HESI FUNDAMENTALS 2025/2026 EXAM
WITH OVER 300 QUESTIONS AND
CORRECT ANSWERS RATED A+
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
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
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
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
WITH OVER 300 QUESTIONS AND
CORRECT ANSWERS RATED A+
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
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
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
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
