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Psychiatric Hesi 2022 - Practice questions for psych to review and prepare for hesi

Practice questions for psych to review and prepare for hesi

Course

Psychiatric And Mental Health Care (N3526B)

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The University of Texas Health Science Center at Houston

Academic year: 2022/2023

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HESI Study Material Exit Hesi EXAM PSYCH

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Psychiatric Hesi

A man complains of decreased concentration at work, tired during the day, sleeps 4 to 5 hours at night. What should the PN ask? Answer: Do you often feel sad?
The RN documents the mental status of a female client who has been hospitalized for several days by court order. The client states, “I don’t need to be here” and tells the RN that she believes the television talks to her. The RN should document these assessment findings in which section of the mental status exam. A. Level of concentration B. Insight and judgement C. Remote memory D. Mood and affect
The RN is planning client teaching for a 35-year-old client with alcoholic cirrhosis. Which self- care measure should the RN emphasize for the client’s recovery? A. Support group meetings B. Vitamin B and multivitamin supplements C. Diet with adequate calories and protein D. Alcohol abstinence
A female client admitted to the mental health unit starts to shout and scream at the RN. What is the best approach for the RN to take? A. Stay quietly with the patient B. Tell her that she is out of control C. Distract her by offering her finger foods D. Ignore the client’s acting out behavior
The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe this. What should I do?” Which response is best for the RN to provide in this crisis? A. Tell me what you think should happen B. How serious was the collision? C. What do you think you should do? D. Call for transportation to the hospital
The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client’s dressing? A. Provide detailed thorough explanations when cleansing wound B. Perform the dressing change in a non-judgmental manner C. Ask in a non-threatening manner why the client cut his abdomen

D. Request another staff member assist with the dressing change 7. A homeless client who reports feeling sad and depressed tells the mental health nurse that in the past 2 days she has only had 4 hours of sleep. Which actions is most important for the RN to implement within the first 24 hours after treatment is initiated? A. Allow the client to rest and sleep B. Ensure the client attends groups addressing coping skills for dealing with depression C. Begin planning for the client’s discharge D. Encourage verbalization of feelings

