ALL 2025 HESI Fundamentals Exam Test Bank updated with [ngn] HESI
Fundamentals Exam, Answered|| Already Graded A+(Brand New)
the purpose of therapeutic interaction -CORRECT ANSWERto 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? -CORRECT ANSWERassess. example: if a client has schizophrenia complains of
chest pain take their blood pressure
basic communication principles -CORRECT ANSWERestablish 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 -CORRECT ANSWERvomiting by an unconscious
can lead to aspiration. maintain a paten airway
common physiological responses to anxiety -CORRECT ANSWERincreased 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 -CORRECT ANSWERanxiety is contagious, nurse needs to asses on
anxiety level and remain calm. it helps gain control, decrease anxiety, and increase feelings of
security
desensitization -CORRECT ANSWERis 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 -
CORRECT ANSWERquiet 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 -
CORRECT ANSWERthe 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 -CORRECT ANSWERits 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.... -CORRECT ANSWER-actively
listen to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
ford clients with PTSD, the nurse should.... -CORRECT ANSWER-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. -CORRECT
ANSWERthe pain is real to the person experiencing it
,theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... -CORRECT ANSWER-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 -CORRECT ANSWERthe 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 -CORRECT
ANSWERpersons 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 -
CORRECT ANSWERthese 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 -CORRECT ANSWERbecause 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. -
CORRECT ANSWERfamily 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 -CORRECT ANSWERthe client has a sustained loss
s/s of depression -CORRECT ANSWER-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 -CORRECT ANSWERcomment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they -CORRECT ANSWERbegin 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" -
CORRECT ANSWERbe 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 -
CORRECT ANSWERthis helps to promote self-esteem and a sense of control
nursing intervention for depressed client -CORRECT ANSWERsit quietly with the client,
offering your support with your presence
side effects of antianxiety drugs -CORRECT ANSWERsedation, drowsiness
Fundamentals Exam, Answered|| Already Graded A+(Brand New)
the purpose of therapeutic interaction -CORRECT ANSWERto 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? -CORRECT ANSWERassess. example: if a client has schizophrenia complains of
chest pain take their blood pressure
basic communication principles -CORRECT ANSWERestablish 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 -CORRECT ANSWERvomiting by an unconscious
can lead to aspiration. maintain a paten airway
common physiological responses to anxiety -CORRECT ANSWERincreased 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 -CORRECT ANSWERanxiety is contagious, nurse needs to asses on
anxiety level and remain calm. it helps gain control, decrease anxiety, and increase feelings of
security
desensitization -CORRECT ANSWERis 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 -
CORRECT ANSWERquiet 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 -
CORRECT ANSWERthe 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 -CORRECT ANSWERits 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.... -CORRECT ANSWER-actively
listen to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
ford clients with PTSD, the nurse should.... -CORRECT ANSWER-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. -CORRECT
ANSWERthe pain is real to the person experiencing it
,theses disorders cannot be explained medically, it results from internal conflict. the nurse
should... -CORRECT ANSWER-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 -CORRECT ANSWERthe 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 -CORRECT
ANSWERpersons 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 -
CORRECT ANSWERthese 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 -CORRECT ANSWERbecause 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. -
CORRECT ANSWERfamily 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 -CORRECT ANSWERthe client has a sustained loss
s/s of depression -CORRECT ANSWER-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 -CORRECT ANSWERcomment on signs of improvement by noting behavior
the nurse knows depressed clients are improving when they -CORRECT ANSWERbegin 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" -
CORRECT ANSWERbe 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 -
CORRECT ANSWERthis helps to promote self-esteem and a sense of control
nursing intervention for depressed client -CORRECT ANSWERsit quietly with the client,
offering your support with your presence
side effects of antianxiety drugs -CORRECT ANSWERsedation, drowsiness
