MENTAL HEALTH /PSYCH HESI FINAL EXAM | FALL
2024/2025.
ACTUAL ACCURATE EXAM COMPLETE
QUESTIONS AND DETAILED VERIFIED ANSWERS
GRADED A+ | 100% VERIFIED |
2025 UPDATE!!!
A 22-Year-Old Client Is Admitted To The Psychiatric Unit From The Medical Unit Following A
Suicide Attempt With An Overdose Of Diazepam (Valium). When Developing The Nursing Care
Plan For This Client, Which Intervention Would Be Most Important For The Nurse To Include?
A.Assist Client To Focus On Personal Strengths. B.Set Limits On Self-Defacing Comments.
C.Remind The Client Of Daily Activities In The Milieu.
D.Assist The Client To Identify Why He Or She Was Self-Destructive.
- ANS : A
Encouraging The Client To Focus On His Or Her Strengths (A) Helps The Client Become Aware Of
Positive Qualities, Assists In Improving Self-Image, And Aids In Coping With Past And Present
Situations. Although Nursing Actions Should Assist The Client In Decreasing Self-Defacing
Comments (B) And Informing The Client Of (C), These Interventions Are Not Priorities At This
Time.
(D) Is Not As Important As Assisting The Client To Overcome The Depression, Which Resulted In
The Overdose, And Asking "Why" Is Not Therapeutic.
A 25-Year-Old Client Has Been Particularly Restless And The Nurse Finds The Client Trying To
Leave The Psychiatric Unit. The Client Tells The Nurse, "Please Let Me Go! I Must Leave Because
The Secret Police Are After Me." Which Response Is Best For The Nurse To Make?
,A."No One Is After You. You're Safe Here." B."You'll Feel Better After You Have Rested."
C."I Know You Must Feel Lonely And Frightened." D."Come With Me To Your Room, And I Will Sit
With You."
- ANS : D
(D) Is The Best Response Because It Offers Support Without Judgment Or Demands. (A) Is
Challenging The Client's Delusion. (B) Is Offering False Reassurance. (C) Is A Violation Of
Therapeutic Communication Because The Nurse Is Telling The Client How She Or He Feels
(Frightened
And Lonely), Rather Than Allowing The Client To Describe His Or Her Own Feelings. Hallucinating
And Delusional Clients Are Not Capable Of Discussing Their Feelings, Particularly When They
Perceive A Crisis.
A 25-Year-Old Client Has Suffered Extensive Burns And Is Crying During Dressing Change
Treatment. The Client Tells The Nurse, "Please Let Me Die. Why Are You All Torturing Me Like
This? I Just Want To Die." Which Response By The Nurse Is Best?
A."We Aren't Torturing You. These Treatments Are Necessary To Prevent A Terrible Infection."
B."I Know These Treatments Must Seem Like Torture To You, But We Want To Help You Recover."
C."You Have So Much To Live For, And All Of Your Family Members Want You To Live."
D."Would You Like Me To Call The Chaplain So That You Can Discuss Your Feelings Privately?"
- ANS : B
(B) Offers An Empathetic Response Without Sounding Patronizing. (A) Is Not Empathetic And Is
Actually Somewhat Argumentative. The Client Is Not Asking For Information As Much As
Pleading For Understanding. (C) Appears As Scolding And Places Blame On The Client For
Wanting To Die And Possibly Hurting The Client's Family Members As A Result. (D) Might Be
Appropriate If The Nurse Simply Asks The Client If A Chaplain's Visit Is Desired, But The Nurse Is
Dismissing The Client's Needs By Not Addressing Them At The Moment.
,A 27-Year-Old Client Is Admitted To The Psychiatric Hospital With A Diagnosis Of Bipolar
Disorder, Manic Phase. The Client Is Demanding And Active. Which Intervention Should The
Nurse Include In This Client's Plan Of Care?
A.Schedule The Client To Attend Various Group Activities. B.Reinforce The Client's Ability To
Make Decisions. C.Encourage The Client To Identify Feelings Of Anger. D.Provide A Structured
Environment With Little Stimuli.
- ANS : D
Clients In The Manic Phase Of A Bipolar Disorder Require Decreased Stimuli And A Structured
Environment (D). Noncompetitive Activities That Can Be Carried Out Alone Should Be Planned
For These Clients. (A) Is Contraindicated Because Stimuli Should Be Reduced As Much As
Possible. Impulsive Decision Making Is Characteristic Of Clients With Bipolar Disorder. To
Prevent Future Complications, The Nurse Should Monitor These Clients' Decisions And Assist
Them In The Decision Making Process (B). (C) Is More Often Associated With Depression Than
With Bipolar Disorder.
A 33-Year-Old Client Is Admitted To A Psychiatric Facility With A Medical Diagnosis Of Major
Depression. When The Nurse Is Assigning The Client To A Room, Which Roommate Is Best For
This Client?
A.A 35-Year-Old Client Who Recently Attempted Suicide.
B.A Manic Client Who Has Started Lithium Carbonate Treatment.
