Psychiatric / Mental Health HESI
Practice Questions
A 22-year-vintage purchaser is admitted to the psychiatric unit from the scientific unit following a
suicide attempt with an overdose of diazepam. When developing the nursing care plan for this
client, which intervention might be most critical for the nurse to encompass? - ANS-Assist
customer to awareness on non-public strengths.
-Encouraging the consumer to consciousness on his or her strengths enables the client grow to
be aware of fantastic qualities, assists in enhancing self-image, and aids in coping with past and
gift conditions.
A 25-12 months-antique customer has been especially restless, and the nurse reveals the
patron looking to leave the psychiatric unit. The purchaser tells the nurse, "Please allow me
move! I should go away due to the fact the secret police are after me." Which reaction is
first-rate for the nurse to make? - ANS-"Come with me for your room, and I will sit with you."
-Offers help with out judgment or needs.
A 25-year-antique consumer has suffered significant burns and is crying during dressing trade
remedy. The customer tells the nurse, "Please let me die. Why are you all torturing me like this?
I just need to die." Which response with the aid of the nurse is satisfactory? - ANS-"I realize
these remedies need to seem like torture to you, but we want to help you recover."
-Offers an empathetic reaction without sounding patronizing.
A 27-yr-antique consumer is admitted to the psychiatric health facility with a analysis of bipolar
sickness, manic segment. The consumer is traumatic and active. Which intervention should the
nurse encompass in this client's plan of care? - ANS-Provide a structured surroundings with little
stimuli.
-Clients inside the manic section of a bipolar disease require decreased stimuli and a structured
surroundings. Noncompetitive sports that can be done by myself need to be planned for those
customers.
A 33-year-old purchaser is admitted to a psychiatric facility with a medical prognosis of primary
depression. When the nurse is assigning the consumer to a room, which roommate is best for
this customer? - ANS-A manic consumer who has commenced lithium carbonate remedy.
, -This seems to be the most strong consumer defined on the grounds that remedy become all
started with lithium carbonate (remedy of preference for manic despair).
A 35-year-old client admitted to the psychiatric unit of an acute care clinic tells the nurse that a
person is trying to poison her. The client's delusions are most possibly related to which issue? -
ANS-Low self-esteem
-Delusional clients have problem with consider and have low vanity. Nursing care must be
directed at building consider and promoting superb shallowness.
A 38-yr-vintage client is admitted with a prognosis of paranoid schizophrenia. When the lunch
tray is introduced to the room, the purchaser refuses to eat and tells the nurse, "I know you are
trying to poison me with that meals." Which reaction by way of the nurse is the most
therapeutic? - ANS-"I'll depart your tray right here. I am available in case you need whatever
else."
-This is the quality response due to the fact the nurse does not argue with the purchaser or
demand that the consumer devour but offers aid via agreeing to be there if wished, which gives
an open, as opposed to closed, reaction to the patron's assertion.
A 45-yr-old male customer tells the nurse that he used to believe that he became Jesus Christ,
but now he is aware of that he isn't always. Which response is pleasant for the nurse to make? -
ANS-"Others have had comparable mind when beneath pressure."
-Offers aid by way of assuring the client that others have skilled comparable situations.
A infant is added to the emergency department with a damaged arm. Because of other
accidents, the nurse suspects that the child can be a victim of abuse. When the nurse tries to
offer the kid an injection, the child's mom will become very loud and shouts, "I may not leave my
son! Don't you contact him! You'll harm my child!" What is the best interpretation of the mother's
statements? - ANS-She is projecting her emotions onto the nurse.
Projection is attributing one's own thoughts, impulses, or behaviors onto any other; it's far the
mother who is probably harming the child, and she or he is attributing her movements to the
nurse.
A client starts offevolved taking an atypical antipsychotic medication. The nurse must offer
knowledgeable consent and education about common medication side consequences. Which
patron education may be maximum important? - ANS-Maintain a balanced diet and adequate
exercise.
-Several atypical antipsychotic medicines can motive sizeable weight advantage, so the client
have to be counseled to keep a balanced eating regimen and good enough exercise.
