HESI Specialty Test Review: Psychiatric/Mental Health
Nursing Questions With Complete Solutions
52: A 22-year-old female is admitted to the unit following a
suicide attempt. She has a 2-week history of depression as well
as a history of abusing multiple substances and anorexia
nervosa. What is your first nursing priority?
A: Socialization
B: Contracting for eating behavior
C: Safety
D: Administering the Beck depression scale
C: Safety
(+) Safety is the major principle underlying psychiatric
nursing.
53: Gerald was admitted to the psychiatric acute care unit
because he stood in the center of a main two-way street in his
underwear and a T-shirt, shouting, "I am being held against my
will. I have personal rights." Gerald was diagnosed with bipolar
disorder, manic type. Which of the following interventions will
add to everyone's safety in the acute care environment?
A: Have hectic surroundings
B: Have consistent unit routines
C: Minimize staff interventions
D: Medicate the patient only if he has private health insurance
,B: Have consistent unit routines
(+) Quiet environments with consistent routines will help
calm patients and add to safety.
Your patient has just been physically cleaned up after slicing his
left arm 8 times. To show an appropriate evaluative response,
which of the following would be your best statement?
A: "I could care less if you cut yourself. It doesn't hurt me."
B: "If you wouldn't cut yourself, you would have a much
happier life."
C: "You are lucky someone found you in time. Now you can
help us
make you better."
D: "The behavior of cutting is not acceptable."
D: "The behavior of cutting is not acceptable."
(+) Focus on the behavior, not the person. Be neutral,
but not indifferent.
Which of the following is an acceptable reason for placing a
person in restraints?
A: Continued, acute self-mutilation
B: Coercion
C: Discipline for throwing food at staff
D: Punishment for verbal abuse.
,A: Continued, acute self-mutilation
(+) Safety is an acceptable reason to restrain a patient.
Coercion, discipline, punishment, and nursing
convenience are unacceptable reasons for
employing restraints.
2: A son petitioned the court to place his father in a state
psychiatric hospital for care for the father's own safety. The
father has refused care. The son is asking for:
A: A right to refuse treatment
B: Protection and duty to warn
C: Involuntary commitment
D: Privileged communication
C: Involuntary commitment
(+) Involuntary commitment results from petitioning the
court, which then determines that the evidence
indicates treatment is necessary.
Your patient on the psychiatric unit is being asked to participate
in a research study. Which of the following is normally included
in informed consent and is associated with safety?
A: The name of the company that prints the questionnaires used
in
the study
, B: A statement that participation is mandatory
C: The telephone number of the appropriate U.S. Congress
member
for the state where the study is being implemented
D: Disclosure of risks and benefits
D: Disclosure of risks and benefits
(+) Risks and benefits, including compensation and
medical treatments, are stated in an informed
consent.
Which nursing diagnosis best reflects that your patient is ready
to go back home and begin living within her societal
environment once again?
A: Readiness for enhanced community coping
B: Readiness for enhanced communication
C: Risk for other-directed violence
D: Risk for loneliness
A: Readiness for enhanced community coping
(+) "Readiness for enhanced" is the prefix for a higher
level of functioning, with "community" indicating
society.
Which of the following assessments best reflects a nursing
assessment of environmental maintenance?
Nursing Questions With Complete Solutions
52: A 22-year-old female is admitted to the unit following a
suicide attempt. She has a 2-week history of depression as well
as a history of abusing multiple substances and anorexia
nervosa. What is your first nursing priority?
A: Socialization
B: Contracting for eating behavior
C: Safety
D: Administering the Beck depression scale
C: Safety
(+) Safety is the major principle underlying psychiatric
nursing.
53: Gerald was admitted to the psychiatric acute care unit
because he stood in the center of a main two-way street in his
underwear and a T-shirt, shouting, "I am being held against my
will. I have personal rights." Gerald was diagnosed with bipolar
disorder, manic type. Which of the following interventions will
add to everyone's safety in the acute care environment?
A: Have hectic surroundings
B: Have consistent unit routines
C: Minimize staff interventions
D: Medicate the patient only if he has private health insurance
,B: Have consistent unit routines
(+) Quiet environments with consistent routines will help
calm patients and add to safety.
Your patient has just been physically cleaned up after slicing his
left arm 8 times. To show an appropriate evaluative response,
which of the following would be your best statement?
A: "I could care less if you cut yourself. It doesn't hurt me."
B: "If you wouldn't cut yourself, you would have a much
happier life."
C: "You are lucky someone found you in time. Now you can
help us
make you better."
D: "The behavior of cutting is not acceptable."
D: "The behavior of cutting is not acceptable."
(+) Focus on the behavior, not the person. Be neutral,
but not indifferent.
Which of the following is an acceptable reason for placing a
person in restraints?
A: Continued, acute self-mutilation
B: Coercion
C: Discipline for throwing food at staff
D: Punishment for verbal abuse.
,A: Continued, acute self-mutilation
(+) Safety is an acceptable reason to restrain a patient.
Coercion, discipline, punishment, and nursing
convenience are unacceptable reasons for
employing restraints.
2: A son petitioned the court to place his father in a state
psychiatric hospital for care for the father's own safety. The
father has refused care. The son is asking for:
A: A right to refuse treatment
B: Protection and duty to warn
C: Involuntary commitment
D: Privileged communication
C: Involuntary commitment
(+) Involuntary commitment results from petitioning the
court, which then determines that the evidence
indicates treatment is necessary.
Your patient on the psychiatric unit is being asked to participate
in a research study. Which of the following is normally included
in informed consent and is associated with safety?
A: The name of the company that prints the questionnaires used
in
the study
, B: A statement that participation is mandatory
C: The telephone number of the appropriate U.S. Congress
member
for the state where the study is being implemented
D: Disclosure of risks and benefits
D: Disclosure of risks and benefits
(+) Risks and benefits, including compensation and
medical treatments, are stated in an informed
consent.
Which nursing diagnosis best reflects that your patient is ready
to go back home and begin living within her societal
environment once again?
A: Readiness for enhanced community coping
B: Readiness for enhanced communication
C: Risk for other-directed violence
D: Risk for loneliness
A: Readiness for enhanced community coping
(+) "Readiness for enhanced" is the prefix for a higher
level of functioning, with "community" indicating
society.
Which of the following assessments best reflects a nursing
assessment of environmental maintenance?
