Exit HESI (Psychiatric, Gerontology, Values) questions with correct answers

What is the purpose of a therapeutic interaction with clients? correct answer Allow them the autonomy to make choices when appropriate. Keep statements value-free, advice-free, and reassurance-free. Remember, just the facts... no opinions What action should the nurse take in a psychiatric situation when the client describes a physical problem? correct answer Assess! If a client in the psychiatric unit with paranoid schizophrenia complains of chest pain, take his or her BP. If the obstetrical client who has delivered a dead fetus complains of perineal pain, look at the perineal area. Just because the focus of the client's situation is on his or her psychological needs, it does not mean that the nurse can ignore physiological needs Basic communication principles that can be applied to all clients correct answer Establish trust, demonstrate a nonjudgmental attitude, offer self, be empathetic, not sympathetic, use active listening, accept and support client's feelings, clarify and validate client's statements, use a matter-of-fact approach Note: a nurse's nonverbal communication may be more important than the verbal communication Nurse-client confidentiality correct answer These questions often appear. For the nurse to tell a client that he or she will not tell anyone about their discussion puts the nurse in a difficult position. Some information must be shared with other team members for the client's safety and optimal therapy (i.e. suicide plan) Common complaint after electroconvulsive therapy (ECT) correct answer Nausea is a common complaint after ECT. Vomiting by an unconscious client can lead to aspiration. Because post-ECT clients are unconscious, the nurse