HESI Case Study Psychosis Exam
Questions and Answers 100% Pass
Meet the Patient - ANSWER-A client is accompanied to the emergency
department (ED) by several police officers and a caseworker. The caseworker
called the police to enter the client's apartment because the client refused to answer
the door. The caseworker brings some medication bottles from the client's
apartment and reports that 4 months ago, the client stopped taking all
psychotropic medications. The client has poor eye contact, disheveled, dirty
uncombed hair, and stained clothes. The client denies current suicidal ideation,
although the caseworker reports a history of past suicide attempts and violence.
The client has lost 10 pounds in the past 2 weeks, sleeps 12 hours daily, and
doesn't leave the apartment. The nurse observes that the client sometimes looks to
the corner of the room and then looks down and mumbles during the interview.
The client admits to the nurse that they do not want to leave the apartment
because they think someone is waiting to kill them.
which thought process describes the client's inability to leave his apartment
because he believes someone is waiting to kill him? - ANSWER-Delusion (a false
and firm belief not shared by others)
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, A delusion is a false belief that is firmly maintained even though it is not shared by
others and is contradicted by reality.
how should the nurse respond when client says he believes that someone is waiting
to kill him? - ANSWER-state how he must be concerned and assure him he will be
safe there.
The nurse should respond to the client's underlying feelings and not make
assumptions about his delusions.
The nurse observes the client looking to the corner of the room and mumbling to
himself. Which intervention is most important for the nurse to make sure is in the
client's plan of care? - ANSWER-begin a sequence of interventions to address the
hallucinations.
Hallucinations can be nonverbal or they can include talking to oneself, moving the
lips without making sounds, rapid eye movements, and grinning or inappropriate
laughter.
When the client looks around the room and mumbles to himself, how should the
nurse respond? - ANSWER-ask client if they are hearing voices.
The client is demonstrating nonverbal cues that he is experiencing auditory
hallucinations, so the nurse should ask the client if he is hearing voices.
The client admits that the voices he hears have been getting louder over the past
couple of weeks. Which nursing intervention best promotes effective
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
Meet the Patient - ANSWER-A client is accompanied to the emergency
department (ED) by several police officers and a caseworker. The caseworker
called the police to enter the client's apartment because the client refused to answer
the door. The caseworker brings some medication bottles from the client's
apartment and reports that 4 months ago, the client stopped taking all
psychotropic medications. The client has poor eye contact, disheveled, dirty
uncombed hair, and stained clothes. The client denies current suicidal ideation,
although the caseworker reports a history of past suicide attempts and violence.
The client has lost 10 pounds in the past 2 weeks, sleeps 12 hours daily, and
doesn't leave the apartment. The nurse observes that the client sometimes looks to
the corner of the room and then looks down and mumbles during the interview.
The client admits to the nurse that they do not want to leave the apartment
because they think someone is waiting to kill them.
which thought process describes the client's inability to leave his apartment
because he believes someone is waiting to kill him? - ANSWER-Delusion (a false
and firm belief not shared by others)
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, A delusion is a false belief that is firmly maintained even though it is not shared by
others and is contradicted by reality.
how should the nurse respond when client says he believes that someone is waiting
to kill him? - ANSWER-state how he must be concerned and assure him he will be
safe there.
The nurse should respond to the client's underlying feelings and not make
assumptions about his delusions.
The nurse observes the client looking to the corner of the room and mumbling to
himself. Which intervention is most important for the nurse to make sure is in the
client's plan of care? - ANSWER-begin a sequence of interventions to address the
hallucinations.
Hallucinations can be nonverbal or they can include talking to oneself, moving the
lips without making sounds, rapid eye movements, and grinning or inappropriate
laughter.
When the client looks around the room and mumbles to himself, how should the
nurse respond? - ANSWER-ask client if they are hearing voices.
The client is demonstrating nonverbal cues that he is experiencing auditory
hallucinations, so the nurse should ask the client if he is hearing voices.
The client admits that the voices he hears have been getting louder over the past
couple of weeks. Which nursing intervention best promotes effective
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
