HESI Case Study - Psychiatric/Mental
Health Practice Exam
A 19-12 months-old girl client with a analysis of anorexia nervosa desires to assist serve dinner
trays to different clients on a psychiatric unit. What movement have to the nurse take?
A) Encourage the patron's participation in unit activities by means of asking her to skip trays for
the rest of the week.
B) Provide an additional challenge by asking the client to additionally help feed the older clients.
C) Suggest every other way for this client to take part in unit activities.
D) Tell the consumer that hospital policy does not allow her to bypass trays. - ANS-C. Suggest
some other way for this customer to take part in the unit's sports.
A 22-year-vintage male customer is admitted to the emergency center following a suicide strive.
His records monitor that that is his third suicide attempt within the past two years. He is
conscious, however does now not reply to verbal instructions for treatment. Which assessment
locating should set off the nurse to prepare the consumer for gastric lavage?
A) He ingested the drug three hours prior to admission to the emergency middle.
B) The family reviews that he took a whole bottle of acetaminophen (Tylenol).
C) He is unresponsive to instructions and is unable to cooperate with emetic therapy.
D) Those with repeated suicide tries preference punishment to alleviate their guilt. - ANS-C. He
is unresponsive to commands and is unable to cooperate with emetic remedy.
A 25-12 months-old lady customer has been in particular restless and the nurse reveals her
seeking to depart the psychiatric unit. She tells the nurse, "Please let me cross! I ought to leave
because the name of the game police are after me." Which response is exceptional for the
nurse to make?
A) "No one is when you, you're secure here."
B) "You'll experience higher after you have rested."
C) "I understand you must sense lonely and worried."
D) "Come with me on your room and I will take a seat with you." - ANS-D. "Come with me on
your room and I will sit down with you."
A 27-yr-antique girl consumer is admitted to the psychiatric health center with a diagnosis of
bipolar disease, manic phase. She is stressful and active. Which intervention have to the nurse
consist of on this purchaser's plan of care?
A) Schedule her to wait various organization activities.
B) Reinforce her capacity to make her very own decisions.
C) Encourage her to identify emotions of anger.
,D) Provide a established surroundings with little stimuli. - ANS-D. Provide a based environment
with little stimuli
A 30-year-antique sales manager tells the nurse, "I am considering a job change. I don't sense
like I am living up to my capability." Which of Maslow's developmental levels is the sales
manager trying to acquire?
A) Self-Actualization.
B) Loving and Belonging.
C) Basic Needs.
D) Safety and Security. - ANS-A. Self-Actualization
A 35-12 months-antique male patron at the psychiatric ward of a preferred health facility
believes that a person is making an attempt to poison him. The nurse understands that a
customer's delusions are maximum possibly related to his
A) early adolescence stories related to authority problems.
B) anger about being hospitalized.
C) low vanity.
D) phobic fear of meals. - ANS-C. Low self-worth
A 35-year-old male purchaser who has been hospitalized for two weeks for continual paranoia
maintains to kingdom that a person is trying to thieve his apparel. Which motion need to the
nurse implement?
A) Encourage the patron to actively participate in assigned sports at the unit.
B) Place a lock on the client's closet.
C) Ignore the customer's paranoid ideation to extinguish these behaviors.
D) Explain to the consumer that his suspicions are fake. - ANS-C. Inspire the patron to actively
participate in assigned sports on the unit.
A 38-yr-vintage female customer is admitted with a analysis of paranoid schizophrenia. When
her tray is introduced to her, she refuses to consume and tells the nurse, "I understand you are
trying to poison me with that meals." Which reaction is most appropriate for the nurse to make?
A) "I'll depart your tray right here. I am available if you want some thing else."
B) "You're no longer being poisoned. Why do you believe you studied someone is trying to
poison you?"
C) "No one in this unit has ever died from poisoning. You're safe here."
D) "I will speak on your healthcare company about the possibility of changing your eating
regimen." - ANS-A. "I'll go away your tray right here. I am available in case you want something
else."
A 40-12 months-old male customer diagnosed with schizophrenia and alcohol dependence has
now not had any visitors or smartphone calls for the reason that admission. He reviews he has
no own family that cares about him and changed into living at the streets previous to this
admission. According to Erikson's idea of psychosocial improvement, which degree is the
purchaser in at this time?
, A) Isolation.
B) Stagnation.
C) Despair.
