PSYCH HESI QUESTIONS AND ANSWERS
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia.
When her tray is brought to her, she refuses to eat and tells the nurse, "I know you are
trying to poison me with that food." Which response is most appropriate for the nurse to
make? - Answers :I'll leave your tray here. I am available if you need anything else.
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound
after attempting to shoot himself. he is recently divorced one year ago, lost his job four
months ago, and suffered a break up of his current relationship last week. What is the
most likely source of this client's current feelings of depression - Answers :a sense of
loss
A female client engages in repeated checks of door and window locks. Behavior that
prevents her form arriving on time and interferes with her ability to function effectively.
What action should the nures take - Answers :plan a list of activities to be carried out
daily
A client comes out dressed in short skirt, low top, bright red lipstick. What should the
nurse do. - Answers :assist the client back to her room and help her select appropriate
clothing
The nurse on the evening shift received report that a client is scheduled for
electroconvulsive treatment (ECT) in the morning. Which interventions should the nurse
implement the evening before the scheduled ECT? - Answers :Keep the client NPO
after midnight.
A chronically depressed older male resident of a long-term care facility has become
more reclusive and today refuses to leave his room. His family moved away from the
local area and they are unable to visit as much as they had in the past. Which comment
by the nurse is like to be most helpful to this client? - Answers :"May I sit with you for a
while?"
The nurse interacts with a male client who is very depressed and slow to respond to
questions. The nurse asks the client to explain how he is feeling, but the client looks
down at the table. What action would be best for the nurse to implement? - Answers
:Return at a later time to talk
A teenaged male client is admitted to the postoperative unit following open reduction of
a fractured femur which occurred when he fell down the stairs at a party. The nurse
notices needle marks on the client's arms and plans to observe for narcotic withdrawal.
Early signs of narcotic withdrawal include which assessment findings? - Answers
:Agitation, sweating, and abdominal cramps.
, When developing a plan of care for a client to the psychiatric unit following aspiration of
a caustic material related to a suicide attempt, which nursing diagnosis has the highest
priority? - Answers :Ineffective breathing patterns.
Common side effects of anti-depressants (this is a select all question). - Answers :-Dry
mouth
.- Constipation
.-Blurred vision.
PTSD admitted to psychiatric unit, which intervention is most important for plan of care?
- Answers :Provide a quiet rook, away from the recreational area.
Male client on atypical antipsychotic drug olanzapine(Zyprexa). - Answers :Adverse
reaction is weight gain.
A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates to his room and sometimes opens the door to peek into the hall.
Which problem can the nurse anticipate? - Answers :delusions of persecution.
A client walks in and out into a mental clinic/hospital; looks at the chairs and finally sits
down. What should the nurse do? - Answers :Observe Pt. in the chair
Stealing clothes (steal) and puts them in your closet. - Answers :Explain to the patient
that she must respect the belongings of others.
No TV in room tell patient - Answers :it is important to be out of your room and talking to
others
A male client arrives at the mental health clinc and asks the nurse for more lithium and
the antidepressant (Elavil) that he uses to help him sleep. After reviewing his assesment
findings with the healthcare provider, a serum creatinine is obtained. What information
supports the reason for this laboratory test - Answers :Lithium is excreted by the
kidneys and creatinine is related to kidney functioning
During a one-to-one session, the nurse begins to become angry with the client. Which
action should the nurse take? - Answers :Terminate the session before the feelings
escalate.
A MHW mental health worker is caring for a client with escalating aggression behavior,
what action by the MHW warrants immediate intervention by the nurse - Answers
:attempting to physically restrain the client
A client with paranoia is admitted to the mental health unit and immediately goes to the
corner of the room and sits quietly without communicating. In approaching the client,
what intervention should the nurse implement first? - Answers :Explain the nurse's role
to the client.
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia.
When her tray is brought to her, she refuses to eat and tells the nurse, "I know you are
trying to poison me with that food." Which response is most appropriate for the nurse to
make? - Answers :I'll leave your tray here. I am available if you need anything else.
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound
after attempting to shoot himself. he is recently divorced one year ago, lost his job four
months ago, and suffered a break up of his current relationship last week. What is the
most likely source of this client's current feelings of depression - Answers :a sense of
loss
A female client engages in repeated checks of door and window locks. Behavior that
prevents her form arriving on time and interferes with her ability to function effectively.
What action should the nures take - Answers :plan a list of activities to be carried out
daily
A client comes out dressed in short skirt, low top, bright red lipstick. What should the
nurse do. - Answers :assist the client back to her room and help her select appropriate
clothing
The nurse on the evening shift received report that a client is scheduled for
electroconvulsive treatment (ECT) in the morning. Which interventions should the nurse
implement the evening before the scheduled ECT? - Answers :Keep the client NPO
after midnight.
A chronically depressed older male resident of a long-term care facility has become
more reclusive and today refuses to leave his room. His family moved away from the
local area and they are unable to visit as much as they had in the past. Which comment
by the nurse is like to be most helpful to this client? - Answers :"May I sit with you for a
while?"
The nurse interacts with a male client who is very depressed and slow to respond to
questions. The nurse asks the client to explain how he is feeling, but the client looks
down at the table. What action would be best for the nurse to implement? - Answers
:Return at a later time to talk
A teenaged male client is admitted to the postoperative unit following open reduction of
a fractured femur which occurred when he fell down the stairs at a party. The nurse
notices needle marks on the client's arms and plans to observe for narcotic withdrawal.
Early signs of narcotic withdrawal include which assessment findings? - Answers
:Agitation, sweating, and abdominal cramps.
, When developing a plan of care for a client to the psychiatric unit following aspiration of
a caustic material related to a suicide attempt, which nursing diagnosis has the highest
priority? - Answers :Ineffective breathing patterns.
Common side effects of anti-depressants (this is a select all question). - Answers :-Dry
mouth
.- Constipation
.-Blurred vision.
PTSD admitted to psychiatric unit, which intervention is most important for plan of care?
- Answers :Provide a quiet rook, away from the recreational area.
Male client on atypical antipsychotic drug olanzapine(Zyprexa). - Answers :Adverse
reaction is weight gain.
A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates to his room and sometimes opens the door to peek into the hall.
Which problem can the nurse anticipate? - Answers :delusions of persecution.
A client walks in and out into a mental clinic/hospital; looks at the chairs and finally sits
down. What should the nurse do? - Answers :Observe Pt. in the chair
Stealing clothes (steal) and puts them in your closet. - Answers :Explain to the patient
that she must respect the belongings of others.
No TV in room tell patient - Answers :it is important to be out of your room and talking to
others
A male client arrives at the mental health clinc and asks the nurse for more lithium and
the antidepressant (Elavil) that he uses to help him sleep. After reviewing his assesment
findings with the healthcare provider, a serum creatinine is obtained. What information
supports the reason for this laboratory test - Answers :Lithium is excreted by the
kidneys and creatinine is related to kidney functioning
During a one-to-one session, the nurse begins to become angry with the client. Which
action should the nurse take? - Answers :Terminate the session before the feelings
escalate.
A MHW mental health worker is caring for a client with escalating aggression behavior,
what action by the MHW warrants immediate intervention by the nurse - Answers
:attempting to physically restrain the client
A client with paranoia is admitted to the mental health unit and immediately goes to the
corner of the room and sits quietly without communicating. In approaching the client,
what intervention should the nurse implement first? - Answers :Explain the nurse's role
to the client.
