NU473 HESI Psychiatric/Mental Health
Practice Exam - 75 Questions
Completely Solved 2024
The nurse should include which interventions in the plan of care for a
severely depressed client with neurovegetative symptoms? (Select all
that apply.)
o Permit rest periods as needed.
o Speaking slowly and simply.
o Place the client on suicide precautions.
o Observe and encourage food and fluid intake.
o Encourage vigorous exercise and long walks on the unit. - Answer o
Permit rest periods as needed.
o Speaking slowly and simply.
o Place the client on suicide precautions.
o Observe and encourage food and fluid intake.
· Neurovegetative symptoms that accompany the mood disorder of
depression include physiological disruptions, such as anorexia,
constipation, sleep disturbance, and psychomotor retardation. The
client's plan of care should include measures that promote the client's
comfort and well-being, such as rest, nutrition, suicide precautions, and
,NU473 HESI Psychiatric/Mental Health
Practice Exam - 75 Questions
Completely Solved 2024
simple communications. Vigorous exercise and long walks are not
indicated for clients in a neurovegetative state.
Which diet selection by a client who is depressed and taking the MAO
inhibitor tranylcypromine sulfate (Parnate) indicates to the nurse that
the client understands the dietary restrictions imposed by this
medication regimen?
o Hamburger, French fries, and chocolate milkshake.
o Liver and onions, broccoli, and decaffeinated coffee.
o Pepperoni and cheese pizza, tossed salad, and a soft drink.
o Roast beef, baked potato with butter, and iced tea. - Answer o Roast
beef, baked potato with butter, and iced tea.
· Foods with tyramine interact with MAOI antidepressant, such as
Parnate, and can cause a hypertensive crisis that is life-threatening.
Roast beef, potatoes, butter, and tea do not contain tyramine. The other
selections contain tyramine and should be avoided by the client who is
taking Parnate.
,NU473 HESI Psychiatric/Mental Health
Practice Exam - 75 Questions
Completely Solved 2024
An older male client in the intensive care unit who has been oriented
suddenly becomes disoriented and fearful. Assessment of vital signs
and other physical parameters reveal no significant change and the
nurse formulates the client's problem as confusion related to ICU
psychosis. Which intervention is most important for the nurse
implement?
o Move all machines away from the client's immediate area.
o Attempt to allay the client's fears by explaining the etiology of
confusion.
o Cluster care so brief periods of rest can be scheduled during the day.
o Extend visitation times for family and friends. - Answer o Cluster care
so brief periods of rest can be scheduled during the day.
· The critical care environment confronts clients with an environment
which is stressful and heightened by treatment modalities that may
prove to be lifesaving. These stressors can result in isolation or sensory
overload that leads to confusion. The best intervention is to cluster care
, NU473 HESI Psychiatric/Mental Health
Practice Exam - 75 Questions
Completely Solved 2024
to provide the client with uninterrupted rest periods. The other actions
may not be possible.
A male client is admitted to the psychiatric unit with a medical diagnosis
of paranoid schizophrenia. During the admission procedure, the client
looks up and states, "No, it's not MY fault. You can't blame me. I didn't
kill him, you did." What action is best for the nurse to take?
o Reassure the client by telling him that his fear of the admission
procedure is to be expected.
o Tell the client that no one is accusing him of murder and remind him
that the hospital is a safe place.
o Assess the content of the hallucinations by asking the client what he is
hearing.
o Ignore the behavior and make no response at all to his delusional
statements. - Answer o Assess the content of the hallucinations by
asking the client what he is hearing.
Practice Exam - 75 Questions
Completely Solved 2024
The nurse should include which interventions in the plan of care for a
severely depressed client with neurovegetative symptoms? (Select all
that apply.)
o Permit rest periods as needed.
o Speaking slowly and simply.
o Place the client on suicide precautions.
o Observe and encourage food and fluid intake.
o Encourage vigorous exercise and long walks on the unit. - Answer o
Permit rest periods as needed.
o Speaking slowly and simply.
o Place the client on suicide precautions.
o Observe and encourage food and fluid intake.
· Neurovegetative symptoms that accompany the mood disorder of
depression include physiological disruptions, such as anorexia,
constipation, sleep disturbance, and psychomotor retardation. The
client's plan of care should include measures that promote the client's
comfort and well-being, such as rest, nutrition, suicide precautions, and
,NU473 HESI Psychiatric/Mental Health
Practice Exam - 75 Questions
Completely Solved 2024
simple communications. Vigorous exercise and long walks are not
indicated for clients in a neurovegetative state.
Which diet selection by a client who is depressed and taking the MAO
inhibitor tranylcypromine sulfate (Parnate) indicates to the nurse that
the client understands the dietary restrictions imposed by this
medication regimen?
o Hamburger, French fries, and chocolate milkshake.
o Liver and onions, broccoli, and decaffeinated coffee.
o Pepperoni and cheese pizza, tossed salad, and a soft drink.
o Roast beef, baked potato with butter, and iced tea. - Answer o Roast
beef, baked potato with butter, and iced tea.
· Foods with tyramine interact with MAOI antidepressant, such as
Parnate, and can cause a hypertensive crisis that is life-threatening.
Roast beef, potatoes, butter, and tea do not contain tyramine. The other
selections contain tyramine and should be avoided by the client who is
taking Parnate.
,NU473 HESI Psychiatric/Mental Health
Practice Exam - 75 Questions
Completely Solved 2024
An older male client in the intensive care unit who has been oriented
suddenly becomes disoriented and fearful. Assessment of vital signs
and other physical parameters reveal no significant change and the
nurse formulates the client's problem as confusion related to ICU
psychosis. Which intervention is most important for the nurse
implement?
o Move all machines away from the client's immediate area.
o Attempt to allay the client's fears by explaining the etiology of
confusion.
o Cluster care so brief periods of rest can be scheduled during the day.
o Extend visitation times for family and friends. - Answer o Cluster care
so brief periods of rest can be scheduled during the day.
· The critical care environment confronts clients with an environment
which is stressful and heightened by treatment modalities that may
prove to be lifesaving. These stressors can result in isolation or sensory
overload that leads to confusion. The best intervention is to cluster care
, NU473 HESI Psychiatric/Mental Health
Practice Exam - 75 Questions
Completely Solved 2024
to provide the client with uninterrupted rest periods. The other actions
may not be possible.
A male client is admitted to the psychiatric unit with a medical diagnosis
of paranoid schizophrenia. During the admission procedure, the client
looks up and states, "No, it's not MY fault. You can't blame me. I didn't
kill him, you did." What action is best for the nurse to take?
o Reassure the client by telling him that his fear of the admission
procedure is to be expected.
o Tell the client that no one is accusing him of murder and remind him
that the hospital is a safe place.
o Assess the content of the hallucinations by asking the client what he is
hearing.
o Ignore the behavior and make no response at all to his delusional
statements. - Answer o Assess the content of the hallucinations by
asking the client what he is hearing.