A male client tells the RN that he does not want to take the atypical antipsychotic drug, olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine? A. Weight gain of 75 lbs. B. Thoughts of wanting to hurt himself C. Frequent days with diarrhea D. Altered liver function test Olanzapine (Zypexa) The principal side effects is weight gain
During the initial nursing interview, a client tells the nurse, “Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?” Which documentation should the nurse use to describe the client’s statements? A. Demonstrates thought-blocking B. Uses incoherent speech C. Exhibits tangential thinking D. Displays the use of word salad
A young adult female client is admitted to a psychiatric facility with a medical diagnosis of bulimia nervosa. Which nursing intervention has the highest priority? A. Schedule the client for group therapy with other bulimic clients B. Assign the client’s care to a nurse of approximately the same age C. Monitor the client carefully for binging activities D. Assess and report the client’s electrolyte status to the healthcare provider
An 18-year-old client is brought to the emergency department with a suspected overdose. Which information is most important for the nurse to obtain for the family? Answer: The drug that was ingested
Depressed mother and her daughter speak in a group... Answer: I hear you say, you’re worry about your mother distress
Patient alcoholic with withdrawal symptoms that say has snake all her body Answer: Administer PRN Lorazepam (Ativan)
A male client coming to mental health center report very stressed with the work and described becoming angry increasingly more often the last month. What action should the nurse take first? Answer: Ask the client to identify problems that have occurred during the last month
A older homeless client visit the psychiatric clinic to obtain a prescription renewal for alprazolam (Xanax). During the health assessment, the client complains of chest pain. Which action should the nurse take first? Answer: Check the blood pressure
A male client in the mental health unit is guarded and vaguely answers the nurse’s questions. He isolates in his room and sometimes open the door to peek into the hall. Which problem can the RN anticipate? A. Visual hallucinations B. Auditory hallucinations C. Excessive motor activity D. Delusions of persecution
A client who is admitted to the mental health unit report shortness of breath and dizziness. The client tells the nurse, “I feel like I’m going to die” which nursing problem should the nurse include in this client’s plan of care? A. Mood disturbance B. Moderate anxiety C. Altered thoughts D. Social isolation
A female client is brought to the emergency department after police officer found her disoriented, disorganized, and confuse. The nurse also determines that the client is homeless and slightly suspicious. This client’s treatment plan should include what priority problem? A. Self-care deficit B. Disturbed sensory perception C. Ineffective community coping D. Acute confuse
A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist, and the nurse is reinforcing the process. Which intervention has the highest priority for this client’s plan of care? A. Encourage substitution of positive thoughts for negative ones B. Establish trust by providing a calm, self-environment C. Progressively expose the client to larger crowds D. Encourage deep breathing when anxiety escalates in a crowd
The nurse orients a female client with depression to her new room on the mental health unit. The client states, “It seems strange that I don’t have a TV in my room” Which statement would be best for the nurse to provide? A. You can watch TV as much as you want outside of your room B. Sometimes clients feel like the TV is sending them messengers C. It’s important to be out of your room and talking to others D. Watching TV is a passive activity, and we want you to be active
A client with depression remains in bed most of the day, declines activities and refused to eat. Which nursing problem has the greatest priority for this client? A. Loss of interest in diversional activity B Social isolation C. Refusal to address nutritional needs D. Low self-esteem
A female client engages in repeated checks of door and window locks. Behavior that prevents her from arriving on time and interferes with her ability to function effectively. What action should the nurse take? A. Ask the client why she checks the locks B. Discuss checking the time frequently C. Determine the type and size of the locks D. Plan a list of activities to be carried out daily
A male client with a long history of alcohol dependency arrives in the Emergency Department describing the feeling of bugs crawling on his body. His blood pressure is 170/102, pulse rate is 110 beats/minute, and his blood alcohol level (BAL) is 0 mg/dL. Which prescription should the nurse administer? A. Haloperidol (Haldol) B. Thiamine (Vitamin B 1) C. Lorazepam (Activan) D. Diphenhydramine (Benadryl)
A female client, who is wearing dirty clothes and has a foul body odor, comes to the clinic reporting feeling scared because she is being stalked. What action is most important for the nurse to take? A. Assure client that the healthcare provider will see her today B. Recommended that the client talk with a social worker C. Ask the client to describe why she is being stalked D. Offer the client a safe place to relax before interviewing her
A teenager who has lost 20 pounds in the last three months is admitted to the hospital with hypotension and tachycardia. The client reports irregular menses and hair loss. Which intervention is most important for the nurse to include to in the clients plan of care? A. Initiate a caloric and nutritional therapy B. Implement behavioral modification therapy C. Evaluate the client for low self esteem D. Record daily weights and graft trend
A male client who recently lost a loved one arrives at the mental health center and tells the nurse he is no longer interested in his usual activities and has not slept for several days. Which nursing problem should the nurse include in this client’s plan of care? A. Risk for suicide B. Sleep deprivation C. Situational low self-esteem D. Social Isolation
Antidepressant side effects __________ dry mouth, blurred vision, constipation HESI book: Antidepressant adverse reaction (dry mouth, blurred vision, constipation, and urinary retention)
Postpartum depression Sign & Symptoms (3) __________ disturbed sleep, sadness, poor concentration
When developing a plan of care for a client admitted to the psychiatric unit fallowing aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority? A. Impaired comfort B. Risk for injury C. Ineffective breathing pattern D. Ineffective coping
Schizophrenic client return to clinic 2 weeks after receiving dose of Haldol; important info for the nurse to obtain during this visit __________ current vital signs
PTSD admitted to psychiatric unit, which intervention is most important for plan of care (think of an ideal environment) __________ provide a quite room away from the recreational area
“I don’t know, I just can’t think” What activity should the nurse suggest __________ set daily goals in the community meeting
Assessing male client with paranoia, which behavior can this client be expected to exhibit __________ is openly hostile towards others for no apparent reason
Patient says, “I know marijuana is not addicting” What is the nurse’s best response? __________ anytime you alter your ability to think clearly you put yourself and others at risk
Male client admitted with depression and self-mutilation. What should the nurse ask the patient? __________ ask if the client has a plan to harm himself
A male employee who is assessed weekly in the employee clinic for blood pressure because of history of hypertension tells the nurse that he is so upset with one of his co-workers that he would like to shoot him. What action should the nurse take first? A. Determine if the client has a weapon available for use B. Inform the health care provider of the threat to harm a co-worker C. Notify security of the client’s intention to harm a co-worker D. Have the employee escorted to a mental health facility
Nurse documents that a male client with schizophrenia is delusional, what statement made by the client would be an example? Why? __________ nurse at night is trying to poison me with pills (false beliefs of unfounded evidence)
Female brought to ER for rape by date __________ my date raped me tonight (exact words from client)
While interviewing the client, the nurse notes a discrepancy between the client’s verbal and non-verbal communication. What action should the nurse take? A. Pay close attention and document the nonverbal messages B. Ask the client’s husband to interpret the discrepancy C. Ignore the nonverbal behavior and focus on the client’s verbal messages D. Integrate the verbal and nonverbal messages and interpret them as one
A nurse is asking questions to a client that suffers from depression and she asked him how he feeling, the client look down and don’t answer, what the nurse should do? Answer: Wait for client to respond
A male client comes to the emergency center because he has an erection than will not resolve. The client report that he is taking Trazadone (Desyrel) for insomnia. Which information is most important for the nurse to ask this client? Answer: Have you taking any medication for erectile dysfunction?

