Mental Health/Psych HESI Review
Questions (50 Q study with rationale)
A 22-year-antique customer 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 patron, which intervention might be most important for the nurse to include?
A.Assist patron to cognizance on private strengths.
B.Set limits on self-defacing comments.
C.Remind the customer of every day activities within the milieu.
D.Assist the customer to become aware of why he or she changed into self-adverse. -
ANS-ANS: A
Encouraging the customer to consciousness on his or her strengths (A) enables the consumer
become aware of fantastic qualities, assists in enhancing self-photo, and aids in handling
beyond and present conditions. Although nursing movements ought to assist the customer in
decreasing self-defacing feedback (B) and informing the client of (C), these interventions are not
priorities at the moment. (D) isn't as vital as assisting the client to overcome the depression,
which resulted in the overdose, and asking "why" is not healing.
A 25-12 months-vintage customer has been mainly stressed and the nurse finds the purchaser
looking to leave the psychiatric unit. The patron tells the nurse, "Please let me move! I must
leave due to the fact the secret police are after me." Which response is quality for the nurse to
make?
A."No one is once you. You're secure right here."
B."You'll experience better after you have got rested."
C."I realize you must sense lonely and nervous."
D."Come with me to your room, and I will sit with you." - ANS-ANS: D
(D) is the great response because it offers assist without judgment or needs. (A) is difficult the
patron's fable. (B) is presenting false reassurance. (C) is a contravention of therapeutic
communique due to the fact the nurse is telling the purchaser how he or she feels (frightened
and lonely), rather than permitting the consumer to describe his or her personal emotions.
Hallucinating and delusional customers aren't able to discussing their feelings, in particular
when they understand a crisis.
,A 25-12 months-vintage purchaser has suffered tremendous burns and is crying throughout
dressing change remedy. The consumer tells the nurse, "Please allow me die. Why are you all
torturing me like this? I just want to die." Which reaction by way of the nurse is great?
A."We are not torturing you. These treatments are vital to save you a horrible infection."
B."I know these remedies have to look like torture to you, but we want to help you get better."
C."You have so much to stay for, and all of your circle of relatives members need you to stay."
D."Would you want me to call the chaplain so that you can talk your emotions privately?" -
ANS-ANS: B
(B) gives an empathetic response with out sounding patronizing. (A) isn't always empathetic and
is definitely really argumentative. The customer isn't requesting data as a whole lot as pleading
for understanding. (C) appears as scolding and locations blame on the patron for looking to die
and probable hurting the patron's own family individuals as a end result. (D) is probably
appropriate if the nurse definitely asks the purchaser if a chaplain's visit is preferred, but the
nurse is brushing off the customer's desires by means of now not addressing them in the
interim.
A 27-year-old client is admitted to the psychiatric health facility with a analysis of bipolar ailment,
manic segment. The consumer is disturbing and active. Which intervention have to the nurse
include in this purchaser's plan of care?
A.Schedule the customer to attend diverse organization sports.
B.Reinforce the purchaser's capacity to make selections.
C.Encourage the patron to become aware of feelings of anger.
D.Provide a based surroundings with little stimuli. - ANS-ANS: D
Clients inside the manic section of a bipolar ailment require reduced stimuli and a based
surroundings (D). Noncompetitive activities that can be executed alone have to be deliberate for
those customers. (A) is contraindicated due to the fact stimuli should be decreased as a good
deal as feasible. Impulsive decision making is function of customers with bipolar sickness. To
save you destiny headaches, the nurse should screen those customers' selections and help
them within the choice making process (B). (C) is extra frequently associated with depression
than with bipolar sickness.
A 33-year-antique client is admitted to a psychiatric facility with a clinical diagnosis of
predominant depression. When the nurse is assigning the client to a room, which roommate is
quality for this client?
A.A 35-12 months-old customer who these days tried suicide.
B.A manic purchaser who has started lithium carbonate remedy.
C.A customer who's bipolar and is pacing the floor while telling jokes to anybody.
D.A paranoid purchaser who believes that the body of workers is attempting to poison the
meals. - ANS-ANS: B
,(B) appears to be the most stable client defined for the reason that treatment was started with
lithium carbonate (treatment of choice for manic depression). Being round another depressed
person would possibly decorate this purchaser's very own melancholy and in all likelihood
support suicidal ideation (A). Clients in the manic degree of bipolar disorder (C) beautify the
level of hysteria of those around them, which would no longer be healing for the patron at the
moment. Paranoid ideation (D), that's characterised by means of suspiciousness, would also
increase tension on this client.