D) Role confusion. - ANS-B. Stagnation
A 45-yr-vintage girl consumer is admitted to the psychiatric unit for assessment. Her husband
states that she has been reluctant to leave home for the final six months. The patron has no
longer long past to paintings for a month and has been terminated from her activity. She has
now not left the residence on account that that point. This purchaser is showing signs of what
circumstance?
A) Claustrophobia.
B) Acrophobia.
C) Agoraphobia.
D) Post-stressful stress disease. - ANS-C. Agoraphobia
A forty five-yr-antique male customer tells the nurse that he used to believe that he was Jesus
Christ, however now he knows he isn't always. Which response is excellent for the nurse to
make?
A) "Did you really accept as true with you had been Jesus Christ?"
B) "I think you are getting nicely."
C) "Others have had similar mind whilst under pressure."
D) "Why did you think you have been Jesus Christ?" - ANS-Others have has similar thoughts
while under strain
A forty six-yr-old girl client has been on antipsychotic neuroleptics for the past three days. She
has had a decrease in psychotic conduct and appears to be responding well to the drugs. On
the fourth day, the customer's blood strain will increase, she turns into light and febrile, and
demonstrates muscular tension. Which motion must the nurse provoke?
A) Place the patron on seizure precautions and monitor carefully.
B) Immediately transfer the purchaser to ICU.
C) Describe the signs and symptoms to the charge nurse and report on the patron's chart.
D) No motion is required presently as those are known side consequences of such drugs. -
ANS-B. Immediatley transfer the customer to ICU
A fifty two-12 months-vintage male customer in the intensive care unit who has been orientated
all at once turns into disoriented and fearful. Assessment of essential signs and symptoms and
other physical parameters screen no great exchange and the nurse formulates the prognosis,
"Confusion associated with ICU psychosis." Which intervention is excellent to enforce?
A) Move all machines faraway from the customer's instantaneous area.
B) Attempt to allay the consumer's fears by way of explaining the etiology of his condition.
C) Cluster care in order that short periods of relaxation may be scheduled during the day.
D) Extend visitation times for circle of relatives and buddies. - ANS-C. Cluster care so that quick
durations of relaxation can be scheduled for the duration of the day.
Health Practice Exam
A 19-12 months-old girl client with a analysis of anorexia nervosa desires to assist serve dinner
trays to different clients on a psychiatric unit. What movement have to the nurse take?
A) Encourage the patron's participation in unit activities by means of asking her to skip trays for
the rest of the week.
B) Provide an additional challenge by asking the client to additionally help feed the older clients.
C) Suggest every other way for this client to take part in unit activities.
D) Tell the consumer that hospital policy does not allow her to bypass trays. - ANS-C. Suggest
some other way for this customer to take part in the unit's sports.
A 22-year-vintage male customer is admitted to the emergency center following a suicide strive.
His records monitor that that is his third suicide attempt within the past two years. He is
conscious, however does now not reply to verbal instructions for treatment. Which assessment
locating should set off the nurse to prepare the consumer for gastric lavage?
A) He ingested the drug three hours prior to admission to the emergency middle.
B) The family reviews that he took a whole bottle of acetaminophen (Tylenol).
C) He is unresponsive to instructions and is unable to cooperate with emetic therapy.
D) Those with repeated suicide tries preference punishment to alleviate their guilt. - ANS-C. He
is unresponsive to commands and is unable to cooperate with emetic remedy.
A 25-12 months-old lady customer has been in particular restless and the nurse reveals her
seeking to depart the psychiatric unit. She tells the nurse, "Please let me cross! I ought to leave
because the name of the game police are after me." Which response is exceptional for the
nurse to make?
A) "No one is when you, you're secure here."
B) "You'll experience higher after you have rested."
C) "I understand you must sense lonely and worried."
D) "Come with me on your room and I will take a seat with you." - ANS-D. "Come with me on
your room and I will sit down with you."
A 27-yr-antique girl consumer is admitted to the psychiatric health center with a diagnosis of
bipolar disease, manic phase. She is stressful and active. Which intervention have to the nurse
consist of on this purchaser's plan of care?
A) Schedule her to wait various organization activities.
B) Reinforce her capacity to make her very own decisions.
C) Encourage her to identify emotions of anger.
