Psych HESI
A 35-year-old male client on the erroneous interpretation of reality.
psychiatric unit of a general
hospital believes that someone is
trying to poison him. The nurse Psychotic clients have difficulty with trust and interpreting reality.
understands that a client's delusions Nursing care should be directed at building trust and promoting an
are most likely related to which accurate reality. Activities with limited concentration and no
client assessment finding? competition should be encouraged in order to build self-esteem. The
other assessment findings are not specifically related to the
early childhood experiences development of delusions.
involving authority issues.
anger about being hospitalized.
erroneous interpretation of reality.
phobic fear of food.
Page 1
, Psych HESI
A 38-year-old female client is I'll leave your tray here. I am available if you need anything else.
admitted with a diagnosis of
paranoid schizophrenia. When her
tray is brought to her, she refuses to The nurse should not argue with a client who is paranoid nor demand
eat and tells the nurse, "I know you that the client eat, but should be supportive and convey the nurse's
are trying to poison me with that availability if needed. The other responses are not indicated.
food." Which response is best for
the nurse to make?
I'll leave your tray here. I am
available if you need anything else.
You're not being poisoned. Why do
you think someone is trying to
poison you?
No one on this unit has ever died
from poisoning. You're safe here.
I will talk to your healthcare
provider about the possibility of
changing your diet.
Page 2
, Psych HESI
A 40-year-old male client Stagnation.
diagnosed with schizophrenia and
alcohol dependence has not had
any visitors or phone calls since The client is in Erikson's "Generativity vs. Stagnation" stage (age 24 to
admission. He reports he has no 45), and meeting the task includes maintaining intimate relationships
family that cares about him and was and moving toward developing a family. Stagnation occur if an
living on the streets prior to this individual is not successfully coping with a psychosocial
admission. According to Erikson's developmental stage related to age.
theory of psychosocial
development, which stage is the
client in at this time?
Isolation.
Stagnation.
Despair.
Role confusion.
Page 3
, Psych HESI
A 45-year-old male client tells the Others have had similar thoughts when under stress.
nurse that he used to believe that
he was Jesus Christ, but now he
knows he is not. Which response is The nurse should offer support by assuring the client that others have
best for the nurse to make? suffered as he has. The other responses are not therapeutic and not
indicated.
Did you really believe you were
Jesus Christ?
I think you're getting well.
Others have had similar thoughts
when under stress.
Why did you think you were Jesus
Christ?
Page 4
A 35-year-old male client on the erroneous interpretation of reality.
psychiatric unit of a general
hospital believes that someone is
trying to poison him. The nurse Psychotic clients have difficulty with trust and interpreting reality.
understands that a client's delusions Nursing care should be directed at building trust and promoting an
are most likely related to which accurate reality. Activities with limited concentration and no
client assessment finding? competition should be encouraged in order to build self-esteem. The
other assessment findings are not specifically related to the
early childhood experiences development of delusions.
involving authority issues.
anger about being hospitalized.
erroneous interpretation of reality.
phobic fear of food.
Page 1
, Psych HESI
A 38-year-old female client is I'll leave your tray here. I am available if you need anything else.
admitted with a diagnosis of
paranoid schizophrenia. When her
tray is brought to her, she refuses to The nurse should not argue with a client who is paranoid nor demand
eat and tells the nurse, "I know you that the client eat, but should be supportive and convey the nurse's
are trying to poison me with that availability if needed. The other responses are not indicated.
food." Which response is best for
the nurse to make?
I'll leave your tray here. I am
available if you need anything else.
You're not being poisoned. Why do
you think someone is trying to
poison you?
No one on this unit has ever died
from poisoning. You're safe here.
I will talk to your healthcare
provider about the possibility of
changing your diet.
Page 2
, Psych HESI
A 40-year-old male client Stagnation.
diagnosed with schizophrenia and
alcohol dependence has not had
any visitors or phone calls since The client is in Erikson's "Generativity vs. Stagnation" stage (age 24 to
admission. He reports he has no 45), and meeting the task includes maintaining intimate relationships
family that cares about him and was and moving toward developing a family. Stagnation occur if an
living on the streets prior to this individual is not successfully coping with a psychosocial
admission. According to Erikson's developmental stage related to age.
theory of psychosocial
development, which stage is the
client in at this time?
Isolation.
Stagnation.
Despair.
Role confusion.
Page 3
, Psych HESI
A 45-year-old male client tells the Others have had similar thoughts when under stress.
nurse that he used to believe that
he was Jesus Christ, but now he
knows he is not. Which response is The nurse should offer support by assuring the client that others have
best for the nurse to make? suffered as he has. The other responses are not therapeutic and not
indicated.
Did you really believe you were
Jesus Christ?
I think you're getting well.
Others have had similar thoughts
when under stress.
Why did you think you were Jesus
Christ?
Page 4
