ALL HESI FUNDAMENTALS EXAM-REAL ACTUAL EXAM-
LATEST UPDATE 2025 | COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS –RATED 100% CORRECT!!
ALREADY GRADED A+
the purpose of therapeutic interaction - (answers)to allow the client to autonomy to
make choices when appropriate. keep statements value-free, advice free, and
reassurance-free
what action should the nurse take in a psychiatric situation when the client describes a
physical problem? - (answers)assess. example: if a client has schizophrenia complains
of chest pain take their blood pressure
basic communication principles - (answers)establish trust, nonjudgemental
attitude,active listening, offer self, accept client's feelings, validate client's statements,
matter of fact approach
nausea is a common complaint after ECT - (answers)vomiting by an unconscious can
lead to aspiration. maintain a paten airway
common physiological responses to anxiety - (answers)increased heart rate, and blood
pressure, rapid shallow respirations, dry mouth, tight feeling in throat, tremors, muscle
twitching, anorexia, urinary frequency, palmar sweating
nurse-client anxiety - (answers)anxiety is contagious, nurse needs to asses on anxiety
level and remain calm. it helps gain control, decrease anxiety, and increase feelings of
security
desensitization - (answers)is the nursing intervention for phobia disorders. --assess
client to recognize the factors associated with feared stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
the nurse should place an anxious client where there are reduced environmental stimuli
- (answers)quiet area of the unit away from the nurse's station
the best time for interaction with a client is at the completion of the performed ritual -
(answers)the client's anxiety is lowest at this time and its an optimal time for learning
compulsive acts are used in response to anxiety, which may or may not be related to
the obsession. its the nurse's responsibility help alleviate anxiety - (answers)its the
nurse's responsibility help alleviate anxiety, interfering will increase the anxiety
,as long as the client's acts are free of violence: nurse should.... - (answers)actively
listen to the clients obsessive themes
acknowledge the effects that ritualistic acts have on the client
demonstrate empathy
avoid being judgmental
for clients with PTSD, the nurse should.... - (answers)actively listen to client's stories of
experiences surrounding the traumatic event
assess suicide risk
assist client to develop objectivity about the event and problem solve regarding possible
means of controlling anxiety related to the event
encourage group therapy with other clients who have experienced the same traumatic
event
be aware of your own feelings when dealing with this somatoform clients. - (answers)the
pain is real to the person experiencing it
theses disorders cannot be explained medically, it results from internal conflict. the
nurse should... - (answers)acknowledge the symptom or complaint
reaffirm that diagnostic test results reveal no organic pathology
determine the secondary gains acquired by the client
avoid giving clients with dissociative disorders too much information about past events
at one time - (answers)the various types of amnestic that accompany dissociative
disorders provide protection from pain and too much to soon can cause
decompensation
personality disorders are long standing behavioral traits that are maladaptive responses
to anxiety and that cause difficulty in relating to and working with other individuals -
(answers)persons with personality disorders are usually comfortable with their disorders
and believe that they are right and the world is wrong and have little motivation
people with anorexia gain pleasure from providing others with food and watching them
eat - (answers)these behaviors reinforce their perception of self-control. don not allow
these clients to plan or prepare food for unit-based activities
individuals with Bulimia often use syrup of ipecac to induce vomiting. if ipecac is not
vomited and is absorbed, cardiotoxicity may occur and cause conduction disturbances,
cardiac dysrhythmias, fatal myocarditis, and circulatory failure - (answers)because heart
failure is not usually seen in this age group, it is often overlooked. assess for edema
and listen to breath sounds
physical assessment and nutritional support are a priority, the physiological implication
are great. nursing interventions should increase self-esteem and develop a positive
,body image. - (answers)family therapy is most effective because issues of control are
common in these (eating disorders.) therapy is usually long term
the most important s/s of depression are a depressed mood with a loss of interest in the
pleasures in life - (answers)the client has a sustained loss
s/s of depression - (answers)significant change in appetite
insomnia
fatigue or lack of energy
feelings of hopelessness
loss of ability to concentrate
preoccupation with death or suicide
depressed clients have difficulty hearing and accepting compliments because of their
lowered self-concept - (answers)comment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they - (answers)begin to take an
interest in their appearance or begin to perform self-care activities
the nurse should suspect an imminent suicide attempt if a depressed client becomes
"better" - (answers)be aware a happy affect may signify the the client feels relieved that
a plan has been made and is prepared for the suicide attempt
when dealing with a depressed client the nurse should assist with personal hygiene
tasks and encourage the client to initiate grooming activities even when they dont feel