A. “Anger is contagious and could result in major confrontation” B. “Try not to let your anger cause you to act impulsively” C. “Expressing your anger to a stranger could result in an unsafe situation” D. “It sounds as if there are many situations that make you feel angry”

A male hospital employee is pushed out of the way by a female employee because of an oncoming gurney. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric nurse. Which factor in the pushed employee’s history is most related to the reaction that occurred? A. Is worried about losing his job to a woman B. Tortured animals as a child C. Was physically abuse by his mother D. Hates to be touched by anyone
The nurse complete an assessment of a client who is experiencing intimate partner violence (IPV) which finding of the injuries should the nurse include in the documentation? A. The client’s significant other’s statement B. Photographs C. General description D. A summary of the client’s feelings
The nurse is completing the admission assessment of and underweight adolescent who is admitted to a psychiatric unit with a diagnosis of depression. Which finding requires notification to the healthcare provider? A. Potassium level 2 mEq/dL B. BP of 110/70 mm/hg C. WBC of 10,000 mm D. Body mass index of 21
The nurse is developing unit policies that will include nursing guidelines for maintaining a therapeutic milieu. Which interventions should be included when providing a therapeutic milieu in an inpatient setting? A. Opportunities to contribute to one’s treatment plan B. One on one dialogue sessions with the therapist C. Regularly scheduled unit activities for peer interaction D. Home visits to reintegrate into the family
A high school girl reveals to the school nurse that she has been engaging in self-induced vomiting as a weight control measure. Which initial assessment should the nurse focus on with this adolescent? A. National percentile of weight and height B. Frequency of bingeing and purging behaviors (Frecuencia de conductas de atracones y purga) C. Perceptions of family and social relationships D. School grades and extracurricular activities
The nurse on the day shift receives report about a client with depression who w the weekend. The nurse walks into the client’s room in the morning and finds what intervention is best for the nurse to implement? A. Assist the client to get out bed and involved in an activity B. Monitor the client’s appetite and pattern of sleep C. Assess the client’s feeling about the hospital stay D. Explain that staff will check on the client every 30 minutes
A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to include in this phase of the nurse client relationship? __________ Explore the client’s feelings related to discharge
a male client with schizophrenia is admitted to the mental health unit after abruptly stopping his prescription for ziprasidone (Geodon) one month ago. Which question Is most important for the RN to ask the client? A. Have you lost interest in the things that you used to enjoy? B. Is your ability to think or concentrate decreased? C. How many continuous hours do you sleep at night? D. Do you hear sounds or voices that others do not hear?
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the MHW warrant immediate intervention by the RN? A. Is attempting to physically restrain the patient B. Tells the client to go to the quiet area of the unit C. Is using a loid voice to talk to the client D. Remains at a distance of 4 feet from the client
During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process? A. Assist the client in developing alternative coping skills B. Remain calm and use a matter-of-fact approach C. Ask the client why she is so anxious D. Administered a PRN sedative to help relieve her anxiety
An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2 days and weight loss of 9 pounds within the last month. Which client goal is most important to achieve within the first 3 days of treatment? A. meet scheduled appointment with dietitian B. Sleep at least 6 hours a night C. Understands the purpose of the medication regimen D. Describes the reasons for hospitalization
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client’s husband recently lost his job, she feels her employment is essential to the family’s survival. To evaluate the effectiveness of cognitive behavioral techniques, which client outcome should the nurse include in the plan of care? A. Relates insight into problematic relationship B. Demonstrates a healthy relationship with husband C. Describes how the family can resolve problems D. Changes thought patterns related to problem solving
Patient had a knee surgery post op and diaphoretic (Sweating )and visual hallucinations. What to do first? __________ obtain vital signs
Two days after last drink, shouts at wife and kids, what nursing intervention has the highest priority (think nursing diagnosis) __________ risk for injury (DT)

