HESI Case Study: Depression Exam
Questions and Answers 100% Pass
the nurse completes a physical assessment. when asked what brought her to the
hospital, Bethany replies, "Things just aren't right" and begins to cry. After further
conversation, Bethany describes her mood as very sad now. She rarely goes out or
invites friends to visit. She admits that she feels like strangers are saying bad things
about her. Sometimes she hears a man's voice that is a little bit scary.
1. what is the priority nursing assessment? - ANSWER-determine how long the
client has been hearing the voice and what it is saying
(determining if voices are being heard and for how long, and what the voice is
saying, is priority. because hearing voices is a subjective experience and not
measurable, directly asking about hallucinations is necessary. the nurse should
determine if the voice is telling the client to do something, like self-harm)
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, Bethany is assessed by the nurse, a social worker, and the healthcare provider
(HCP). based on their assessments, hospitalization is recommended for psychotic
depression.
2. which behavior is inconsistent with depression? - ANSWER-hearing a man's
voice
(auditory hallucinations are inconsistent with depression and are more likely to
occur with psychoses. however, clients may experience a psychotic depression in
which there is evidence of psychosis)
the nurse asks Bethany to sign consent for treatment
3. if the client refuses treatment, which behaviors justify short-term involuntary
treatment? - ANSWER-- unable to meet basic self-care needs
(involuntary treatment can be initiated if the client is unable to meet basic self-care
needs in such way that he or she is a danger to self)
- states she has a plan to harm herself
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
the nurse completes a physical assessment. when asked what brought her to the
hospital, Bethany replies, "Things just aren't right" and begins to cry. After further
conversation, Bethany describes her mood as very sad now. She rarely goes out or
invites friends to visit. She admits that she feels like strangers are saying bad things
about her. Sometimes she hears a man's voice that is a little bit scary.
1. what is the priority nursing assessment? - ANSWER-determine how long the
client has been hearing the voice and what it is saying
(determining if voices are being heard and for how long, and what the voice is
saying, is priority. because hearing voices is a subjective experience and not
measurable, directly asking about hallucinations is necessary. the nurse should
determine if the voice is telling the client to do something, like self-harm)
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, Bethany is assessed by the nurse, a social worker, and the healthcare provider
(HCP). based on their assessments, hospitalization is recommended for psychotic
depression.
2. which behavior is inconsistent with depression? - ANSWER-hearing a man's
voice
(auditory hallucinations are inconsistent with depression and are more likely to
occur with psychoses. however, clients may experience a psychotic depression in
which there is evidence of psychosis)
the nurse asks Bethany to sign consent for treatment
3. if the client refuses treatment, which behaviors justify short-term involuntary
treatment? - ANSWER-- unable to meet basic self-care needs
(involuntary treatment can be initiated if the client is unable to meet basic self-care
needs in such way that he or she is a danger to self)
- states she has a plan to harm herself
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