like doing so - (answers)this helps to promote self-esteem and a sense of control
nursing intervention for depressed client - (answers)sit quietly with the client, offering
your support with your presence
side effects of antianxiety drugs - (answers)sedation, drowsiness
s/e of antidepressants drugs - (answers)anticholinergic effects, postural hypotension
s/e MAO inhibitors - (answers)hypertensive crisis
lithium requires renal function assessment and monitoring - (answers)phenothiazines
cause EPS (tardic dyskinesia can be permanent)
phenothiazines cause photosensitivity so client must wear protective clothing and
sunglasses - (answers)MAO inhibitors require dietary restrictions to prevent
hypertensive crisis
atypical antipsychotics drugs are also indication for mania - (answers)monitor serum
lithium levels carefully. 0.-1.5 is therapeutic level, blood should be drawn every 12 hours
after last dose
, manic clients can be very caustic toward authority figures - (answers)avoid arguing or
becoming defensive
what activities are appropriate for a manic client? - (answers)noncompetitive physical
activities that require the use of large muscle groups
where should a manic client be place on the unit? - (answers)make every attempt to
reduce stimuli in the environment, place client in quiet part of the unit
what intervention should the nurse use if the client becomes abusive - (answers)redirect
negative behavior
suggest a walk
set limits on intrusive behavior
seclude or administer medication
Bleuler's 4 A's for schizophrenia - (answers)autism (preoccupied with self)
affect (flat)
associations (loose)
ambivalence (difficulty making decisions)
observe for increased motor activity and erratic response to staff and other clients -
(answers)client may experiencing an increase in command in hallucinations, when this
occurs there is an increased potential for aggressive behavior
don't argue with a client about the delusions. - (answers)logic only increases a client's
anxiety, so be matter of fact and divert delusional thought to reality
what medication can the nurse expect to administer to chemically dependent clients? -
(answers)librium or ativan, antabuse for alcohol abuse
what type of therapy is used with chemically dependent clients? - (answers)group
therapy
harm reduction is a community health strategy designed to reduce the harm of
substance abuse to families, individuals, community, and society - (answers)denial and
rationalization are the two most common coping styles used for substance abuse
what basic needs take priority when working with chemically dependent clients? -
(answers)nutrition is a priority, alcohol and drug intake has superseded the intake of
food for these clients
what behaviors are expected during withdrawal? - (answers)in the alcoholic DT's occur
12-36 hours after the last intake of alcohol
LATEST UPDATE 2025 | COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS –RATED 100% CORRECT!!
ALREADY GRADED A+
the purpose of therapeutic interaction - (answers)to allow the client to autonomy to
make choices when appropriate. keep statements value-free, advice free, and
reassurance-free
what action should the nurse take in a psychiatric situation when the client describes a
physical problem? - (answers)assess. example: if a client has schizophrenia complains
of chest pain take their blood pressure
basic communication principles - (answers)establish trust, nonjudgemental
attitude,active listening, offer self, accept client's feelings, validate client's statements,
matter of fact approach
nausea is a common complaint after ECT - (answers)vomiting by an unconscious can
lead to aspiration. maintain a paten airway
common physiological responses to anxiety - (answers)increased heart rate, and blood
pressure, rapid shallow respirations, dry mouth, tight feeling in throat, tremors, muscle
twitching, anorexia, urinary frequency, palmar sweating
nurse-client anxiety - (answers)anxiety is contagious, nurse needs to asses on anxiety
level and remain calm. it helps gain control, decrease anxiety, and increase feelings of
security
desensitization - (answers)is the nursing intervention for phobia disorders. --assess
client to recognize the factors associated with feared stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
the nurse should place an anxious client where there are reduced environmental stimuli
- (answers)quiet area of the unit away from the nurse's station
the best time for interaction with a client is at the completion of the performed ritual -
(answers)the client's anxiety is lowest at this time and its an optimal time for learning
compulsive acts are used in response to anxiety, which may or may not be related to
the obsession. its the nurse's responsibility help alleviate anxiety - (answers)its the
nurse's responsibility help alleviate anxiety, interfering will increase the anxiety
,as long as the client's acts are free of violence: nurse should.... - (answers)actively
listen to the clients obsessive themes
acknowledge the effects that ritualistic acts have on the client
demonstrate empathy
avoid being judgmental
for clients with PTSD, the nurse should.... - (answers)actively listen to client's stories of
experiences surrounding the traumatic event
assess suicide risk
assist client to develop objectivity about the event and problem solve regarding possible
means of controlling anxiety related to the event
encourage group therapy with other clients who have experienced the same traumatic
event
be aware of your own feelings when dealing with this somatoform clients. - (answers)the
pain is real to the person experiencing it