Estas son las de Espanol

1 patient who was raped, that same night that is done, I put The one that says tell you to take off all your clothes slowly

An adolescent patient who comes in with an overdose you must ask, I put What time was the last dose you took? NO The type of the
A patient who arrives at the hospital anorexic and fainted with low blood pressure what to do Put the patient in a flat position with the feet up (BP 80/50)
A patient who arrives distorted with paint and thinner, what to do Take off her clothes (Chequear la ropa)
A boy said, I can consume cocaine and I can stop whenever I want, and the nurse answered him. The nurse said, substances are harmful and damage your brain to think correctly
A boy who goes to school and takes lithium every day, what to do. I put Check blood lithium values
Esta es un Select all that apply Un hombre con bipolar disorder hablando de problemas sexuales A. Poner el TV B. Caminar cuando está activo C. Algo competitive

D. Algo de hygiene E. Dejar al paciente solo en el room

Como identificar a un paciente de sintomas de modera de anxiety Talkativo...
Un medicamento que empesaba con PH Phenelzine
Mujer que es abusada por su esposo... Que pregunta la enfermera: Respuesta: que cual fue la situacion que conllevo a esto?
A young male who recently diagnosed with bipolar disorder takes Lithium Carbonate daily. He is graduating he tells the school nurse that want to live away from home for collage. What information is most important for family? Answer: His serum Lithium levels should be routinely evaluated
Paciente con fractura de clavicula... la enfermera debe preguntar? Respuesta: si el paciente ha tenido fracturas anteriormente
Paciente con un trastorno que se hace dano en el ojo ... On-to-one...
The nurse is asking question to a client that suffer from depression and she asked him how feeling, the client look down and don’t answer. What should the nurse do? Answer: Wait to patient respond
Patient is talking with the nurse about his recently loss and he says “I don’t know how will going on” Answer: The nurse respecting the patient loss
Client with schizophrenia. Which behavioral needs to observe after the discharge? Answer: Social withdrawal

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Psychiatric Hesi 2022 - Practice questions for psych to review and prepare for hesi

Course: Psychiatric And Mental Health Care (N3526B)

16 Documents

Students shared 16 documents in this course

University: The University of Texas Health Science Center at Houston

Was this document helpful?

Psychiatric Hesi

1. A man complains of decreased concentration at work, tired during the day, sleeps 4 to 5

hours at night. What should the PN ask?

Answer: Do you often feel sad?

2. The RN documents the mental status of a female client who has been hospitalized for several

days by court order. The client states, “I don’t need to be here” and tells the RN that she

believes the television talks to her. The RN should document these assessment findings in which

section of the mental status exam.

A. Level of concentration

B. Insight and judgement

C. Remote memory

D. Mood and affect

3. The RN is planning client teaching for a 35-year-old client with alcoholic cirrhosis. Which self-

care measure should the RN emphasize for the client’s recovery?

A. Support group meetings

B. Vitamin B and multivitamin supplements

C. Diet with adequate calories and protein

D. Alcohol abstinence

4. A female client admitted to the mental health unit starts to shout and scream at the RN.

What is the best approach for the RN to take?

A. Stay quietly with the patient

B. Tell her that she is out of control

C. Distract her by offering her finger foods

D. Ignore the client’s acting out behavior

5. The occupational health nurse is working with a female employee who was just notified that

her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe

this. What should I do?” Which response is best for the RN to provide in this crisis?

A. Tell me what you think should happen

B. How serious was the collision?

C. What do you think you should do?

D. Call for transportation to the hospital

6. The RN is providing care for a client diagnosed with borderline personality disorder who has

self-inflicted lacerations on the abdomen. Which approach should the RN use when changing

this client’s dressing?

A. Provide detailed thorough explanations when cleansing wound

B. Perform the dressing change in a non-judgmental manner

C. Ask in a non-threatening manner why the client cut his abdomen

Psychiatric Hesi 2022 - Practice questions for psych to review and prepare for hesi

Psychiatric And Mental Health Care (N3526B)

The University of Texas Health Science Center at Houston

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Psychiatric Hesi

Estas son las de Espanol

Psychiatric Hesi 2022 - Practice questions for psych to review and prepare for hesi

Course: Psychiatric And Mental Health Care (N3526B)

University: The University of Texas Health Science Center at Houston

Students also viewed

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