Psych HESI 2025 COMPREHENSIVE EXAM QUESTIONS |FREQUENTL
Psych HESI
TESTED QUESTIONS |RECENTLY TESTING REAL EXAM
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QUESTIONS|VERIFIED SOLUTIONS (100% CORRECT)
1. A client who is diagnosed with schizophrenia is Flat affect.
admitted to the hospital. The nurse assesses the
client's mental status. Which assessment finding Disinterest, and diminished or
is characteristic of a client with schizophrenia? lack of facial expression is char-
acteristic of schizophrenia and is
Mood swings. referred to as a flat affect. The
Extreme sadness. other findings are not associated
Manipulative behavior. with schizophrenia.
Flat affect.
2. The nurse is leading a "current events group" with Clara Barton started the American
client who have chronic psychiatric illnesses. One Red Cross.
group member states, "Clara Barton was my nurse
during my last hospitalization. She was a very The historical fact that Clara Bar-
mean nurse and wasn't nice to me." Which re- ton was a nurse during the Civil
sponse is best for the nurse to make? War is referencing the concept of
universality in this group thera-
Clara Barton was not your nurse. py discussion. Stating the origi-
What did she do to you that was so mean? nal role of Clara Barton in nursing
I didn't know that Clara Barton was a nurse. should be presented, which is the
Clara Barton started the American Red Cross. reality in nursing and the Ameri-
can culture. The other responses
are not indicated.
3. The nurse is planning the care for an adult client Assist the client in exploring feel-
with acute depression. Which intervention should ings of shame, anger, and guilt.
the nurse implement to help the client deal with
depression?
Depression is associated with
Ensure that the client's day is filled with group feelings of shame, anger, and
activities. guilt. Exploring such feelings with
Assist the client in exploring feelings of shame, the client is an important nurs-
ing intervention for a client who
, Psych HESI
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anger, and guilt. is acutely depressed. The other
Allow the client to initiate and determine activities interventions are not indicated.
of daily living.
Encourage the client to explore the rationale for
depression.
4. Over a period of several weeks, a male participant Allow the group to handle the
of a socialization group at a community day care problem.
center for the elderly monopolizes most of the
group's time and interrupts others when they are
The phase the group process
talking. What is the best action for the nurse to
is in--initial, working, or termi-
take in this situation?
nation--this will help determine
Talk to the client outside the group about his be- communication styles between
havior during group meetings. the group members. After sev-
Remind the client to allow others in the group a eral weeks, the group is in the
chance to talk. working phase and the group
Allow the group to handle the problem. members should be allowed to
Ask the client to join another group. determine the direction of the
group. The nurse should ignore
the client's comments and allow
the group to address the situa-
tion.
5. A client on the psychiatric unit appears to imitate Identification.
a certain nurse on the unit. The client seeks out
this particular nurse and imitates the nurse's man-
Identification is an attempt to
nerisms. Which defense mechanism is the client
be like someone or emulate the
using?
personality traits of another. The
Sublimation. client is not demonstrating the
Identification. other psychosocial mechanisms.
, Psych HESI
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Introjection.
Repression.
6. The nurse should include which interventions in Permit rest periods as needed.
the plan of care for a severely depressed client Speaking slowly and simply.
with neurovegetative symptoms? (Select all that Place the client on suicide pre-
apply.) cautions.
Observe and encourage food and
Permit rest periods as needed. fluid intake.
Speaking slowly and simply.
Place the client on suicide precautions.
Observe and encourage food and fluid intake. Neurovegetative symptoms that
Encourage vigorous exercise and long walks on accompany the mood disorder
the unit. of depression include physiolog-
ical disruptions, such as anorex-
ia, constipation, sleep distur-
bance, and psychomotor retar-
dation. The client's plan of care
should include measures that
promote the client's comfort and
well-being, such as rest, nu-
trition, suicide precautions, and
simple communications. Vigor-
ous exercise and long walks are
not indicated for clients in a neu-
rovegetative state.