C.A Client Who Is Bipolar And Is Pacing The Floor While Telling Jokes To Everyone. D.A Paranoid
Client Who Believes That The Staff Is Trying To Poison The Food.
- ANS : B
(B) Appears To Be The Most Stable Client Described Since Treatment Was Begun With Lithium
Carbonate (Treatment Of Choice For Manic Depression). Being Around Another Depressed
Individual Might Enhance This Client's Own Depression And Possibly Support Suicidal Ideation
(A). Clients In The Manic Stage Of Bipolar Disease (C) Enhance The Level Of Anxiety Of Those
, Around Them, Which Would Not Be Therapeutic For The Client At This Time. Paranoid Ideation
(D), Which Is Characterized By Suspiciousness, Would Also Increase Anxiety In This Client.
A 35-Year-Old Client Admitted To The Psychiatric Unit Of An Acute Care Hospital Tells The Nurse
That Someone Is Trying To Poison Her. The Client's Delusions Are Most Likely Related To Which
Factor?
A.Authority Issues In Childhood B.Anger About Being Hospitalized C.Low Self-Esteem
D.Phobia Of Food
- ANS : C
Delusional Clients Have Difficulty With Trust And Have Low Self-Esteem (C). Nursing Care Should
Be Directed At Building Trust And Promoting Positive Self-Esteem. Activities With Limited
Concentration And No Competition Should Be Encouraged To Build Self-Esteem. (A, B, And D)
Are Not Specifically Related To The Development Of Delusions.
A 38-Year-Old Client Is Admitted With A Diagnosis Of Paranoid Schizophrenia. When The Lunch
Tray Is Brought To The Room, The Client Refuses To Eat And Tells The Nurse, "I Know You Are
Trying To Poison Me With That Food." Which Response By The Nurse Is The Most Therapeutic?
A."I'll Leave Your Tray Here. I Am Available If You Need Anything Else."
B."You're Not Being Poisoned. Why Do You Think Someone Is Trying To Poison You?" C."No One
On This Unit Has Ever Died From Poisoning. You're Safe Here."
D."I Will Talk To Your Health Care Provider About The Possibility Of Changing Your Diet."
- ANS : A
(A) Is The Best Choice Because The Nurse Does Not Argue With The Client Or Demand That That
The Client Eat But Offers Support By Agreeing To Be There If Needed, Which Provides An Open,
Rather Than Closed, Response To The Client's Statement. (B And C) Are Challenging The Client's
Delusions, And (B) Asks "Why." Probing Questions, Which Start With "Why," Are Usually Not
2024/2025.
ACTUAL ACCURATE EXAM COMPLETE
QUESTIONS AND DETAILED VERIFIED ANSWERS
GRADED A+ | 100% VERIFIED |
2025 UPDATE!!!
A 22-Year-Old Client Is Admitted To The Psychiatric Unit From The Medical Unit Following A
Suicide Attempt With An Overdose Of Diazepam (Valium). When Developing The Nursing Care
Plan For This Client, Which Intervention Would Be Most Important For The Nurse To Include?
A.Assist Client To Focus On Personal Strengths. B.Set Limits On Self-Defacing Comments.
C.Remind The Client Of Daily Activities In The Milieu.
D.Assist The Client To Identify Why He Or She Was Self-Destructive.
- ANS : A
Encouraging The Client To Focus On His Or Her Strengths (A) Helps The Client Become Aware Of
Positive Qualities, Assists In Improving Self-Image, And Aids In Coping With Past And Present
Situations. Although Nursing Actions Should Assist The Client In Decreasing Self-Defacing
Comments (B) And Informing The Client Of (C), These Interventions Are Not Priorities At This
Time.
(D) Is Not As Important As Assisting The Client To Overcome The Depression, Which Resulted In
The Overdose, And Asking "Why" Is Not Therapeutic.
A 25-Year-Old Client Has Been Particularly Restless And The Nurse Finds The Client Trying To
Leave The Psychiatric Unit. The Client Tells The Nurse, "Please Let Me Go! I Must Leave Because
The Secret Police Are After Me." Which Response Is Best For The Nurse To Make?
,A."No One Is After You. You're Safe Here." B."You'll Feel Better After You Have Rested."
C."I Know You Must Feel Lonely And Frightened." D."Come With Me To Your Room, And I Will Sit
With You."
- ANS : D
(D) Is The Best Response Because It Offers Support Without Judgment Or Demands. (A) Is
Challenging The Client's Delusion. (B) Is Offering False Reassurance. (C) Is A Violation Of
Therapeutic Communication Because The Nurse Is Telling The Client How She Or He Feels
(Frightened
And Lonely), Rather Than Allowing The Client To Describe His Or Her Own Feelings. Hallucinating
And Delusional Clients Are Not Capable Of Discussing Their Feelings, Particularly When They
Perceive A Crisis.
A 25-Year-Old Client Has Suffered Extensive Burns And Is Crying During Dressing Change
Treatment. The Client Tells The Nurse, "Please Let Me Die. Why Are You All Torturing Me Like
This? I Just Want To Die." Which Response By The Nurse Is Best?
