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Mental Health Psych HESI Review Questions (100 Q study with rationale) Latest Update Real Exam Questions and 100% Verified Correct Answers Already Graded A+ Verified by Professor$25.49
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Mental Health Psych HESI Review Questions (100 Q study with rationale) Latest Update Real Exam Questions and 100% Verified Correct Answers Already Graded A+ Verified by Professor
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Mental Health Psych HESI
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Mental Health Psych HESI
Mental Health Psych HESI Review Questions (100 Q study with rationale) Latest Update Real Exam Questions and 100% Verified Correct Answers Already Graded A+ Verified by Professor
Mental Health Psych HESI Review Questions
(100 Q study with rationale) Latest Update 2024-
2025 Real Exam Questions and 100% Verified
Correct Answers Already Graded A+ Verified by
Professor
A 22-year-old client is admitted to the psychiatric unit from the medical unit following a
suicide attempt with an overdose of diazepam (Valium). When developing the nursing
care plan for this client, which intervention would be most important for the nurse to
include?
A.Assist client to focus on personal strengths.
B.Set limits on self-defacing comments.
C.Remind the client of daily activities in the milieu.
D.Assist the client to identify why he or she was self-destructive. - CORRECT
ANSWER: CORRECT ANSWER: A
Encouraging the client to focus on his or her strengths (A) helps the client become
aware of positive qualities, assists in improving self-image, and aids in coping with past
and present situations. Although nursing actions should assist the client in decreasing
self-defacing comments (B) and informing the client of (C), these interventions are not
priorities at this time. (D) is not as important as assisting the client to overcome the
depression, which resulted in the overdose, and asking "why" is not therapeutic.
A 25-year-old client has been particularly restless and the nurse finds the client trying to
leave the psychiatric unit. The client tells the nurse, "Please let me go! I must leave
because the secret police are after me." Which response is best for the nurse to make?
A."No one is after you. You're safe here."
B."You'll feel better after you have rested."
C."I know you must feel lonely and frightened."
,D."Come with me to your room, and I will sit with you." - CORRECT ANSWER:
CORRECT ANSWER: D
(D) is the best response because it offers support without judgment or demands. (A) is
challenging the client's delusion. (B) is offering false reassurance. (C) is a violation of
therapeutic communication because the nurse is telling the client how she or he feels
(frightened and lonely), rather than allowing the client to describe his or her own
feelings. Hallucinating and delusional clients are not capable of discussing their
feelings, particularly when they perceive a crisis.
A 25-year-old client has suffered extensive burns and is crying during dressing change
treatment. The client tells the nurse, "Please let me die. Why are you all torturing me
like this? I just want to die." Which response by the nurse is best?
A."We aren't torturing you. These treatments are necessary to prevent a terrible
infection."
B."I know these treatments must seem like torture to you, but we want to help you
recover."
C."You have so much to live for, and all of your family members want you to live."
D."Would you like me to call the chaplain so that you can discuss your feelings
privately?" - CORRECT ANSWER: CORRECT ANSWER: B
(B) offers an empathetic response without sounding patronizing. (A) is not empathetic
and is actually somewhat argumentative. The client is not asking for information as
much as pleading for understanding. (C) appears as scolding and places blame on the
client for wanting to die and possibly hurting the client's family members as a result. (D)
might be appropriate if the nurse simply asks the client if a chaplain's visit is desired, but
the nurse is dismissing the client's needs by not addressing them at the moment.
A 27-year-old client is admitted to the psychiatric hospital with a diagnosis of bipolar
disorder, manic phase. The client is demanding and active. Which intervention should
the nurse include in this client's plan of care?
A.Schedule the client to attend various group activities.
, B.Reinforce the client's ability to make decisions.
C.Encourage the client to identify feelings of anger.
D.Provide a structured environment with little stimuli. - CORRECT ANSWER:
CORRECT ANSWER: D
Clients in the manic phase of a bipolar disorder require decreased stimuli and a
structured environment (D). Noncompetitive activities that can be carried out alone
should be planned for these clients. (A) is contraindicated because stimuli should be
reduced as much as possible. Impulsive decision making is characteristic of clients with
bipolar disorder. To prevent future complications, the nurse should monitor these clients'
decisions and assist them in the decision making process (B). (C) is more often
associated with depression than with bipolar disorder.
A 33-year-old client is admitted to a psychiatric facility with a medical diagnosis of major
depression. When the nurse is assigning the client to a room, which roommate is best
for this client?
A.A 35-year-old client who recently attempted suicide.
B.A manic client who has started lithium carbonate treatment.
C.A client who is bipolar and is pacing the floor while telling jokes to everyone.
D.A paranoid client who believes that the staff is trying to poison the food. - CORRECT
ANSWER: CORRECT ANSWER: B
(B) appears to be the most stable client described since treatment was begun with
lithium carbonate (treatment of choice for manic depression). Being around another
depressed individual might enhance this client's own depression and possibly support
suicidal ideation (A). Clients in the manic stage of bipolar disease (C) enhance the level
of anxiety of those around them, which would not be therapeutic for the client at this
time. Paranoid ideation (D), which is characterized by suspiciousness, would also
increase anxiety in this client.
A 35-year-old client admitted to the psychiatric unit of an acute care hospital tells the
nurse that someone is trying to poison her. The client's delusions are most likely related
to which factor?
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