2022 Psychiatric HESI January 5,EXAM QUESTIONS AND ANSWERS GRADED A
1. A man complains of decreased concentration at work, tired during the day,
... [Show More] 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
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
8. 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
9. 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
10. 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
11. 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
12. Depressed mother and her daughter speak in a group… Answer: I hear you say, you’re worry about your mother distress
13. Patient alcoholic with withdrawal symptoms that say has snake all her body Answer: Administer PRN Lorazepam (Ativan)
14. Patient chronic alcohol that has a relapse (SATA) Answer: Increased liver enzymes
Decreased prothrombin and thrombin Memory loss
15. Patient who is administered Lithium. Which laboratory test should be checked? Answer: Serum creatinine
16. A client with depression is not attentive to personal hygiene, uses television watching as a means of escape from responsibilities, and describes an inability to enjoy the things that once gave him pleasure. Which coping strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the problem B. Recall methods that were most successful in the past
C. Reach out to family and friends about feelings of abandonment
D. Turn to other activities to take one is mind off the issues
17. Following involvement in a MVC, a middle aged adult client is admitted to the hospital with multiple facial fractures. The client’s blood alcohol level is high on admission. Which PRN prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM
B. Hydromorphone (Dialuadid) 2 mg IM
C. Chlorpromazine (Thorazine) 50 mg IM D. Lorazepam (Ativan) 2 mg IM
18. A male with bipolar disorder has not slept or eaten in 4 days. He paces and becomes increasingly agitated and loud while the nurse talks to his spouse. What intervention is the best for the nurse to implement at this time?
A. Move to a quite area and provide peanut butter with crackers
B. Walk with the client to the cafeteria and star as he eats lunch
C. Request a full lunch tray from the dietary department
D. Encourage the spouse to eat lunch with the client
19. A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting to shoot himself. He was divorced one year ago. Lost his job four months ago and suffered a breakup of his current relationship last week. What is the most likely source of this client current feelings of depression?
A. A sense of loss
B. Feeling of frustration
C. Poor self-steam [Show Less]