A."We Aren't Torturing You. These Treatments Are Necessary To Prevent A Terrible Infection."
B."I Know These Treatments Must Seem Like Torture To You, But We Want To Help You Recover."
C."You Have So Much To Live For, And All Of Your Family Members Want You To Live."
D."Would You Like Me To Call The Chaplain So That You Can Discuss Your Feelings Privately?"
- ANS : B
(B) Offers An Empathetic Response Without Sounding Patronizing. (A) Is Not Empathetic And Is
Actually Somewhat Argumentative. The Client Is Not Asking For Information As Much As
Pleading For Understanding. (C) Appears As Scolding And Places Blame On The Client For
Wanting To Die And Possibly Hurting The Client's Family Members As A Result. (D) Might Be
Appropriate If The Nurse Simply Asks The Client If A Chaplain's Visit Is Desired, But The Nurse Is
Dismissing The Client's Needs By Not Addressing Them At The Moment.
,A 27-Year-Old Client Is Admitted To The Psychiatric Hospital With A Diagnosis Of Bipolar
Disorder, Manic Phase. The Client Is Demanding And Active. Which Intervention Should The
Nurse Include In This Client's Plan Of Care?
A.Schedule The Client To Attend Various Group Activities. B.Reinforce The Client's Ability To
Make Decisions. C.Encourage The Client To Identify Feelings Of Anger. D.Provide A Structured
Environment With Little Stimuli.
- ANS : D
Clients In The Manic Phase Of A Bipolar Disorder Require Decreased Stimuli And A Structured
Environment (D). Noncompetitive Activities That Can Be Carried Out Alone Should Be Planned
For These Clients. (A) Is Contraindicated Because Stimuli Should Be Reduced As Much As
Possible. Impulsive Decision Making Is Characteristic Of Clients With Bipolar Disorder. To
Prevent Future Complications, The Nurse Should Monitor These Clients' Decisions And Assist
Them In The Decision Making Process (B). (C) Is More Often Associated With Depression Than
With Bipolar Disorder.
A 33-Year-Old Client Is Admitted To A Psychiatric Facility With A Medical Diagnosis Of Major
Depression. When The Nurse Is Assigning The Client To A Room, Which Roommate Is Best For
This Client?
A.A 35-Year-Old Client Who Recently Attempted Suicide.
B.A Manic Client Who Has Started Lithium Carbonate Treatment.
C.A Client Who Is Bipolar And Is Pacing The Floor While Telling Jokes To Everyone. D.A Paranoid
Client Who Believes That The Staff Is Trying To Poison The Food.
- ANS : B
(B) Appears To Be The Most Stable Client Described Since Treatment Was Begun With Lithium
Carbonate (Treatment Of Choice For Manic Depression). Being Around Another Depressed
Individual Might Enhance This Client's Own Depression And Possibly Support Suicidal Ideation
(A). Clients In The Manic Stage Of Bipolar Disease (C) Enhance The Level Of Anxiety Of Those
, Around Them, Which Would Not Be Therapeutic For The Client At This Time. Paranoid Ideation
(D), Which Is Characterized By Suspiciousness, Would Also Increase Anxiety In This Client.
A 35-Year-Old Client Admitted To The Psychiatric Unit Of An Acute Care Hospital Tells The Nurse
That Someone Is Trying To Poison Her. The Client's Delusions Are Most Likely Related To Which
Factor?
A.Authority Issues In Childhood B.Anger About Being Hospitalized C.Low Self-Esteem
D.Phobia Of Food
- ANS : C
Delusional Clients Have Difficulty With Trust And Have Low Self-Esteem (C). Nursing Care Should
Be Directed At Building Trust And Promoting Positive Self-Esteem. Activities With Limited
Concentration And No Competition Should Be Encouraged To Build Self-Esteem. (A, B, And D)
Are Not Specifically Related To The Development Of Delusions.
A 38-Year-Old Client Is Admitted With A Diagnosis Of Paranoid Schizophrenia. When The Lunch
Tray Is Brought To The Room, The Client Refuses To Eat And Tells The Nurse, "I Know You Are
Trying To Poison Me With That Food." Which Response By The Nurse Is The Most Therapeutic?
A."I'll Leave Your Tray Here. I Am Available If You Need Anything Else."
B."You're Not Being Poisoned. Why Do You Think Someone Is Trying To Poison You?" C."No One
On This Unit Has Ever Died From Poisoning. You're Safe Here."
D."I Will Talk To Your Health Care Provider About The Possibility Of Changing Your Diet."
- ANS : A
(A) Is The Best Choice Because The Nurse Does Not Argue With The Client Or Demand That That
The Client Eat But Offers Support By Agreeing To Be There If Needed, Which Provides An Open,
Rather Than Closed, Response To The Client's Statement. (B And C) Are Challenging The Client's
Delusions, And (B) Asks "Why." Probing Questions, Which Start With "Why," Are Usually Not
