.
2. Explain to the client that Western medicine has a scientific, not mystical, basis.
3. Explain that such beliefs are superstitious and should be forgotten.
4. Involve the root healer in a consultation with the client, primary health care
provider, and nurse.
4.
Including the root healer gives credibility and respect to the client's cultural
beliefs. Avoiding talking about the healer demonstrates either ignorance or disregard for
the client's cultural values. Negative comparison of root healing with Western medicine
not only denigrates the client's beliefs but is likely to alienate and cause the client to
end
treatment.
After a period of unsuccessful treatment with Elavil (amitriptyline), a woman
diagnosed with depression is switched to Parnate (tranylcypromine). Which statement
by the client indicates the client understands the side effects of Parnate?
1. "I need to increase my intake of sodium."
2. "I must refrain from strenuous exercise."
3. "I must refrain from eating aged cheese or yeast products."
4. "I should decrease my intake of foods containing sugar."
3.
Cheese and yeast products contain tyramine which the client should avoid to
prevent a negative interaction with Parnate, a monoamine oxidase (MAO) inhibitor.
Sodium will not interact with Parnate and neither exercise nor sugar needs to be limited.
,A client is scheduled for the first electroconvulsive therapy (ECT) treatment in
the morning. The client has been unable to sleep but at 10 PM refused to take Restoril
as
the nurse suggested. The client is still unable to sleep at 11:15 PM. In what order should
the nurse do the following?
1. Sit quietly with the client.
2. Encourage the use of Restoril.
3. Offer use of MP3 player with relaxing music.
4. Discuss specific concerns.
1, 4, 3, 2
The client is likely anxious about the procedure. The nurse should first spend time
with the client and then discuss the client's concerns about the procedure. Next, the
nurse could suggest the client listen to relaxing music. The use of the sleeping
medication would only be considered as a last resort since it might interfere with the
effectiveness of the seizure required for the treatment.
The client is receiving 6 mg of selegiline transdermal system every 24 hours for
major depression. The nurse should judge teaching about Emsam to be effective when
the client makes which statement?
"I need to avoid using the sauna at the gym."
2. "I can cut the patch and use a smaller piece."
3. "I need to wait until the next day to put on a new patch if it falls off."
4. "I might gain at least 10 lb (4.5 kg) from the medication."
1.
, Selegiline transdermal system is the first transdermal monoamine oxidase
inhibitor. The client needs to avoid exposing the application site to external sources of
direct heat, such as saunas, heating lamps, electric blankets, heating pads, heated
water
beds, and prolonged direct sunlight because heat increases the amount of selegiline
that
is absorbed, resulting in elevated serum levels of selegiline. Cutting the patch and using
a smaller piece will result in a decreased amount of medication absorption, most likely
leading to a worsening of the symptoms of depression. The client should apply a new
patch as soon as possible if one falls off to ensure an adequate amount of medication
absorption. Selegiline is not associated with significant weight gain, although a weight
gain of 1 to 2 lb (2.2 to 4.4 kg) is possible.
A client has been taking 30 mg of duloxetine hydrochloride (Cymbalta) twice
daily for 2 months because of depression and vague aches and pains. While interacting
with the nurse, the client discloses a pattern of drinking a six-pack of beer daily for the
past 10 years to help with sleep. What should the nurse do first?
1. Refer the client to the dual diagnosis program at the clinic.
2. Share the information at the next interdisciplinary treatment conference.
3. Report the client's beer consumption to the primary health care provider.
4. Teach the client relaxation exercises to perform before bedtime.
3.
The nurse should report the client's beer consumption to the primary health care
provider. Duloxetine should not be administered to a client with renal or hepatic
insufficiency because the medication can elevate liver enzymes and, together with
substantial alcohol use, can cause liver injury. Referring the client to the dual diagnosis
program, sharing information at the next interdisciplinary treatment conference, and
teaching the client relaxation exercises are helpful interventions for the nurse to