A 35-year-vintage patron admitted to the psychiatric unit of an acute care hospital tells the nurse
that a person is attempting to poison her. The patron's delusions are maximum probable
associated with which factor?
A.Authority problems in youth
B.Anger approximately being hospitalized
C.Low shallowness
D.Phobia of meals - ANS-ANS: C
Delusional clients have problem with consider and feature low shallowness (C). Nursing care
must be directed at constructing accept as true with and promoting effective shallowness.
Activities with restricted awareness and no competition have to be endorsed to build vanity. (A,
B, and D) are not in particular associated with the development of delusions.
A 38-12 months-antique patron is admitted with a diagnosis of paranoid schizophrenia. When
the lunch tray is introduced to the room, the consumer refuses to consume and tells the nurse, "I
understand you are attempting to poison me with that meals." Which reaction with the aid of the
nurse is the most therapeutic?
A."I'll leave your tray here. I am to be had in case you want whatever else."
B."You're no longer being poisoned. Why do you believe you studied a person is attempting to
poison you?"
C."No one in this unit has ever died from poisoning. You're secure here."
D."I will communicate in your fitness care issuer about the opportunity of changing your weight
loss plan." - ANS-ANS: A
(A) is the high-quality desire because the nurse does not argue with the consumer or call for
that that the purchaser devour however offers guide via agreeing to be there if wished, which
affords an open, as opposed to closed, response to the patron's announcement. (B and C) are
challenging the purchaser's delusions, and (B) asks "why." Probing questions, which start with
"why," are usually now not therapeutic verbal exchange for a psychotic customer. (D) has not
addressed the real hassle—this is, the customer's delusions.
A forty five-year-old male customer tells the nurse that he used to trust that he turned into Jesus
Christ, but now he knows that he isn't. Which response is nice for the nurse to make?
, A."Did you simply believe you have been Jesus Christ?"
B."I assume you are getting well."
C."Others have had similar thoughts when under stress."
D."Why did you believe you studied you were Jesus Christ?" - ANS-ANS: C
(C) offers support by using assuring the purchaser that others have experienced comparable
situations. (A) is belittling. (B) is making an inappropriate judgment. You may additionally have
narrowed your picks to (C and D). However, you need to get rid of (D) due to the fact it's far a
"why" question, and the customer does now not know why.
A child is introduced to the emergency department with a damaged arm. Because of different
accidents, the nurse suspects that the child may be a victim of abuse. When the nurse tries to
present the child an injection, the child's mother will become very loud and shouts, "I may not
depart my son! Don't you touch him! You'll harm my baby!" What is the first-rate interpretation of
the mom's statements?
A.She is regressing to an earlier behavior pattern.
B.She is sublimating her anger.
C.She is projecting her emotions onto the nurse.
D.She is suppressing her worry. - ANS-ANS: C
Projection is attributing one's very own mind, impulses, or behaviors onto any other; it's miles
the mom who might be harming the child, and he or she is attributing her moves to the nurse
(C). The mother may be immature, however (A) is not the great description of her behavior. (B)
is substituting a socially suited feeling for an unacceptable one. These aren't socially acceptable
feelings. The mom can be suppressing her fear (D) via showing anger, however such an
interpretation cannot be concluded from the data supplied.
A patron starts offevolved taking an bizarre antipsychotic medicine. The nurse should offer
knowledgeable consent and training about commonplace medication facet results. Which
purchaser schooling may be most vital?
A.Maintain a balanced food plan and ok workout.
B.Be sure that the weight loss plan is good enough in salt intake.
C.Monitor for any modifications in sleep pattern.
D.Report any uncommon facial moves. - ANS-ANS: A
Several peculiar antipsychotic medicines can cause widespread weight gain, so the patron have
to be cautioned to keep a balanced food plan and ok exercising (A). (B) is vital with lithium, a
mood stabilizer. (C and D) are much less common than weight gain.
