3/11/25, 2:57 PM
HERZING UNIVERSITY HESI PSYCHIATRIC NURSING EXAM 2025
WITH ACCURATE SOLUTIONS
1. A nurse is working with a patient diagnosed with histrionic personality
disorder. Which behavior is most likely to be a focus of nursing interventions?
Suspiciousness towards others
Socially withdrawn and detached behavior
Attention-seeking behavior and excessive emotionality
Ritualistic behavior patterns
2. What is a common characteristic of interpersonal relationships for individuals
with histrionic personality disorder?
Detail-oriented and frustrating
Deep and meaningful
Shallow and fleeting
Independent and few
3. What are the symptoms presented by the paranoid client in the scenario?
Anxiety and panic attacks.
Bizarre behaviors, neologisms, and thought insertion.
Hallucinations and delusions.
Depression and suicidal ideation.
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4. Why is 'Altered nutrition: Less than body requirements' considered a priority
nursing diagnosis for this client?
Because the client is primarily concerned about their symptoms and
knowledge of the disorder.
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Because physical needs, such as nutrition, take precedence in
nursing care for clients with mental health disorders.
Because the client’s insomnia is the most pressing issue at the
moment.
Because the diagnosis indicates a need for immediate psychiatric
intervention.
5. What type of hallucination is indicated by the client's statement about the
voice telling them to stop the psychiatrist?
Auditory hallucinations
Tactile hallucinations
Visual hallucinations
Command hallucinations
6. A patient with schizophrenia was prescribed antipsychotics. After daily
observation, the nurse finds the patient's blood pressure has decreased.
What is the most appropriate action by a nurse before administering the
prescribed drug to the patient?
The nurse should avoid administering the drug for the day.The nurse
should give an adrenergic agonist to raise the blood pressure.
The nurse should tell the patient to avoid taking fluids.
The nurse should tell the patient to rise slowly.
7. What is the priority nursing diagnosis for a client with symptoms of alcohol
withdrawal who hasn't eaten in 3 days?
Knowledge deficit
Fluid volume excess
Imbalanced nutrition: Less than body requirements
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, 3/11/25, 2:57 PM
8. When using a behavioral modification approach to the treatment of eating
disorders,which nursing intervention would be most likely to produce
positive results?
Clients should perceive that they are in control of clearly
communicated treatment choices.
The treatment team develops a system of rewards and privileges that
can be earned by the client.
Appropriate treatment choices are presented to the client's family for
consideration.
A matter-of-fact, directive approach with the input of the entire
treatment team.
9. What is the primary reason for prioritizing intervention in a psychiatric
setting?
To ensure patient safety
To facilitate group therapy
To promote social interaction
To encourage medication adherence
10. In a situation where a client in a psychiatric unit reports a bomb threat, how
should the nurse prioritize actions if they find no bomb after checking?
Conduct a group therapy session to address fears.
Inform the client that their concerns are unfounded.
Continue to monitor the client for further signs of distress.
Implement the bomb scare protocol and ensure the safety of all
clients.
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HERZING UNIVERSITY HESI PSYCHIATRIC NURSING EXAM 2025
WITH ACCURATE SOLUTIONS
1. A nurse is working with a patient diagnosed with histrionic personality
disorder. Which behavior is most likely to be a focus of nursing interventions?
Suspiciousness towards others
Socially withdrawn and detached behavior
Attention-seeking behavior and excessive emotionality
Ritualistic behavior patterns
2. What is a common characteristic of interpersonal relationships for individuals
with histrionic personality disorder?
Detail-oriented and frustrating
Deep and meaningful
Shallow and fleeting
Independent and few
3. What are the symptoms presented by the paranoid client in the scenario?
Anxiety and panic attacks.
Bizarre behaviors, neologisms, and thought insertion.
Hallucinations and delusions.
Depression and suicidal ideation.
1/57
,3/11/25, 2:57 PM
4. Why is 'Altered nutrition: Less than body requirements' considered a priority
nursing diagnosis for this client?
Because the client is primarily concerned about their symptoms and
knowledge of the disorder.
2/57
,3/11/25, 2:57 PM
Because physical needs, such as nutrition, take precedence in
nursing care for clients with mental health disorders.
Because the client’s insomnia is the most pressing issue at the
moment.
Because the diagnosis indicates a need for immediate psychiatric
intervention.
5. What type of hallucination is indicated by the client's statement about the
voice telling them to stop the psychiatrist?
Auditory hallucinations
Tactile hallucinations
Visual hallucinations
Command hallucinations
6. A patient with schizophrenia was prescribed antipsychotics. After daily
observation, the nurse finds the patient's blood pressure has decreased.
What is the most appropriate action by a nurse before administering the
prescribed drug to the patient?
The nurse should avoid administering the drug for the day.The nurse
should give an adrenergic agonist to raise the blood pressure.
The nurse should tell the patient to avoid taking fluids.
The nurse should tell the patient to rise slowly.
7. What is the priority nursing diagnosis for a client with symptoms of alcohol
withdrawal who hasn't eaten in 3 days?
Knowledge deficit
Fluid volume excess
Imbalanced nutrition: Less than body requirements
3/57
, 3/11/25, 2:57 PM
8. When using a behavioral modification approach to the treatment of eating
disorders,which nursing intervention would be most likely to produce
positive results?
Clients should perceive that they are in control of clearly
communicated treatment choices.
The treatment team develops a system of rewards and privileges that
can be earned by the client.
Appropriate treatment choices are presented to the client's family for
consideration.
A matter-of-fact, directive approach with the input of the entire
treatment team.
9. What is the primary reason for prioritizing intervention in a psychiatric
setting?
To ensure patient safety
To facilitate group therapy
To promote social interaction
To encourage medication adherence
10. In a situation where a client in a psychiatric unit reports a bomb threat, how
should the nurse prioritize actions if they find no bomb after checking?
Conduct a group therapy session to address fears.
Inform the client that their concerns are unfounded.
Continue to monitor the client for further signs of distress.
Implement the bomb scare protocol and ensure the safety of all
clients.
4/57