Practice Questions
A 22-year-vintage purchaser is admitted to the psychiatric unit from the scientific unit following a
suicide attempt with an overdose of diazepam. When developing the nursing care plan for this
client, which intervention might be most critical for the nurse to encompass? - ANS-Assist
customer to awareness on non-public strengths.
-Encouraging the consumer to consciousness on his or her strengths enables the client grow to
be aware of fantastic qualities, assists in enhancing self-image, and aids in coping with past and
gift conditions.
A 25-12 months-antique customer has been especially restless, and the nurse reveals the
patron looking to leave the psychiatric unit. The purchaser tells the nurse, "Please allow me
move! I should go away due to the fact the secret police are after me." Which reaction is
first-rate for the nurse to make? - ANS-"Come with me for your room, and I will sit with you."
-Offers help with out judgment or needs.
A 25-year-antique consumer has suffered significant burns and is crying during dressing trade
remedy. The customer tells the nurse, "Please let me die. Why are you all torturing me like this?
I just need to die." Which response with the aid of the nurse is satisfactory? - ANS-"I realize
these remedies need to seem like torture to you, but we want to help you recover."
-Offers an empathetic reaction without sounding patronizing.
A 27-yr-antique consumer is admitted to the psychiatric health facility with a analysis of bipolar
sickness, manic segment. The consumer is traumatic and active. Which intervention should the
nurse encompass in this client's plan of care? - ANS-Provide a structured surroundings with little
stimuli.
-Clients inside the manic section of a bipolar disease require decreased stimuli and a structured
surroundings. Noncompetitive sports that can be done by myself need to be planned for those
customers.
A 33-year-old purchaser is admitted to a psychiatric facility with a medical prognosis of primary
depression. When the nurse is assigning the consumer to a room, which roommate is best for
this customer? - ANS-A manic consumer who has commenced lithium carbonate remedy.
, -This seems to be the most strong consumer defined on the grounds that remedy become all
started with lithium carbonate (remedy of preference for manic despair).
A 35-year-old client admitted to the psychiatric unit of an acute care clinic tells the nurse that a
person is trying to poison her. The client's delusions are most possibly related to which issue? -
ANS-Low self-esteem
-Delusional clients have problem with consider and have low vanity. Nursing care must be
directed at building consider and promoting superb shallowness.
A 38-yr-vintage client is admitted with a prognosis of paranoid schizophrenia. When the lunch
tray is introduced to the room, the purchaser refuses to eat and tells the nurse, "I know you are
trying to poison me with that meals." Which reaction by way of the nurse is the most
therapeutic? - ANS-"I'll depart your tray right here. I am available in case you need whatever
else."
-This is the quality response due to the fact the nurse does not argue with the purchaser or
demand that the consumer devour but offers aid via agreeing to be there if wished, which gives
an open, as opposed to closed, reaction to the patron's assertion.
A 45-yr-old male customer tells the nurse that he used to believe that he became Jesus Christ,
but now he is aware of that he isn't always. Which response is pleasant for the nurse to make? -
ANS-"Others have had comparable mind when beneath pressure."
-Offers aid by way of assuring the client that others have skilled comparable situations.
A infant is added to the emergency department with a damaged arm. Because of other
accidents, the nurse suspects that the child can be a victim of abuse. When the nurse tries to
offer the kid an injection, the child's mom will become very loud and shouts, "I may not leave my
son! Don't you contact him! You'll harm my child!" What is the best interpretation of the mother's
statements? - ANS-She is projecting her emotions onto the nurse.
Projection is attributing one's own thoughts, impulses, or behaviors onto any other; it's far the
mother who is probably harming the child, and she or he is attributing her movements to the
nurse.
A client starts offevolved taking an atypical antipsychotic medication. The nurse must offer
knowledgeable consent and education about common medication side consequences. Which
patron education may be maximum important? - ANS-Maintain a balanced diet and adequate
exercise.
-Several atypical antipsychotic medicines can motive sizeable weight advantage, so the client
have to be counseled to keep a balanced eating regimen and good enough exercise.