7. A nurse working on a mental health unit receives Moderate levels of anxiety.
a community call from a person who is tearful and
states, "I just feel so nervous all of the time. I don't
The nurse should initiate a re-
know what to do about my problems. I haven't
ferral based on anxiety levels
been able to sleep at night and have hardly eaten
and feelings of nervousness that
, Psych HESI
Study online at https://quizlet.com/_9mky6k
for the past 3 or 4 days." Which assessment find- the client described as interfer-
ing should the nurse reference when initiating a ing with sleep, appetite, and the
referral? inability to solve problems. The
other findings are not indicat-
Altered thought processes. ed based on the client's reported
Moderate levels of anxiety. symptoms.
Inadequate social support.
Altered health maintenance.
8. An adult female client has been increasingly rest- Come with me to your room and
less, and the nurse finds her trying to leave the I will sit with you.
psychiatric unit. She tells the nurse, "Please let
me go! I must leave because the secret police are
The best response offers sup-
after me." Which response is best for the nurse to
port without judgment or de-
make?
mands. The other responses are
No one is after you, you're safe here. not therapeutic communication
You'll feel better after you have rested. for a client who is hallucinating or
I know you must feel lonely and frightened. experiencing a delusion, which
Come with me to your room and I will sit with you. are perceive by this client as a
crisis.
9. A client who is being treated with lithium carbon- Notify the healthcare provider of
ate for bipolar disorder develops diarrhea, vomit- the symptoms prior to the next
ing, and drowsiness. What action should the nurse administration of the drug.
take?
Early side effects of lithium car-
Notify the healthcare provider immediately and bonate that occur with a serum
prepare for administration of an antidote. lithium levels below 2.0 mEq/L
Notify the healthcare provider of the symptoms generally follow a progressive
prior to the next administration of the drug. pattern beginning with diarrhea,
Record the symptoms as normal side effects vomiting, drowsiness, and mus-
and continue administration of the prescribed cular weakness. The nurse should
Psych HESI
TESTED QUESTIONS |RECENTLY TESTING REAL EXAM
Study online at https://quizlet.com/_9mky6k
QUESTIONS|VERIFIED SOLUTIONS (100% CORRECT)
1. A client who is diagnosed with schizophrenia is Flat affect.
admitted to the hospital. The nurse assesses the
client's mental status. Which assessment finding Disinterest, and diminished or
is characteristic of a client with schizophrenia? lack of facial expression is char-
acteristic of schizophrenia and is
Mood swings. referred to as a flat affect. The
Extreme sadness. other findings are not associated
Manipulative behavior. with schizophrenia.
Flat affect.
2. The nurse is leading a "current events group" with Clara Barton started the American
client who have chronic psychiatric illnesses. One Red Cross.
group member states, "Clara Barton was my nurse
during my last hospitalization. She was a very The historical fact that Clara Bar-
mean nurse and wasn't nice to me." Which re- ton was a nurse during the Civil
sponse is best for the nurse to make? War is referencing the concept of
universality in this group thera-
Clara Barton was not your nurse. py discussion. Stating the origi-
What did she do to you that was so mean? nal role of Clara Barton in nursing
I didn't know that Clara Barton was a nurse. should be presented, which is the
Clara Barton started the American Red Cross. reality in nursing and the Ameri-
can culture. The other responses
are not indicated.
3. The nurse is planning the care for an adult client Assist the client in exploring feel-
with acute depression. Which intervention should ings of shame, anger, and guilt.
the nurse implement to help the client deal with
depression?
Depression is associated with
Ensure that the client's day is filled with group feelings of shame, anger, and
activities. guilt. Exploring such feelings with
Assist the client in exploring feelings of shame, the client is an important nurs-
ing intervention for a client who
, Psych HESI
Study online at https://quizlet.com/_9mky6k
anger, and guilt. is acutely depressed. The other
Allow the client to initiate and determine activities interventions are not indicated.
of daily living.
Encourage the client to explore the rationale for
depression.
