Psychiatric/Mental Health Assignment Exam
Hesi Practice
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The nurse is caring for an ANS: D. High risk for fluid and electrolyte imbalance.
adult male client with
catatonic schizophrenia Maintaining physiological stability by first addressing
who is mute and basic physiological needs is the priority. A client who
motionless. What is the is in a catatonic or stuporous state is at risk for
priority nursing problem? malnutrition and dehydration. Fluid and electrolyte
imbalance is the priority nursing problem for this
A. Impaired mobility. client at this time. The other problems are not life-
threatening.
B. Ineffective individual
coping.
C. Impaired verbal
communication.
D. High risk for fluid and
electrolyte imbalance.
,A female client comes to ANS: D. Tell the client that therapy cannot take place
an outpatient therapy while she is intoxicated.
appointment intoxicated.
The spouse tells the nurse, Therapy sessions are designed to confront the issues
"There wasn't anything I that the client with alcohol dependence may be
could do to stop her experiencing. If the client presents inebriated, a
drinking this morning." therapeutic and confrontational meeting cannot
What intervention should occur because the client's judgment is altered. The
the nurse take at this time? other interventions are not necessary.
A. Arrange for emergency
admission to a
detoxification unit.
B. Talk to the spouse about
strategies to limit the
client's drinking.
C. Have the client
admitted to the inpatient
psychiatric unit.
D. Tell the client that
therapy cannot take place
while she is intoxicated.
,Which action is most ANS: A. Establish rapport in each phase of the nurse-
important for the nurse to client relationship.
implement during the
initial interview for a client A client with whom the nurse establishes rapport
who is admitted to the during the initial interview and in each phase of the
mental health unit? nurse-client relationship feels understood by the
nurse and is more likely to cooperate and provide
A. Establish rapport in feedback during the admission process. The other
each phase of the nurse- actions not always needed to establish rapport or
client relationship. maintain the therapeutic self in a therapeutic
relationship.
B. Determine the client's
ability to communicate
effectively.
C. Reflect on previous
psychiatric interviews the
nurse has performed.
D. Ensure data is collected
and recorded in a
systematic sequence.
, The nurse is planning the ANS: D. Focus on the client's positive or negative
care for a client based on feelings toward the nurse.
the psychoanalytical
model. Which intervention Interactions and interventions that focus on the
should the nurse include client's positive or negative feelings toward the nurse
in the plan of care? are based on the psychoanalytical model of mental
health care. The other interventions are not associated
A. Emphasize the client's with the psychoanalytical model.
strengths and assets.
B. Teach the importance of
medication compliance.
C. Offer the client
psychoeducational
materials to read.
D. Focus on the client's
positive or negative
feelings toward the nurse.
Hesi Practice
Save
The nurse is caring for an ANS: D. High risk for fluid and electrolyte imbalance.
adult male client with
catatonic schizophrenia Maintaining physiological stability by first addressing
who is mute and basic physiological needs is the priority. A client who
motionless. What is the is in a catatonic or stuporous state is at risk for
priority nursing problem? malnutrition and dehydration. Fluid and electrolyte
imbalance is the priority nursing problem for this
A. Impaired mobility. client at this time. The other problems are not life-
threatening.
B. Ineffective individual
coping.
C. Impaired verbal
communication.
D. High risk for fluid and
electrolyte imbalance.
,A female client comes to ANS: D. Tell the client that therapy cannot take place
an outpatient therapy while she is intoxicated.
appointment intoxicated.
The spouse tells the nurse, Therapy sessions are designed to confront the issues
"There wasn't anything I that the client with alcohol dependence may be
could do to stop her experiencing. If the client presents inebriated, a
drinking this morning." therapeutic and confrontational meeting cannot
What intervention should occur because the client's judgment is altered. The
the nurse take at this time? other interventions are not necessary.
A. Arrange for emergency
admission to a
detoxification unit.
B. Talk to the spouse about
strategies to limit the
client's drinking.
C. Have the client
admitted to the inpatient
psychiatric unit.
D. Tell the client that
therapy cannot take place
while she is intoxicated.
,Which action is most ANS: A. Establish rapport in each phase of the nurse-
important for the nurse to client relationship.
implement during the
initial interview for a client A client with whom the nurse establishes rapport
who is admitted to the during the initial interview and in each phase of the
mental health unit? nurse-client relationship feels understood by the
nurse and is more likely to cooperate and provide
A. Establish rapport in feedback during the admission process. The other
each phase of the nurse- actions not always needed to establish rapport or
client relationship. maintain the therapeutic self in a therapeutic
relationship.
B. Determine the client's
ability to communicate
effectively.
C. Reflect on previous
psychiatric interviews the
nurse has performed.
D. Ensure data is collected
and recorded in a
systematic sequence.
, The nurse is planning the ANS: D. Focus on the client's positive or negative
care for a client based on feelings toward the nurse.
the psychoanalytical
model. Which intervention Interactions and interventions that focus on the
should the nurse include client's positive or negative feelings toward the nurse
in the plan of care? are based on the psychoanalytical model of mental
health care. The other interventions are not associated
A. Emphasize the client's with the psychoanalytical model.
strengths and assets.
B. Teach the importance of
medication compliance.
C. Offer the client
psychoeducational
materials to read.
D. Focus on the client's
positive or negative
feelings toward the nurse.
