WGU D449-Mental Health Interventions and
Assessments/ Mental Health/Psych HESI Review
Questions (50 Q study with rationale) With complete
solution RATED A+ NEW EDITION
Depression - Ans Signs/Symptoms, Actions to Take, Monitoring
Sertraline - Ans Starting Medication
Acute Stress Disorder - Ans Symptoms expected include flashbacks.
Clonazepam - Ans Common side effect is drowsiness.
Schizophrenia - Ans Auditory hallucinations are a symptom.
Paliperidone - Ans Advantage is extended-release formulation for fewer doses.
Narcan Administration - Ans Priority nursing action is to monitor for withdrawal symptoms.
Methamphetamines - Ans Long-term health complication includes dental issues (e.g., 'meth
mouth').
Alcohol Withdrawal - Ans Crucial intervention is to administer vitamin B1 (thiamine).
,Signs of Abuse - Ans Bald spots on head may suggest physical abuse.
Interventions Following Rape - Ans Most important first step is to assess for physical injuries.
Suspected Abuse Victim - Ans Priority action is to engage in private conversation 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.
Therapeutic Communication - Ans Example includes asking, 'Tell me how you're feeling today.'
Suicide Assessment - Ans Assessing for a specific plan is critical in evaluating suicide risk, as it
provides important information regarding intent and immediacy of risk.
CAGE - Ans The CAGE questionnaire is used to screen for alcohol use disorder. It includes four
questions: 'Have you ever felt you should Cut down on drinking?', 'Have you ever felt Annoyed
by criticism 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 therapeutic technique where the
therapist demonstrates positive behaviors that the client can emulate to develop adaptive
coping strategies.
Systematic Desensitization - Ans Systematic desensitization involves gradual, controlled
exposure to feared stimuli while teaching relaxation techniques to reduce anxiety.
Somatization Disorder - Ans Somatization disorder is characterized by the presence of multiple
physical symptoms (such as pain, fatigue, or gastrointestinal issues) that cannot be explained by
a medical condition.
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.
Isolation (Defense Mechanism) - Ans Isolation refers to the defense mechanism where a
person separates their emotions from the thoughts or details of a traumatic event, essentially
'isolating' their feelings from the experience.
Mandatory Reporting - Ans Nurses are legally required to report suspected abuse or neglect,
including child abuse, to the appropriate authorities.
Interventions for Severe Anxiety - Ans Providing individual support, such as deep breathing
exercises, can help the client regain control without disrupting the group.
Bulimia Nervosa - Ans Bulimia nervosa is characterized by episodes of binge eating followed by
purging behaviors such as vomiting or using laxatives 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 often results from changes in environment or
hospitalization. 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 often display poor
judgment and impulsivity, which can put them at risk for harm or dangerous behaviors.
Post-Traumatic Stress Disorder (PTSD) - Ans The goal of therapy for PTSD is to help the client
process traumatic memories in a controlled, supportive setting.
Antidepressants (SSRIs, SNRIs, TCA) - Ans SSRIs typically take 4-6 weeks to show their full
therapeutic effect.
Bipolar Disorder - Mania vs. Depression - Ans Mania is characterized by elevated mood,
hyperactivity, impulsive behaviors, and risk-taking.
Psychotic Disorders - Types of Hallucinations - Ans Auditory hallucinations involve hearing
sounds, voices, or music that aren't actually present.
Nursing Interventions for Obsessive-Compulsive Disorder (OCD) - Ans Gradually reducing
compulsive behaviors in a controlled way is an effective way to help clients with OCD.
Panic Disorder - Interventions - Ans During a panic attack, the focus should be on calming the
client by promoting relaxation techniques.
Nutritional Deficiencies in Eating Disorders - Anorexia Nervosa - Ans Clients with anorexia
nervosa may have electrolyte imbalances, including low potassium levels.
Assessments/ Mental Health/Psych HESI Review
Questions (50 Q study with rationale) With complete
solution RATED A+ NEW EDITION
Depression - Ans Signs/Symptoms, Actions to Take, Monitoring
Sertraline - Ans Starting Medication
Acute Stress Disorder - Ans Symptoms expected include flashbacks.
Clonazepam - Ans Common side effect is drowsiness.
Schizophrenia - Ans Auditory hallucinations are a symptom.
Paliperidone - Ans Advantage is extended-release formulation for fewer doses.
Narcan Administration - Ans Priority nursing action is to monitor for withdrawal symptoms.
Methamphetamines - Ans Long-term health complication includes dental issues (e.g., 'meth
mouth').
Alcohol Withdrawal - Ans Crucial intervention is to administer vitamin B1 (thiamine).
,Signs of Abuse - Ans Bald spots on head may suggest physical abuse.
Interventions Following Rape - Ans Most important first step is to assess for physical injuries.
Suspected Abuse Victim - Ans Priority action is to engage in private conversation 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.
Therapeutic Communication - Ans Example includes asking, 'Tell me how you're feeling today.'
Suicide Assessment - Ans Assessing for a specific plan is critical in evaluating suicide risk, as it
provides important information regarding intent and immediacy of risk.
CAGE - Ans The CAGE questionnaire is used to screen for alcohol use disorder. It includes four
questions: 'Have you ever felt you should Cut down on drinking?', 'Have you ever felt Annoyed
by criticism 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 therapeutic technique where the
therapist demonstrates positive behaviors that the client can emulate to develop adaptive
coping strategies.
Systematic Desensitization - Ans Systematic desensitization involves gradual, controlled
exposure to feared stimuli while teaching relaxation techniques to reduce anxiety.
Somatization Disorder - Ans Somatization disorder is characterized by the presence of multiple
physical symptoms (such as pain, fatigue, or gastrointestinal issues) that cannot be explained by
a medical condition.
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.
Isolation (Defense Mechanism) - Ans Isolation refers to the defense mechanism where a
person separates their emotions from the thoughts or details of a traumatic event, essentially
'isolating' their feelings from the experience.
Mandatory Reporting - Ans Nurses are legally required to report suspected abuse or neglect,
including child abuse, to the appropriate authorities.
Interventions for Severe Anxiety - Ans Providing individual support, such as deep breathing
exercises, can help the client regain control without disrupting the group.
Bulimia Nervosa - Ans Bulimia nervosa is characterized by episodes of binge eating followed by
purging behaviors such as vomiting or using laxatives 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 often results from changes in environment or
hospitalization. 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 often display poor
judgment and impulsivity, which can put them at risk for harm or dangerous behaviors.
Post-Traumatic Stress Disorder (PTSD) - Ans The goal of therapy for PTSD is to help the client
process traumatic memories in a controlled, supportive setting.
Antidepressants (SSRIs, SNRIs, TCA) - Ans SSRIs typically take 4-6 weeks to show their full
therapeutic effect.
Bipolar Disorder - Mania vs. Depression - Ans Mania is characterized by elevated mood,
hyperactivity, impulsive behaviors, and risk-taking.
Psychotic Disorders - Types of Hallucinations - Ans Auditory hallucinations involve hearing
sounds, voices, or music that aren't actually present.
Nursing Interventions for Obsessive-Compulsive Disorder (OCD) - Ans Gradually reducing
compulsive behaviors in a controlled way is an effective way to help clients with OCD.
Panic Disorder - Interventions - Ans During a panic attack, the focus should be on calming the
client by promoting relaxation techniques.
Nutritional Deficiencies in Eating Disorders - Anorexia Nervosa - Ans Clients with anorexia
nervosa may have electrolyte imbalances, including low potassium levels.
