Assessments/ Mental Health/Psych HESI Review
Ques ons (50 Q study with ra onale) With complete
solu on RATED A+ NEW EDITION
Depression - Ans Signs/Symptoms, Ac ons to Take, Monitoring
Sertraline - Ans Star ng Medica on
Acute Stress Disorder - Ans Symptoms expected include flashbacks.
Clonazepam - Ans Common side effect is drowsiness.
Schizophrenia - Ans Auditory hallucina ons are a symptom.
Paliperidone - Ans Advantage is extended-release formula on for fewer doses.
Narcan Administra on - Ans Priority nursing ac on is to monitor for withdrawal symptoms.
Methamphetamines - Ans Long-term health complica on includes dental issues (e.g., 'meth
mouth').
Alcohol Withdrawal - Ans Crucial interven on is to administer vitamin B1 (thiamine).
,Signs of Abuse - Ans Bald spots on head may suggest physical abuse.
Interven ons Following Rape - Ans Most important first step is to assess for physical injuries.
Suspected Abuse Vic m - Ans Priority ac on is to engage in private conversa on with the
client.
EPS - Ans Sign includes tremors.
Benztropine - Ans Primary purpose is to manage extrapyramidal symptoms.
NMS - Ans Classic sign includes tachycardia and high fever.
Lithium - Ans Symptoms of toxicity include tremors, nausea, and confusion.
MAOIs - Ans Client must avoid aged cheese to prevent hypertensive crisis.
Therapeu c Communica on - Ans Example includes asking, 'Tell me how you're feeling today.'
Suicide Assessment - Ans Assessing for a specific plan is cri cal in evalua ng suicide risk, as it
provides important informa on regarding intent and immediacy of risk.
CAGE - Ans The CAGE ques onnaire is used to screen for alcohol use disorder. It includes four
ques ons: 'Have you ever felt you should Cut down on drinking?', 'Have you ever felt Annoyed
by cri cism of your drinking?', 'Have you ever felt Guilty about your drinking?', 'Have you ever
had an Eye-opener (drank in the morning)?'
, Goal of Modeling Behavior - Ans Modeling behavior is a therapeu c technique where the
therapist demonstrates posi ve behaviors that the client can emulate to develop adap ve
coping strategies.
Systema c Desensi za on - Ans Systema c desensi za on involves gradual, controlled
exposure to feared s muli while teaching relaxa on techniques to reduce anxiety.
Soma za on Disorder - Ans Soma za on disorder is characterized by the presence of mul ple
physical symptoms (such as pain, fa gue, or gastrointes nal issues) that cannot be explained by
a medical condi on.
Conversion Disorder - Ans Conversion disorder involves neurological symptoms (e.g., paralysis,
blindness) that are not supported by medical findings but are thought to be a result of
psychological stress or conflict.
Isola on (Defense Mechanism) - Ans Isola on refers to the defense mechanism where a
person separates their emo ons from the thoughts or details of a trauma c event, essen ally
'isola ng' their feelings from the experience.
Mandatory Repor ng - Ans Nurses are legally required to report suspected abuse or neglect,
including child abuse, to the appropriate authori es.
Interven ons for Severe Anxiety - Ans Providing individual support, such as deep breathing
exercises, can help the client regain control without disrup ng the group.
Bulimia Nervosa - Ans Bulimia nervosa is characterized by episodes of binge ea ng followed by
purging behaviors such as vomi ng or using laxa ves to prevent weight gain.
Delusion - Ans Delusions are fixed false beliefs, such as the belief that others are conspiring
against the individual, despite evidence to the contrary.
, Hospital-Induced Delirium - Ans Delirium o=en results from changes in environment or
hospitaliza on. Reducing sensory overload and providing familiar items (e.g., family photos) can
help calm the client and reduce confusion.
Nursing Diagnosis for Manic Client - Ans During a manic episode, clients o=en display poor
judgment and impulsivity, which can put them at risk for harm or dangerous behaviors.
Post-Trauma c Stress Disorder (PTSD) - Ans The goal of therapy for PTSD is to help the client
process trauma c memories in a controlled, suppor ve se>ng.
An depressants (SSRIs, SNRIs, TCA) - Ans SSRIs typically take 4-6 weeks to show their full
therapeu c effect.
Bipolar Disorder - Mania vs. Depression - Ans Mania is characterized by elevated mood,
hyperac vity, impulsive behaviors, and risk-taking.
Psycho c Disorders - Types of Hallucina ons - Ans Auditory hallucina ons involve hearing
sounds, voices, or music that aren't actually present.
Nursing Interven ons for Obsessive-Compulsive Disorder (OCD) - Ans Gradually reducing
compulsive behaviors in a controlled way is an effec ve way to help clients with OCD.
Panic Disorder - Interven ons - Ans During a panic aAack, the focus should be on calming the
client by promo ng relaxa on techniques.
Nutri onal Deficiencies in Ea ng Disorders - Anorexia Nervosa - Ans Clients with anorexia
nervosa may have electrolyte imbalances, including low potassium levels.