,D) Provide a established surroundings with little stimuli. - ANS-D. Provide a based environment
with little stimuli
A 30-year-antique sales manager tells the nurse, "I am considering a job change. I don't sense
like I am living up to my capability." Which of Maslow's developmental levels is the sales
manager trying to acquire?
A) Self-Actualization.
B) Loving and Belonging.
C) Basic Needs.
D) Safety and Security. - ANS-A. Self-Actualization
A 35-12 months-antique male patron at the psychiatric ward of a preferred health facility
believes that a person is making an attempt to poison him. The nurse understands that a
customer's delusions are maximum possibly related to his
A) early adolescence stories related to authority problems.
B) anger about being hospitalized.
C) low vanity.
D) phobic fear of meals. - ANS-C. Low self-worth
A 35-year-old male purchaser who has been hospitalized for two weeks for continual paranoia
maintains to kingdom that a person is trying to thieve his apparel. Which motion need to the
nurse implement?
A) Encourage the patron to actively participate in assigned sports at the unit.
B) Place a lock on the client's closet.
C) Ignore the customer's paranoid ideation to extinguish these behaviors.
D) Explain to the consumer that his suspicions are fake. - ANS-C. Inspire the patron to actively
participate in assigned sports on the unit.
A 38-yr-vintage female customer is admitted with a analysis of paranoid schizophrenia. When
her tray is introduced to her, she refuses to consume and tells the nurse, "I understand you are
trying to poison me with that meals." Which reaction is most appropriate for the nurse to make?
A) "I'll depart your tray right here. I am available if you want some thing else."
B) "You're no longer being poisoned. Why do you believe you studied someone is trying to
poison you?"
C) "No one in this unit has ever died from poisoning. You're safe here."
D) "I will speak on your healthcare company about the possibility of changing your eating
regimen." - ANS-A. "I'll go away your tray right here. I am available in case you want something
else."
A 40-12 months-old male customer diagnosed with schizophrenia and alcohol dependence has
now not had any visitors or smartphone calls for the reason that admission. He reviews he has
no own family that cares about him and changed into living at the streets previous to this
admission. According to Erikson's idea of psychosocial improvement, which degree is the
purchaser in at this time?
, A) Isolation.
B) Stagnation.
C) Despair.
D) Role confusion. - ANS-B. Stagnation
A 45-yr-vintage girl consumer is admitted to the psychiatric unit for assessment. Her husband
states that she has been reluctant to leave home for the final six months. The patron has no
longer long past to paintings for a month and has been terminated from her activity. She has
now not left the residence on account that that point. This purchaser is showing signs of what
circumstance?
A) Claustrophobia.
B) Acrophobia.
C) Agoraphobia.
D) Post-stressful stress disease. - ANS-C. Agoraphobia
A forty five-yr-antique male customer tells the nurse that he used to believe that he was Jesus
Christ, however now he knows he isn't always. Which response is excellent for the nurse to
make?
A) "Did you really accept as true with you had been Jesus Christ?"
B) "I think you are getting nicely."
C) "Others have had similar mind whilst under pressure."
D) "Why did you think you have been Jesus Christ?" - ANS-Others have has similar thoughts
while under strain
A forty six-yr-old girl client has been on antipsychotic neuroleptics for the past three days. She
has had a decrease in psychotic conduct and appears to be responding well to the drugs. On
the fourth day, the customer's blood strain will increase, she turns into light and febrile, and
demonstrates muscular tension. Which motion must the nurse provoke?
A) Place the patron on seizure precautions and monitor carefully.
B) Immediately transfer the purchaser to ICU.
C) Describe the signs and symptoms to the charge nurse and report on the patron's chart.
D) No motion is required presently as those are known side consequences of such drugs. -
ANS-B. Immediatley transfer the customer to ICU
A fifty two-12 months-vintage male customer in the intensive care unit who has been orientated
all at once turns into disoriented and fearful. Assessment of essential signs and symptoms and
other physical parameters screen no great exchange and the nurse formulates the prognosis,
"Confusion associated with ICU psychosis." Which intervention is excellent to enforce?
A) Move all machines faraway from the customer's instantaneous area.
B) Attempt to allay the consumer's fears by way of explaining the etiology of his condition.
C) Cluster care in order that short periods of relaxation may be scheduled during the day.
D) Extend visitation times for circle of relatives and buddies. - ANS-C. Cluster care so that quick
durations of relaxation can be scheduled for the duration of the day.
