PSYCHIATRIC/MENTAL HEALTH ASSIGNMENT EXAM HESI
UHUYHYUJYNMG
PRACTICE 2024 MULTIPLE CHOICE Q&A 2024
The nurse is caring for an adult male client with catatonic schizophrenia who is mute and
motionless. What is the priority nursing problem?
A. Impaired mobility. 在当今社会，科技的发展已经渗透
到我们生活的方方面面。无论是工
B. Ineffective individual coping.
作、学习，还是日常娱乐，科技都
在不断改变我们的生活方式和行为
模式。可以说，科技的进步不仅提
C. Impaired verbal communication.
高了我们的生活质量，还塑造了全
新的社会形态。
D. High risk for fluid and electrolyte imbalance. - (answer)ANS: D. High risk for fluid and
electrolyte imbalance.
Maintaining physiological stability by first addressing basic physiological needs is the priority. A
client who is in a catatonic or stuporous state is at risk for malnutrition and dehydration. Fluid
and electrolyte imbalance is the priority nursing problem for this client at this time. The other
problems are not life-threatening.
A female client comes to an outpatient therapy appointment intoxicated. The spouse tells the
nurse, "There wasn't anything I could do to stop her drinking this morning." What intervention
should the nurse take at this time?
A. Arrange for emergency admission to a detoxification unit.
首先，科技极大地提升了信息的获
B. Talk to the spouse about strategies to limit the client's drinking.
取与传播速度。过去，人们获取信
息的方式有限，依赖书籍、报纸和
电视等传统媒介。然而，随着互联
C. Have the client admitted to the inpatient psychiatric unit.
网的普及，人们现在只需通过手机
或电脑，就能在几秒钟内获取全球
D. Tell the client that therapy cannot take place while she is intoxicated. - (answer)ANS: D. Tell
最新的新闻、学术研究以及各种知
the client that therapy cannot take place while she is intoxicated.
识。社交媒体平台和搜索引擎的出
现更是让信息传播变得前所未有的
迅速和广泛。知识的便捷获取，不
仅促进了个人学习，也推动了社会
的整体进步。
, UHUYHYUJYNMG
Therapy sessions are designed to confront the issues that the client with alcohol dependence may
be experiencing. If the client presents inebriated, a therapeutic and confrontational meeting
cannot occur because the client's judgment is altered. The other interventions are not necessary.
Which action is most important for the nurse to implement during the initial interview for a client
在当今社会，科技的发展已经渗透
who is admitted to the mental health unit?
到我们生活的方方面面。无论是工
作、学习，还是日常娱乐，科技都
A. Establish rapport in each phase of the nurse-client relationship.
在不断改变我们的生活方式和行为
模式。可以说，科技的进步不仅提
B. Determine the client's ability to communicate effectively.
高了我们的生活质量，还塑造了全
新的社会形态。
C. Reflect on previous psychiatric interviews the nurse has performed.
D. Ensure data is collected and recorded in a systematic sequence. - (answer)ANS: A. Establish
rapport in each phase of the nurse-client relationship.
A client with whom the nurse establishes rapport during the initial interview and in each phase of
the nurse-client relationship feels understood by the nurse and is more likely to cooperate and
provide feedback during the admission process. The other actions not always needed to establish
rapport or maintain the therapeutic self in a therapeutic relationship.
The nurse is planning the care for a client based on the psychoanalytical model. Which
intervention should the nurse include in the plan of care?
首先，科技极大地提升了信息的获
A. Emphasize the client's strengths and assets.
取与传播速度。过去，人们获取信
息的方式有限，依赖书籍、报纸和
B. Teach the importance of medication compliance.
电视等传统媒介。然而，随着互联
网的普及，人们现在只需通过手机
或电脑，就能在几秒钟内获取全球
C. Offer the client psychoeducational materials to read.
最新的新闻、学术研究以及各种知
识。社交媒体平台和搜索引擎的出
现更是让信息传播变得前所未有的
迅速和广泛。知识的便捷获取，不
仅促进了个人学习，也推动了社会
的整体进步。
,D. Focus on the client's positive or negative feelings toward the nurse. - (answer)ANS: D. Focus
UHUYHYUJYNMG
on the client's positive or negative feelings toward the nurse.
