HESI Fundamentals Exam Complete
Questions With Verified Answers ||
100% Pass
\.the purpose of therapeutic interaction - Answer- to allow the client to autonomy to make
choices when appropriate. keep statements value-free, advice free, and reassurance-free
\.what action should the nurse take in a psychiatric situation when the client describes a
physical problem? - Answer- assess. example: if a client has schizophrenia complains of chest
pain take their blood pressure
\.basic communication principles - Answer- establish trust, nonjudgemental attitude,active
listening, offer self, accept client's feelings, validate client's statements, matter of fact approach
\.nausea is a common complaint after ECT - Answer- vomiting by an unconscious can lead to
aspiration. maintain a paten airway
\.common physiological responses to anxiety - Answer- increased heart rate, and blood
pressure, rapid shallow respirations, dry mouth, tight feeling in throat, tremors, muscle
twitching, anorexia, urinary frequency, palmar sweating
\.nurse-client anxiety - Answer- anxiety is contagious, nurse needs to asses on anxiety level
and remain calm. it helps gain control, decrease anxiety, and increase feelings of security
\.desensitization - Answer- is the nursing intervention for phobia disorders. --assess client to
recognize the factors associated with feared stimuli.
,-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
\.the nurse should place an anxious client where there are reduced environmental stimuli -
Answer- quiet area of the unit away from the nurse's station
\.the best time for interaction with a client is at the completion of the performed ritual -
Answer- the client's anxiety is lowest at this time and its an optimal time for learning
\.compulsive acts are used in response to anxiety, which may or may not be related to the
obsession. its the nurse's responsibility help alleviate anxiety - Answer- its the nurse's
responsibility help alleviate anxiety, interfering will increase the anxiety
\.as long as the client's acts are free of violence: nurse should.... - Answer- -actively listen to
the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
\.ford clients with PTSD, the nurse should.... - Answer- -actively listen to client's stories of
experiences surrounding the traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve regarding possible means
of controlling anxiety related to the event
-encourage group therapy with other clients who have experienced the same traumatic event
,\.be aware of your own feelings when dealing with this somatoform clients. - Answer- the
pain is real to the person experiencing it
\.theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... - Answer- -acknowledge the symptom or complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
\.avoid giving clients with dissociative disorders too much information about past events at one
time - Answer- the various types of amnestic that accompany dissociative disorders provide
protection from pain and too much to soon can cause decompensation
\.personality disorders are long standing behavioral traits that are maladaptive responses to
anxiety and that cause difficulty in relating to and working with other individuals - Answer-
persons with personality disorders are usually comfortable with their disorders and believe
that they are right and the world is wrong and have little motivation
\.people with anorexia gain pleasure from providing others with food and watching them eat -
Answer- these behaviors reinforce their perception of self-control. don not allow these
clients to plan or prepare food for unit-based activities
\.individuals with Bulimia often use syrup of ipecac to induce vomiting. if ipecac is not vomited
and is absorbed, cardiotoxicity may occur and cause conduction disturbances, cardiac
dysrhythmias, fatal myocarditis, and circulatory failure - Answer- because heart failure is not
usually seen in this age group, it is often overlooked. assess for edema and listen to breath
sounds
\.physical assessment and nutritional support are a priority, the physiological implication are
great. nursing interventions should increase self-esteem and develop a positive body image. -
Answer- family therapy is most effective because issues of control are common in these
(eating disorders.) therapy is usually long term
, \.the most important s/s of depression are a depressed mood with a loss of interest in the
pleasures in life - Answer- the client has a sustained loss
\.s/s of depression - Answer- -significant change in appetite
-insomnia
-fatigue or lack of energy
-feelings of hopelessness
-loss of ability to concentrate
-preoccupation with death or suicide
\.depressed clients have difficulty hearing and accepting compliments because of their lowered
self-concept - Answer- comment on signs of improvement by noting behavior
\.the nurse knows depressed clients are improving when they - Answer- begin to take an
interest in their appearance or begin to perform self-care activities
\.the nurse should suspect an imminent suicide attempt if a depressed client becomes "better" -
Answer- be aware a happy affect may signify the the client feels relieved that a plan has been
made and is prepared for the suicide attempt
\.when dealing with a depressed client the nurse should assist with personal hygiene tasks and
encourage the client to initiate grooming activities even when they dont feel like doing so -
Answer- this helps to promote self-esteem and a sense of control
\.nursing intervention for depressed client - Answer- sit quietly with the client, offering your
support with your presence
Questions With Verified Answers ||
100% Pass
\.the purpose of therapeutic interaction - Answer- to allow the client to autonomy to make
choices when appropriate. keep statements value-free, advice free, and reassurance-free
\.what action should the nurse take in a psychiatric situation when the client describes a
physical problem? - Answer- assess. example: if a client has schizophrenia complains of chest
pain take their blood pressure
\.basic communication principles - Answer- establish trust, nonjudgemental attitude,active
listening, offer self, accept client's feelings, validate client's statements, matter of fact approach
\.nausea is a common complaint after ECT - Answer- vomiting by an unconscious can lead to
aspiration. maintain a paten airway
\.common physiological responses to anxiety - Answer- increased heart rate, and blood
pressure, rapid shallow respirations, dry mouth, tight feeling in throat, tremors, muscle
twitching, anorexia, urinary frequency, palmar sweating
\.nurse-client anxiety - Answer- anxiety is contagious, nurse needs to asses on anxiety level
and remain calm. it helps gain control, decrease anxiety, and increase feelings of security
\.desensitization - Answer- is the nursing intervention for phobia disorders. --assess client to
recognize the factors associated with feared stimuli.