A client believes that his health care company is an FBI agent and that his rental is a website for
slave buying and selling. The customer believes that the FBI has cameras inside the
Questions (50 Q study with rationale)
A 22-year-antique customer 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 patron, which intervention might be most important for the nurse to include?
A.Assist patron to cognizance on private strengths.
B.Set limits on self-defacing comments.
C.Remind the customer of every day activities within the milieu.
D.Assist the customer to become aware of why he or she changed into self-adverse. -
ANS-ANS: A
Encouraging the customer to consciousness on his or her strengths (A) enables the consumer
become aware of fantastic qualities, assists in enhancing self-photo, and aids in handling
beyond and present conditions. Although nursing movements ought to assist the customer in
decreasing self-defacing feedback (B) and informing the client of (C), these interventions are not
priorities at the moment. (D) isn't as vital as assisting the client to overcome the depression,
which resulted in the overdose, and asking "why" is not healing.
A 25-12 months-vintage customer has been mainly stressed and the nurse finds the purchaser
looking to leave the psychiatric unit. The patron tells the nurse, "Please let me move! I must
leave due to the fact the secret police are after me." Which response is quality for the nurse to
make?
A."No one is once you. You're secure right here."
B."You'll experience better after you have got rested."
C."I realize you must sense lonely and nervous."
D."Come with me to your room, and I will sit with you." - ANS-ANS: D
(D) is the great response because it offers assist without judgment or needs. (A) is difficult the
patron's fable. (B) is presenting false reassurance. (C) is a contravention of therapeutic
communique due to the fact the nurse is telling the purchaser how he or she feels (frightened
and lonely), rather than permitting the consumer to describe his or her personal emotions.
Hallucinating and delusional customers aren't able to discussing their feelings, in particular
when they understand a crisis.
,A 25-12 months-vintage purchaser has suffered tremendous burns and is crying throughout
dressing change remedy. The consumer tells the nurse, "Please allow me die. Why are you all
torturing me like this? I just want to die." Which reaction by way of the nurse is great?
A."We are not torturing you. These treatments are vital to save you a horrible infection."
B."I know these remedies have to look like torture to you, but we want to help you get better."
C."You have so much to stay for, and all of your circle of relatives members need you to stay."
D."Would you want me to call the chaplain so that you can talk your emotions privately?" -
ANS-ANS: B
(B) gives an empathetic response with out sounding patronizing. (A) isn't always empathetic and
is definitely really argumentative. The customer isn't requesting data as a whole lot as pleading
for understanding. (C) appears as scolding and locations blame on the patron for looking to die
and probable hurting the patron's own family individuals as a end result. (D) is probably
appropriate if the nurse definitely asks the purchaser if a chaplain's visit is preferred, but the
nurse is brushing off the customer's desires by means of now not addressing them in the
interim.
A 27-year-old client is admitted to the psychiatric health facility with a analysis of bipolar ailment,
manic segment. The consumer is disturbing and active. Which intervention have to the nurse
include in this purchaser's plan of care?
A.Schedule the customer to attend diverse organization sports.
B.Reinforce the purchaser's capacity to make selections.
C.Encourage the patron to become aware of feelings of anger.
D.Provide a based surroundings with little stimuli. - ANS-ANS: D
Clients inside the manic section of a bipolar ailment require reduced stimuli and a based
surroundings (D). Noncompetitive activities that can be executed alone have to be deliberate for
those customers. (A) is contraindicated due to the fact stimuli should be decreased as a good
deal as feasible. Impulsive decision making is function of customers with bipolar sickness. To
save you destiny headaches, the nurse should screen those customers' selections and help
them within the choice making process (B). (C) is extra frequently associated with depression
than with bipolar sickness.
A 33-year-antique client is admitted to a psychiatric facility with a clinical diagnosis of
predominant depression. When the nurse is assigning the client to a room, which roommate is
quality for this client?
A.A 35-12 months-old customer who these days tried suicide.
B.A manic purchaser who has started lithium carbonate remedy.
C.A customer who's bipolar and is pacing the floor while telling jokes to anybody.
D.A paranoid purchaser who believes that the body of workers is attempting to poison the
meals. - ANS-ANS: B
,(B) appears to be the most stable client defined for the reason that treatment was started with
lithium carbonate (treatment of choice for manic depression). Being round another depressed
person would possibly decorate this purchaser's very own melancholy and in all likelihood
support suicidal ideation (A). Clients in the manic degree of bipolar disorder (C) beautify the
level of hysteria of those around them, which would no longer be healing for the patron at the
moment. Paranoid ideation (D), that's characterised by means of suspiciousness, would also
increase tension on this client.