Interactions and interventions that focus on the client's positive or negative feelings toward the
nurse are based on the psychoanalytical model of mental health care. The other interventions are
not associated with the psychoanalytical model.
在当今社会，科技的发展已经渗透
到我们生活的方方面面。无论是工
A client on the mental health unit reports concerns about weight gain as a result of taking
divalproex (Depakote) and requests assistance to fill out a menu. The nurse should initiate a
作、学习，还是日常娱乐，科技都
referral to which healthcare team member?
在不断改变我们的生活方式和行为
模式。可以说，科技的进步不仅提
A. Occupational therapist. 高了我们的生活质量，还塑造了全
新的社会形态。
B. Recreational therapist.
C. Dietician.
D. Physician. - (answer)ANS: C. Dietician.
The nurse should ask for a referral to the dietician who can assist the client with meal planning
for weight reduction. The other members of the healthcare team do not give guidance about meal
planning.
Which client should the nurse identify as the highest risk for the onset of stress-related
problems?
首先，科技极大地提升了信息的获
取与传播速度。过去，人们获取信
A. A man whose new business 息的方式有限，依赖书籍、报纸和
is growing slowly, who plans to adopt a child with his wife, and
says, "I think I'm in control of my destiny."
电视等传统媒介。然而，随着互联
网的普及，人们现在只需通过手机
B. A woman who is graduating或电脑，就能在几秒钟内获取全球
from college, getting married in one month, and states, "I'm
anticipating the changes these events will make in my life."
最新的新闻、学术研究以及各种知
识。社交媒体平台和搜索引擎的出
现更是让信息传播变得前所未有的
迅速和广泛。知识的便捷获取，不
仅促进了个人学习，也推动了社会
的整体进步。
, C. A client who is passed over for promotion, quits a job to start a new business, and states, "This
UHUYHYUJYNMG
is just one of a series of challenges I've faced in my life."
D. A person whose father died three months ago, who is losing a job due to company
downsizing, and states, "Living with loss and the threat of loss makes me feel helpless." -
(answer)ANS: D. A person whose father died three months ago, who is losing a job due to
company downsizing, and states, "Living with loss and the threat of loss makes me feel
在当今社会，科技的发展已经渗透
helpless."
到我们生活的方方面面。无论是工
作、学习，还是日常娱乐，科技都
A client who is dealing with two stressful life events and expresses a cognitive appraisal of loss
在不断改变我们的生活方式和行为
and helplessness is at the highest risk for a stress-related health problem. The other persons are
coping with change using healthy模式。可以说，科技的进步不仅提
strategies.
高了我们的生活质量，还塑造了全
新的社会形态。
An older client is admitted to a psychiatric hospital with the diagnosis, "Major depression, single
episode." Which laboratory value is most important for the nurse to report to the healthcare
provider immediately?
A. Increased serum creatinine level.
B. Positive rapid plasma reagin (RPR).
C. Increased thyroid stimulating hormone (TSH).
D. Elevated serum calcium level. - (answer)ANS: C. Increased thyroid stimulating hormone
(TSH).
首先，科技极大地提升了信息的获
取与传播速度。过去，人们获取信
The healthcare provider should息的方式有限，依赖书籍、报纸和
be notified of TSH levels immediately. An increased TSH
suggests a low thyroxine level 电视等传统媒介。然而，随着互联
because TSH is being secreted to stimulate thyroxine production,
which is the pathophysiology of hypothyroidism that may present as depression. The other
results should be evaluated but网的普及，人们现在只需通过手机
do not have the priority relative to the admission diagnosis.