theses disorders cannot be explained medically, it results from internal conflict. the
nurse should... - (answers)acknowledge the symptom or complaint
reaffirm that diagnostic test results reveal no organic pathology
determine the secondary gains acquired by the client
avoid giving clients with dissociative disorders too much information about past events
at one time - (answers)the various types of amnestic that accompany dissociative
disorders provide protection from pain and too much to soon can cause
decompensation
personality disorders are long standing behavioral traits that are maladaptive responses
to anxiety and that cause difficulty in relating to and working with other individuals -
(answers)persons with personality disorders are usually comfortable with their disorders
and believe that they are right and the world is wrong and have little motivation
people with anorexia gain pleasure from providing others with food and watching them
eat - (answers)these behaviors reinforce their perception of self-control. don not allow
these clients to plan or prepare food for unit-based activities
individuals with Bulimia often use syrup of ipecac to induce vomiting. if ipecac is not
vomited and is absorbed, cardiotoxicity may occur and cause conduction disturbances,
cardiac dysrhythmias, fatal myocarditis, and circulatory failure - (answers)because heart
failure is not usually seen in this age group, it is often overlooked. assess for edema
and listen to breath sounds
physical assessment and nutritional support are a priority, the physiological implication
are great. nursing interventions should increase self-esteem and develop a positive
,body image. - (answers)family therapy is most effective because issues of control are
common in these (eating disorders.) therapy is usually long term
the most important s/s of depression are a depressed mood with a loss of interest in the
pleasures in life - (answers)the client has a sustained loss
s/s of depression - (answers)significant change in appetite
insomnia
fatigue or lack of energy
feelings of hopelessness
loss of ability to concentrate
preoccupation with death or suicide
depressed clients have difficulty hearing and accepting compliments because of their
lowered self-concept - (answers)comment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they - (answers)begin to take an
interest in their appearance or begin to perform self-care activities
the nurse should suspect an imminent suicide attempt if a depressed client becomes
"better" - (answers)be aware a happy affect may signify the the client feels relieved that
a plan has been made and is prepared for the suicide attempt
when dealing with a depressed client the nurse should assist with personal hygiene
tasks and encourage the client to initiate grooming activities even when they dont feel
like doing so - (answers)this helps to promote self-esteem and a sense of control
nursing intervention for depressed client - (answers)sit quietly with the client, offering
your support with your presence
side effects of antianxiety drugs - (answers)sedation, drowsiness
s/e of antidepressants drugs - (answers)anticholinergic effects, postural hypotension
s/e MAO inhibitors - (answers)hypertensive crisis
lithium requires renal function assessment and monitoring - (answers)phenothiazines
cause EPS (tardic dyskinesia can be permanent)
phenothiazines cause photosensitivity so client must wear protective clothing and
sunglasses - (answers)MAO inhibitors require dietary restrictions to prevent
hypertensive crisis
atypical antipsychotics drugs are also indication for mania - (answers)monitor serum
lithium levels carefully. 0.-1.5 is therapeutic level, blood should be drawn every 12 hours
after last dose
, manic clients can be very caustic toward authority figures - (answers)avoid arguing or
becoming defensive
what activities are appropriate for a manic client? - (answers)noncompetitive physical
activities that require the use of large muscle groups
where should a manic client be place on the unit? - (answers)make every attempt to
reduce stimuli in the environment, place client in quiet part of the unit
what intervention should the nurse use if the client becomes abusive - (answers)redirect
negative behavior
suggest a walk
set limits on intrusive behavior
seclude or administer medication
Bleuler's 4 A's for schizophrenia - (answers)autism (preoccupied with self)
affect (flat)
associations (loose)
ambivalence (difficulty making decisions)
observe for increased motor activity and erratic response to staff and other clients -
(answers)client may experiencing an increase in command in hallucinations, when this
occurs there is an increased potential for aggressive behavior
don't argue with a client about the delusions. - (answers)logic only increases a client's
anxiety, so be matter of fact and divert delusional thought to reality
what medication can the nurse expect to administer to chemically dependent clients? -
(answers)librium or ativan, antabuse for alcohol abuse
what type of therapy is used with chemically dependent clients? - (answers)group
therapy
harm reduction is a community health strategy designed to reduce the harm of
substance abuse to families, individuals, community, and society - (answers)denial and
rationalization are the two most common coping styles used for substance abuse
what basic needs take priority when working with chemically dependent clients? -
(answers)nutrition is a priority, alcohol and drug intake has superseded the intake of
food for these clients
what behaviors are expected during withdrawal? - (answers)in the alcoholic DT's occur
12-36 hours after the last intake of alcohol