,-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
\.the nurse should place an anxious client where there are reduced environmental stimuli -
Answer- quiet area of the unit away from the nurse's station
\.the best time for interaction with a client is at the completion of the performed ritual -
Answer- the client's anxiety is lowest at this time and its an optimal time for learning
\.compulsive acts are used in response to anxiety, which may or may not be related to the
obsession. its the nurse's responsibility help alleviate anxiety - Answer- its the nurse's
responsibility help alleviate anxiety, interfering will increase the anxiety
\.as long as the client's acts are free of violence: nurse should.... - Answer- -actively listen to
the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
\.ford clients with PTSD, the nurse should.... - Answer- -actively listen to client's stories of
experiences surrounding the traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve regarding possible means
of controlling anxiety related to the event
-encourage group therapy with other clients who have experienced the same traumatic event
,\.be aware of your own feelings when dealing with this somatoform clients. - Answer- the
pain is real to the person experiencing it
\.theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... - Answer- -acknowledge the symptom or complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
\.avoid giving clients with dissociative disorders too much information about past events at one
time - Answer- the various types of amnestic that accompany dissociative disorders provide
protection from pain and too much to soon can cause decompensation
\.personality disorders are long standing behavioral traits that are maladaptive responses to
anxiety and that cause difficulty in relating to and working with other individuals - Answer-
persons with personality disorders are usually comfortable with their disorders and believe
that they are right and the world is wrong and have little motivation
\.people with anorexia gain pleasure from providing others with food and watching them eat -
Answer- these behaviors reinforce their perception of self-control. don not allow these
clients to plan or prepare food for unit-based activities
\.individuals with Bulimia often use syrup of ipecac to induce vomiting. if ipecac is not vomited
and is absorbed, cardiotoxicity may occur and cause conduction disturbances, cardiac
dysrhythmias, fatal myocarditis, and circulatory failure - Answer- because heart failure is not
usually seen in this age group, it is often overlooked. assess for edema and listen to breath
sounds
\.physical assessment and nutritional support are a priority, the physiological implication are
great. nursing interventions should increase self-esteem and develop a positive body image. -
Answer- family therapy is most effective because issues of control are common in these
(eating disorders.) therapy is usually long term
, \.the most important s/s of depression are a depressed mood with a loss of interest in the
pleasures in life - Answer- the client has a sustained loss
\.s/s of depression - Answer- -significant change in appetite
-insomnia
-fatigue or lack of energy
-feelings of hopelessness
-loss of ability to concentrate
-preoccupation with death or suicide
\.depressed clients have difficulty hearing and accepting compliments because of their lowered
self-concept - Answer- comment on signs of improvement by noting behavior
\.the nurse knows depressed clients are improving when they - Answer- begin to take an
interest in their appearance or begin to perform self-care activities
\.the nurse should suspect an imminent suicide attempt if a depressed client becomes "better" -
Answer- be aware a happy affect may signify the the client feels relieved that a plan has been
made and is prepared for the suicide attempt
\.when dealing with a depressed client the nurse should assist with personal hygiene tasks and
encourage the client to initiate grooming activities even when they dont feel like doing so -
Answer- this helps to promote self-esteem and a sense of control
\.nursing intervention for depressed client - Answer- sit quietly with the client, offering your
support with your presence
