HESI Fundamentals Exam with Verified
Answers
the purpose of therapeutic interaction - ✔✔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? - ✔✔assess. example: if a client has schizophrenia complains of chest pain take their
blood pressure
basic communication principles - ✔✔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 - ✔✔vomiting by an unconscious can lead to
aspiration. maintain a paten airway
common physiological responses to anxiety - ✔✔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 - ✔✔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 - ✔✔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 -
✔✔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 - ✔✔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 - ✔✔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.... - ✔✔actively listen to the clients
obsessive themes
acknowledge the effects that ritualistic acts have on the client
demonstrate empathy
avoid being judgmental
for clients with PTSD, the nurse should.... - ✔✔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. - ✔✔the pain is real
to the person experiencing it
theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... - ✔✔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 - ✔✔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 - ✔✔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 -
✔✔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 - ✔✔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. -
✔✔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 - ✔✔the client has a sustained loss
s/s of depression - ✔✔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 - ✔✔comment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they - ✔✔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" -
✔✔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 -
✔✔this helps to promote self-esteem and a sense of control
nursing intervention for depressed client - ✔✔sit quietly with the client, offering your support
with your presence
side effects of antianxiety drugs - ✔✔sedation, drowsiness
s/e of antidepressants drugs - ✔✔anticholinergic effects, postural hypotension
s/e MAO inhibitors - ✔✔hypertensive crisis
lithium requires renal function assessment and monitoring - ✔✔phenothiazines cause EPS
(tardic dyskinesia can be permanent)
Answers
the purpose of therapeutic interaction - ✔✔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? - ✔✔assess. example: if a client has schizophrenia complains of chest pain take their
blood pressure
basic communication principles - ✔✔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 - ✔✔vomiting by an unconscious can lead to
aspiration. maintain a paten airway
common physiological responses to anxiety - ✔✔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 - ✔✔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 - ✔✔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 -
✔✔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 - ✔✔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 - ✔✔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.... - ✔✔actively listen to the clients
obsessive themes
acknowledge the effects that ritualistic acts have on the client
demonstrate empathy
avoid being judgmental
for clients with PTSD, the nurse should.... - ✔✔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. - ✔✔the pain is real
to the person experiencing it
theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... - ✔✔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 - ✔✔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 - ✔✔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 -
✔✔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 - ✔✔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. -
✔✔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 - ✔✔the client has a sustained loss
s/s of depression - ✔✔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 - ✔✔comment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they - ✔✔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" -
✔✔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 -
✔✔this helps to promote self-esteem and a sense of control
nursing intervention for depressed client - ✔✔sit quietly with the client, offering your support
with your presence
side effects of antianxiety drugs - ✔✔sedation, drowsiness
s/e of antidepressants drugs - ✔✔anticholinergic effects, postural hypotension
s/e MAO inhibitors - ✔✔hypertensive crisis
lithium requires renal function assessment and monitoring - ✔✔phenothiazines cause EPS
(tardic dyskinesia can be permanent)
