HESI MOBILITY COMPREHENSIVE EXAM
PREP QUESTIONS AND SOLUTIONS
VERIFIED STUDY RESOURCE
●● what action should the nurse take in a psychiatric situation when the
client describes a physical problem?
Answer: assess. example: if a client has schizophrenia complains of
chest pain take their blood pressure
●● basic communication principles
Answer: establish trust, nonjudgemental attitude,active listening, offer
self, accept client's feelings, validate client's statements, matter of fact
approach
●● nausea is a common complaint after ECT
Answer: vomiting by an unconscious can lead to aspiration. maintain a
paten airway
●● common physiological responses to anxiety
Answer: increased heart rate, and blood pressure, rapid shallow
respirations, dry mouth, tight feeling in throat, tremors, muscle
twitching, anorexia, urinary frequency, palmar sweating
,●● nurse-client anxiety
Answer: anxiety is contagious, nurse needs to asses on anxiety level and
remain calm. it helps gain control, decrease anxiety, and increase
feelings of security
●● desensitization
Answer: is the nursing intervention for phobia disorders. --assess client
to recognize the factors associated with feared stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
●● the nurse should place an anxious client where there are reduced
environmental stimuli
Answer: quiet area of the unit away from the nurse's station
●● the best time for interaction with a client is at the completion of the
performed ritual
Answer: the client's anxiety is lowest at this time and its an optimal time
for learning
●● compulsive acts are used in response to anxiety, which may or may
not be related to the obsession. its the nurse's responsibility help
alleviate anxiety
,Answer: its the nurse's responsibility help alleviate anxiety, interfering
will increase the anxiety
●● as long as the client's acts are free of violence: nurse should....
Answer: -actively listen to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
●● ford clients with PTSD, the nurse should....
Answer: -actively listen to client's stories of experiences surrounding the
traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve
regarding possible means of controlling anxiety related to the event
-encourage group therapy with other clients who have experienced the
same traumatic event
●● be aware of your own feelings when dealing with this somatoform
clients.
Answer: the pain is real to the person experiencing it
●● theses disorders cannot be explained medically, it results from
internal conflict. the nurse should...
, Answer: -acknowledge the symptom or complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
●● avoid giving clients with dissociative disorders too much information
about past events at one time
Answer: the various types of amnestic that accompany dissociative
disorders provide protection from pain and too much to soon can cause
decompensation
●● personality disorders are long standing behavioral traits that are
maladaptive responses to anxiety and that cause difficulty in relating to
and working with other individuals
Answer: persons with personality disorders are usually comfortable with
their disorders and believe that they are right and the world is wrong and
have little motivation
●● people with anorexia gain pleasure from providing others with food
and watching them eat
Answer: these behaviors reinforce their perception of self-control. don
not allow these clients to plan or prepare food for unit-based activities
●● individuals with Bulimia often use syrup of ipecac to induce
vomiting. if ipecac is not vomited and is absorbed, cardiotoxicity may
PREP QUESTIONS AND SOLUTIONS
VERIFIED STUDY RESOURCE
●● what action should the nurse take in a psychiatric situation when the
client describes a physical problem?
Answer: assess. example: if a client has schizophrenia complains of
chest pain take their blood pressure
●● basic communication principles
Answer: establish trust, nonjudgemental attitude,active listening, offer
self, accept client's feelings, validate client's statements, matter of fact
approach
●● nausea is a common complaint after ECT
Answer: vomiting by an unconscious can lead to aspiration. maintain a
paten airway
●● common physiological responses to anxiety
Answer: increased heart rate, and blood pressure, rapid shallow
respirations, dry mouth, tight feeling in throat, tremors, muscle
twitching, anorexia, urinary frequency, palmar sweating
,●● nurse-client anxiety
Answer: anxiety is contagious, nurse needs to asses on anxiety level and
remain calm. it helps gain control, decrease anxiety, and increase
feelings of security
●● desensitization
Answer: is the nursing intervention for phobia disorders. --assess client
to recognize the factors associated with feared stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
●● the nurse should place an anxious client where there are reduced
environmental stimuli
Answer: quiet area of the unit away from the nurse's station
●● the best time for interaction with a client is at the completion of the
performed ritual
Answer: the client's anxiety is lowest at this time and its an optimal time
for learning
●● compulsive acts are used in response to anxiety, which may or may
not be related to the obsession. its the nurse's responsibility help
alleviate anxiety
,Answer: its the nurse's responsibility help alleviate anxiety, interfering
will increase the anxiety
●● as long as the client's acts are free of violence: nurse should....
Answer: -actively listen to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
●● ford clients with PTSD, the nurse should....
Answer: -actively listen to client's stories of experiences surrounding the
traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve
regarding possible means of controlling anxiety related to the event
-encourage group therapy with other clients who have experienced the
same traumatic event
●● be aware of your own feelings when dealing with this somatoform
clients.
Answer: the pain is real to the person experiencing it
●● theses disorders cannot be explained medically, it results from
internal conflict. the nurse should...
, Answer: -acknowledge the symptom or complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
●● avoid giving clients with dissociative disorders too much information
about past events at one time
Answer: the various types of amnestic that accompany dissociative
disorders provide protection from pain and too much to soon can cause
decompensation
●● personality disorders are long standing behavioral traits that are
maladaptive responses to anxiety and that cause difficulty in relating to
and working with other individuals
Answer: persons with personality disorders are usually comfortable with
their disorders and believe that they are right and the world is wrong and
have little motivation
●● people with anorexia gain pleasure from providing others with food
and watching them eat
Answer: these behaviors reinforce their perception of self-control. don
not allow these clients to plan or prepare food for unit-based activities
●● individuals with Bulimia often use syrup of ipecac to induce
vomiting. if ipecac is not vomited and is absorbed, cardiotoxicity may