或电脑，就能在几秒钟内获取全球
最新的新闻、学术研究以及各种知
识。社交媒体平台和搜索引擎的出
现更是让信息传播变得前所未有的
迅速和广泛。知识的便捷获取，不
仅促进了个人学习，也推动了社会
的整体进步。
UHUYHYUJYNMG
PRACTICE 2024 MULTIPLE CHOICE Q&A 2024
The nurse is caring for an adult male client with catatonic schizophrenia who is mute and
motionless. What is the priority nursing problem?
A. Impaired mobility. 在当今社会，科技的发展已经渗透
到我们生活的方方面面。无论是工
B. Ineffective individual coping.
作、学习，还是日常娱乐，科技都
在不断改变我们的生活方式和行为
模式。可以说，科技的进步不仅提
C. Impaired verbal communication.
高了我们的生活质量，还塑造了全
新的社会形态。
D. High risk for fluid and electrolyte imbalance. - (answer)ANS: D. High risk for fluid and
electrolyte imbalance.
Maintaining physiological stability by first addressing basic physiological needs is the priority. A
client who is in a catatonic or stuporous state is at risk for malnutrition and dehydration. Fluid
and electrolyte imbalance is the priority nursing problem for this client at this time. The other
problems are not life-threatening.
A female client comes to an outpatient therapy appointment intoxicated. The spouse tells the
nurse, "There wasn't anything I could do to stop her drinking this morning." What intervention
should the nurse take at this time?
A. Arrange for emergency admission to a detoxification unit.
首先，科技极大地提升了信息的获
B. Talk to the spouse about strategies to limit the client's drinking.
取与传播速度。过去，人们获取信
息的方式有限，依赖书籍、报纸和
电视等传统媒介。然而，随着互联
C. Have the client admitted to the inpatient psychiatric unit.
网的普及，人们现在只需通过手机
或电脑，就能在几秒钟内获取全球
D. Tell the client that therapy cannot take place while she is intoxicated. - (answer)ANS: D. Tell
最新的新闻、学术研究以及各种知
the client that therapy cannot take place while she is intoxicated.
识。社交媒体平台和搜索引擎的出
现更是让信息传播变得前所未有的
迅速和广泛。知识的便捷获取，不
仅促进了个人学习，也推动了社会
的整体进步。
, UHUYHYUJYNMG
Therapy sessions are designed to confront the issues that the client with alcohol dependence may
be experiencing. If the client presents inebriated, a therapeutic and confrontational meeting
cannot occur because the client's judgment is altered. The other interventions are not necessary.
Which action is most important for the nurse to implement during the initial interview for a client
在当今社会，科技的发展已经渗透
who is admitted to the mental health unit?
到我们生活的方方面面。无论是工
作、学习，还是日常娱乐，科技都
A. Establish rapport in each phase of the nurse-client relationship.
在不断改变我们的生活方式和行为
模式。可以说，科技的进步不仅提
B. Determine the client's ability to communicate effectively.
高了我们的生活质量，还塑造了全
新的社会形态。
C. Reflect on previous psychiatric interviews the nurse has performed.
D. Ensure data is collected and recorded in a systematic sequence. - (answer)ANS: A. Establish
rapport in each phase of the nurse-client relationship.
A client with whom the nurse establishes rapport during the initial interview and in each phase of
the nurse-client relationship feels understood by the nurse and is more likely to cooperate and
provide feedback during the admission process. The other actions not always needed to establish
rapport or maintain the therapeutic self in a therapeutic relationship.
The nurse is planning the care for a client based on the psychoanalytical model. Which
intervention should the nurse include in the plan of care?
首先，科技极大地提升了信息的获
A. Emphasize the client's strengths and assets.
取与传播速度。过去，人们获取信
息的方式有限，依赖书籍、报纸和
B. Teach the importance of medication compliance.
电视等传统媒介。然而，随着互联
网的普及，人们现在只需通过手机
或电脑，就能在几秒钟内获取全球
C. Offer the client psychoeducational materials to read.
最新的新闻、学术研究以及各种知
识。社交媒体平台和搜索引擎的出
现更是让信息传播变得前所未有的
迅速和广泛。知识的便捷获取，不
仅促进了个人学习，也推动了社会
的整体进步。
,D. Focus on the client's positive or negative feelings toward the nurse. - (answer)ANS: D. Focus
UHUYHYUJYNMG
on the client's positive or negative feelings toward the nurse.