A 35-year-vintage patron admitted to the psychiatric unit of an acute care hospital tells the nurse
that a person is attempting to poison her. The patron's delusions are maximum probable
associated with which factor?
A.Authority problems in youth
B.Anger approximately being hospitalized
C.Low shallowness
D.Phobia of meals - ANS-ANS: C
Delusional clients have problem with consider and feature low shallowness (C). Nursing care
must be directed at constructing accept as true with and promoting effective shallowness.
Activities with restricted awareness and no competition have to be endorsed to build vanity. (A,
B, and D) are not in particular associated with the development of delusions.
A 38-12 months-antique patron is admitted with a diagnosis of paranoid schizophrenia. When
the lunch tray is introduced to the room, the consumer refuses to consume and tells the nurse, "I
understand you are attempting to poison me with that meals." Which reaction with the aid of the
nurse is the most therapeutic?
A."I'll leave your tray here. I am to be had in case you want whatever else."
B."You're no longer being poisoned. Why do you believe you studied a person is attempting to
poison you?"
C."No one in this unit has ever died from poisoning. You're secure here."
D."I will communicate in your fitness care issuer about the opportunity of changing your weight
loss plan." - ANS-ANS: A
(A) is the high-quality desire because the nurse does not argue with the consumer or call for
that that the purchaser devour however offers guide via agreeing to be there if wished, which
affords an open, as opposed to closed, response to the patron's announcement. (B and C) are
challenging the purchaser's delusions, and (B) asks "why." Probing questions, which start with
"why," are usually now not therapeutic verbal exchange for a psychotic customer. (D) has not
addressed the real hassle—this is, the customer's delusions.
A forty five-year-old male customer tells the nurse that he used to trust that he turned into Jesus
Christ, but now he knows that he isn't. Which response is nice for the nurse to make?
, A."Did you simply believe you have been Jesus Christ?"
B."I assume you are getting well."
C."Others have had similar thoughts when under stress."
D."Why did you believe you studied you were Jesus Christ?" - ANS-ANS: C
(C) offers support by using assuring the purchaser that others have experienced comparable
situations. (A) is belittling. (B) is making an inappropriate judgment. You may additionally have
narrowed your picks to (C and D). However, you need to get rid of (D) due to the fact it's far a
"why" question, and the customer does now not know why.
A child is introduced to the emergency department with a damaged arm. Because of different
accidents, the nurse suspects that the child may be a victim of abuse. When the nurse tries to
present the child an injection, the child's mother will become very loud and shouts, "I may not
depart my son! Don't you touch him! You'll harm my baby!" What is the first-rate interpretation of
the mom's statements?
A.She is regressing to an earlier behavior pattern.
B.She is sublimating her anger.
C.She is projecting her emotions onto the nurse.
D.She is suppressing her worry. - ANS-ANS: C
Projection is attributing one's very own mind, impulses, or behaviors onto any other; it's miles
the mom who might be harming the child, and he or she is attributing her moves to the nurse
(C). The mother may be immature, however (A) is not the great description of her behavior. (B)
is substituting a socially suited feeling for an unacceptable one. These aren't socially acceptable
feelings. The mom can be suppressing her fear (D) via showing anger, however such an
interpretation cannot be concluded from the data supplied.
A patron starts offevolved taking an bizarre antipsychotic medicine. The nurse should offer
knowledgeable consent and training about commonplace medication facet results. Which
purchaser schooling may be most vital?
A.Maintain a balanced food plan and ok workout.
B.Be sure that the weight loss plan is good enough in salt intake.
C.Monitor for any modifications in sleep pattern.
D.Report any uncommon facial moves. - ANS-ANS: A
Several peculiar antipsychotic medicines can cause widespread weight gain, so the patron have
to be cautioned to keep a balanced food plan and ok exercising (A). (B) is vital with lithium, a
mood stabilizer. (C and D) are much less common than weight gain.
A client believes that his health care company is an FBI agent and that his rental is a website for
slave buying and selling. The customer believes that the FBI has cameras inside the