4. Over a period of several weeks, a male participant Allow the group to handle the
of a socialization group at a community day care problem.
center for the elderly monopolizes most of the
group's time and interrupts others when they are
The phase the group process
talking. What is the best action for the nurse to
is in--initial, working, or termi-
take in this situation?
nation--this will help determine
Talk to the client outside the group about his be- communication styles between
havior during group meetings. the group members. After sev-
Remind the client to allow others in the group a eral weeks, the group is in the
chance to talk. working phase and the group
Allow the group to handle the problem. members should be allowed to
Ask the client to join another group. determine the direction of the
group. The nurse should ignore
the client's comments and allow
the group to address the situa-
tion.
5. A client on the psychiatric unit appears to imitate Identification.
a certain nurse on the unit. The client seeks out
this particular nurse and imitates the nurse's man-
Identification is an attempt to
nerisms. Which defense mechanism is the client
be like someone or emulate the
using?
personality traits of another. The
Sublimation. client is not demonstrating the
Identification. other psychosocial mechanisms.
, Psych HESI
Study online at https://quizlet.com/_9mky6k
Introjection.
Repression.
6. The nurse should include which interventions in Permit rest periods as needed.
the plan of care for a severely depressed client Speaking slowly and simply.
with neurovegetative symptoms? (Select all that Place the client on suicide pre-
apply.) cautions.
Observe and encourage food and
Permit rest periods as needed. fluid intake.
Speaking slowly and simply.
Place the client on suicide precautions.
Observe and encourage food and fluid intake. Neurovegetative symptoms that
Encourage vigorous exercise and long walks on accompany the mood disorder
the unit. of depression include physiolog-
ical disruptions, such as anorex-
ia, constipation, sleep distur-
bance, and psychomotor retar-
dation. The client's plan of care
should include measures that
promote the client's comfort and
well-being, such as rest, nu-
trition, suicide precautions, and
simple communications. Vigor-
ous exercise and long walks are
not indicated for clients in a neu-
rovegetative state.
7. A nurse working on a mental health unit receives Moderate levels of anxiety.
a community call from a person who is tearful and
states, "I just feel so nervous all of the time. I don't
The nurse should initiate a re-
know what to do about my problems. I haven't
ferral based on anxiety levels
been able to sleep at night and have hardly eaten
and feelings of nervousness that
, Psych HESI
Study online at https://quizlet.com/_9mky6k
for the past 3 or 4 days." Which assessment find- the client described as interfer-
ing should the nurse reference when initiating a ing with sleep, appetite, and the
referral? inability to solve problems. The
other findings are not indicat-
Altered thought processes. ed based on the client's reported
Moderate levels of anxiety. symptoms.
Inadequate social support.
Altered health maintenance.
8. An adult female client has been increasingly rest- Come with me to your room and
less, and the nurse finds her trying to leave the I will sit with you.
psychiatric unit. She tells the nurse, "Please let
me go! I must leave because the secret police are
The best response offers sup-
after me." Which response is best for the nurse to
port without judgment or de-
make?
mands. The other responses are
No one is after you, you're safe here. not therapeutic communication
You'll feel better after you have rested. for a client who is hallucinating or
I know you must feel lonely and frightened. experiencing a delusion, which
Come with me to your room and I will sit with you. are perceive by this client as a
crisis.
9. A client who is being treated with lithium carbon- Notify the healthcare provider of
ate for bipolar disorder develops diarrhea, vomit- the symptoms prior to the next
ing, and drowsiness. What action should the nurse administration of the drug.
take?
Early side effects of lithium car-
Notify the healthcare provider immediately and bonate that occur with a serum
prepare for administration of an antidote. lithium levels below 2.0 mEq/L
Notify the healthcare provider of the symptoms generally follow a progressive
prior to the next administration of the drug. pattern beginning with diarrhea,
Record the symptoms as normal side effects vomiting, drowsiness, and mus-
and continue administration of the prescribed cular weakness. The nurse should