Interactions and interventions that focus on the client's positive or negative feelings toward the
nurse are based on the psychoanalytical model of mental health care. The other interventions are
not associated with the psychoanalytical model.
在当今社会，科技的发展已经渗透
到我们生活的方方面面。无论是工
A client on the mental health unit reports concerns about weight gain as a result of taking
divalproex (Depakote) and requests assistance to fill out a menu. The nurse should initiate a
作、学习，还是日常娱乐，科技都
referral to which healthcare team member?
在不断改变我们的生活方式和行为
模式。可以说，科技的进步不仅提
A. Occupational therapist. 高了我们的生活质量，还塑造了全
新的社会形态。
B. Recreational therapist.
C. Dietician.
D. Physician. - (answer)ANS: C. Dietician.
The nurse should ask for a referral to the dietician who can assist the client with meal planning
for weight reduction. The other members of the healthcare team do not give guidance about meal
planning.
Which client should the nurse identify as the highest risk for the onset of stress-related
problems?
首先，科技极大地提升了信息的获
取与传播速度。过去，人们获取信
A. A man whose new business 息的方式有限，依赖书籍、报纸和
is growing slowly, who plans to adopt a child with his wife, and
says, "I think I'm in control of my destiny."
电视等传统媒介。然而，随着互联
网的普及，人们现在只需通过手机
B. A woman who is graduating或电脑，就能在几秒钟内获取全球
from college, getting married in one month, and states, "I'm
anticipating the changes these events will make in my life."
最新的新闻、学术研究以及各种知
识。社交媒体平台和搜索引擎的出
现更是让信息传播变得前所未有的
迅速和广泛。知识的便捷获取，不
仅促进了个人学习，也推动了社会
的整体进步。
, C. A client who is passed over for promotion, quits a job to start a new business, and states, "This
UHUYHYUJYNMG
is just one of a series of challenges I've faced in my life."
D. A person whose father died three months ago, who is losing a job due to company
downsizing, and states, "Living with loss and the threat of loss makes me feel helpless." -
(answer)ANS: D. A person whose father died three months ago, who is losing a job due to
company downsizing, and states, "Living with loss and the threat of loss makes me feel
在当今社会，科技的发展已经渗透
helpless."
到我们生活的方方面面。无论是工
作、学习，还是日常娱乐，科技都
A client who is dealing with two stressful life events and expresses a cognitive appraisal of loss
在不断改变我们的生活方式和行为
and helplessness is at the highest risk for a stress-related health problem. The other persons are
coping with change using healthy模式。可以说，科技的进步不仅提
strategies.
高了我们的生活质量，还塑造了全
新的社会形态。
An older client is admitted to a psychiatric hospital with the diagnosis, "Major depression, single
episode." Which laboratory value is most important for the nurse to report to the healthcare
provider immediately?
A. Increased serum creatinine level.
B. Positive rapid plasma reagin (RPR).
C. Increased thyroid stimulating hormone (TSH).
D. Elevated serum calcium level. - (answer)ANS: C. Increased thyroid stimulating hormone
(TSH).
首先，科技极大地提升了信息的获
取与传播速度。过去，人们获取信
The healthcare provider should息的方式有限，依赖书籍、报纸和
be notified of TSH levels immediately. An increased TSH
suggests a low thyroxine level 电视等传统媒介。然而，随着互联
because TSH is being secreted to stimulate thyroxine production,
which is the pathophysiology of hypothyroidism that may present as depression. The other
results should be evaluated but网的普及，人们现在只需通过手机
do not have the priority relative to the admission diagnosis.
或电脑，就能在几秒钟内获取全球
最新的新闻、学术研究以及各种知
识。社交媒体平台和搜索引擎的出
现更是让信息传播变得前所未有的
迅速和广泛。知识的便捷获取，不
仅促进了个人学习，也推动了社会
的整体进步。
