Mental Health (Psychology)
Exit HESI
NOTE: there are a lot of multiple answer questions on psych hesi
Client diagnosed with major depression being allowed a week-end pass from psych unit.
Which instruction for the family
Involve the client in usual at-home activities
Within 4 wks of birth client is admitted for disorganized speech, bizarre behavior and strange
thoughts about infant being possessed by demons. “altered thought process, secondary to “ what
Postpartum psychosis
Child appears frightened and withdrawn in the presence of parent or adult
Behavior of child who is abused
Tx for a client admitted to the hospital with a diagnosis of bulimia nervosa
Blood work to evaluate electrolyte status
13 yr old female is evaluated at a mental health clinic because her parents suspect she is using
drugs. Symptoms: sleep disturbance, slurred speech, mild hand tremors, trouble hearing. Which
substance Paint thinner
A male who is in the day room becomes increasingly angry and aggressive when he is denied a day-
pass. Which action
Decrease the volume on the TV set
Nurse is planning care for 48 yr old, diagnosed with Schizophrenia at age 25, taking
antipsychotics. Long-term use is associated with
Tardive dyskinesia
Psych nurse called to a train derailment likely caused by terrorist bomb. Triage in order
Middle-aged man wandering around
Woman sitting on ground with
blanket Crying child held by another
passenger Mother and father just
arrived on scene
Patient with Alzheimer’s Dz. What comment by family member needs further follow-up
“sometimes I feel like I can’t go on”
Most important nursing action for patient that is confused or demented at night
Leave night light on to promote familiarity
Patient not wanting to go to dining hall to eat
Have patient eat finger foods
suicide assessment
plan
meth
od
support system
history of previous attempts
, Teen demanding mom to stay in hospital room
Patient is insecure
Nurse’s role in preparing clients for electroconvulsive therapy
(ECT) Give accurate, non-judgmental information about the
treatment Explore client’s concerns
Administer Atropine sulfate to dry oral secretions, a quick-acting barbiturate to induce anesthesia
and a muscle relaxant
Check emergency equipment and O2 are available
Patient on benzos
Answer is not narcan
Patient talking to self and whispering-what to do
Ask patient if hears voices
Patient confused saying seeing dead grandma is sign of what
Delirium
Patient Dx with bipolar-how to know if meds are effective
Family states patient is doing better with manic phases
Most suicides occur after beginning of improvement with increase in energy levels
noted MAOIs-hypertensive crisis with Tyramine foods
Nardil, Marplan, Parnate
Third week of cocaine rehabilitation program, returns from an unsupervised pass who is euphoric and
socializing with others more than he has in the past
Notify the physician of change in behavior, get a urine drug screen and confront the patient
Need 2 week gap from stopping SSRIs and TCAs before administering
MAOIs Lithium-therapeutic range = 0.5-1.5
Phenothiazines (typical antipsychotics)
EPS and photosensitivity
Atypical antipsychotics
work on positive and negative symptoms with less EPS
Patient with anorexia nervosa and nursing Dx of imbalanced nutrition: less than body requirements.
Long term outcome
body mass index will be 20 by the 6 month follow up appointment
Benzos (ativan, lorazepam, etc)
Good for alcohol withdrawal and status epilepticus
Antabuse for alcohol detox
Sick when alcohol ingested while taking
Alcohol withdrawal-delerium tremens-S/S
Tachy, tachypneic, anxiety, nausea, shakes, hallucinations, paranoia
DTs from alcohol withdrawal
Exit HESI
NOTE: there are a lot of multiple answer questions on psych hesi
Client diagnosed with major depression being allowed a week-end pass from psych unit.
Which instruction for the family
Involve the client in usual at-home activities
Within 4 wks of birth client is admitted for disorganized speech, bizarre behavior and strange
thoughts about infant being possessed by demons. “altered thought process, secondary to “ what
Postpartum psychosis
Child appears frightened and withdrawn in the presence of parent or adult
Behavior of child who is abused
Tx for a client admitted to the hospital with a diagnosis of bulimia nervosa
Blood work to evaluate electrolyte status
13 yr old female is evaluated at a mental health clinic because her parents suspect she is using
drugs. Symptoms: sleep disturbance, slurred speech, mild hand tremors, trouble hearing. Which
substance Paint thinner
A male who is in the day room becomes increasingly angry and aggressive when he is denied a day-
pass. Which action
Decrease the volume on the TV set
Nurse is planning care for 48 yr old, diagnosed with Schizophrenia at age 25, taking
antipsychotics. Long-term use is associated with
Tardive dyskinesia
Psych nurse called to a train derailment likely caused by terrorist bomb. Triage in order
Middle-aged man wandering around
Woman sitting on ground with
blanket Crying child held by another
passenger Mother and father just
arrived on scene
Patient with Alzheimer’s Dz. What comment by family member needs further follow-up
“sometimes I feel like I can’t go on”
Most important nursing action for patient that is confused or demented at night
Leave night light on to promote familiarity
Patient not wanting to go to dining hall to eat
Have patient eat finger foods
suicide assessment
plan
meth
od
support system
history of previous attempts
, Teen demanding mom to stay in hospital room
Patient is insecure
Nurse’s role in preparing clients for electroconvulsive therapy
(ECT) Give accurate, non-judgmental information about the
treatment Explore client’s concerns
Administer Atropine sulfate to dry oral secretions, a quick-acting barbiturate to induce anesthesia
and a muscle relaxant
Check emergency equipment and O2 are available
Patient on benzos
Answer is not narcan
Patient talking to self and whispering-what to do
Ask patient if hears voices
Patient confused saying seeing dead grandma is sign of what
Delirium
Patient Dx with bipolar-how to know if meds are effective
Family states patient is doing better with manic phases
Most suicides occur after beginning of improvement with increase in energy levels
noted MAOIs-hypertensive crisis with Tyramine foods
Nardil, Marplan, Parnate
Third week of cocaine rehabilitation program, returns from an unsupervised pass who is euphoric and
socializing with others more than he has in the past
Notify the physician of change in behavior, get a urine drug screen and confront the patient
Need 2 week gap from stopping SSRIs and TCAs before administering
MAOIs Lithium-therapeutic range = 0.5-1.5
Phenothiazines (typical antipsychotics)
EPS and photosensitivity
Atypical antipsychotics
work on positive and negative symptoms with less EPS
Patient with anorexia nervosa and nursing Dx of imbalanced nutrition: less than body requirements.
Long term outcome
body mass index will be 20 by the 6 month follow up appointment
Benzos (ativan, lorazepam, etc)
Good for alcohol withdrawal and status epilepticus
Antabuse for alcohol detox
Sick when alcohol ingested while taking
Alcohol withdrawal-delerium tremens-S/S
Tachy, tachypneic, anxiety, nausea, shakes, hallucinations, paranoia
DTs from alcohol withdrawal
