NU473 HESI PSYCHIATRIC/MENTAL HEALTH
EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
1. If a nurse observes that a client in the manic phase of bipolar disorder is
becoming increasingly agitated during a group activity, what should the
nurse do next?
Encourage the client to participate more actively.
Allow the client to express their agitation in the group.
Reinforce the client's decision-making abilities.
Remove the client from the activity to a quieter space.
2. What is a dietary restriction for clients taking MAO inhibitors like
tranylcypromine sulfate?
Caffeinated beverages
Low-protein foods
Foods containing tyramine
High-sugar foods
3. Why is it important for the nurse to notify the healthcare provider before
administering the next dose of lithium carbonate?
To prevent potential complications from increased serum lithium
levels.
To document the symptoms for future reference.
,To ensure the client receives the medication on time.
To confirm the diagnosis of bipolar disorder.
,4. When child abuse is suspected, what should the nurse's initial assessment
include?
Making sure the parents are aware that abuse is suspected.
Looking for risk factors of abuse to confirm suspicions.
Gathering information from many sources to determine how the
injury occurred.
Talking with the parents only about the injury.
5. Why is it important for clients taking fluphenazine decanoate to be
informed about alcohol interactions?
Alcohol has no effect on Prolixin.
Alcohol can cure schizophrenia.
Alcohol reduces the effectiveness of Prolixin.
Alcohol enhances the extrapyramidal side effects of Prolixin.
6. How do the client's reported symptoms of sleep disturbance and appetite
loss relate to anxiety levels?
The symptoms indicate that anxiety is significantly impacting the
client's daily functioning.
The symptoms suggest the client is experiencing a psychotic
episode.
The symptoms are unrelated to anxiety and indicate a need for
dietary changes.
The symptoms show that the client is simply experiencing normal
stress.
, 7. If the nurse identifies that the client's anxiety levels have increased, what
would be an appropriate nursing intervention?
Suggest the client avoid discussing their feelings.
Encourage the client to engage in physical exercise only.
Advise the client to increase caffeine intake.
Initiate a referral for mental health support.
8. Discuss the significance of recognizing diverse client types in psychiatric
nursing.
It simplifies the treatment process by focusing only on individual
clients.
Recognizing diverse client types allows psychiatric nurses to
address the broader impact of mental health on individuals,
families, and communities.
It ensures that all clients receive the same type of care regardless of
their needs.
It limits the scope of practice to only inpatient settings.
9. If a nurse encounters a client who expresses delusional beliefs, what is the
most appropriate initial intervention to ensure effective communication?
Encourage the client to discuss their beliefs in detail.
Validate the client's feelings while gently redirecting the
conversation.
Challenge the client's beliefs directly to promote insight.
Ignore the delusional statements to avoid confrontation.
EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
1. If a nurse observes that a client in the manic phase of bipolar disorder is
becoming increasingly agitated during a group activity, what should the
nurse do next?
Encourage the client to participate more actively.
Allow the client to express their agitation in the group.
Reinforce the client's decision-making abilities.
Remove the client from the activity to a quieter space.
2. What is a dietary restriction for clients taking MAO inhibitors like
tranylcypromine sulfate?
Caffeinated beverages
Low-protein foods
Foods containing tyramine
High-sugar foods
3. Why is it important for the nurse to notify the healthcare provider before
administering the next dose of lithium carbonate?
To prevent potential complications from increased serum lithium
levels.
To document the symptoms for future reference.
,To ensure the client receives the medication on time.
To confirm the diagnosis of bipolar disorder.
,4. When child abuse is suspected, what should the nurse's initial assessment
include?
Making sure the parents are aware that abuse is suspected.
Looking for risk factors of abuse to confirm suspicions.
Gathering information from many sources to determine how the
injury occurred.
Talking with the parents only about the injury.
5. Why is it important for clients taking fluphenazine decanoate to be
informed about alcohol interactions?
Alcohol has no effect on Prolixin.
Alcohol can cure schizophrenia.
Alcohol reduces the effectiveness of Prolixin.
Alcohol enhances the extrapyramidal side effects of Prolixin.
6. How do the client's reported symptoms of sleep disturbance and appetite
loss relate to anxiety levels?
The symptoms indicate that anxiety is significantly impacting the
client's daily functioning.
The symptoms suggest the client is experiencing a psychotic
episode.
The symptoms are unrelated to anxiety and indicate a need for
dietary changes.
The symptoms show that the client is simply experiencing normal
stress.
, 7. If the nurse identifies that the client's anxiety levels have increased, what
would be an appropriate nursing intervention?
Suggest the client avoid discussing their feelings.
Encourage the client to engage in physical exercise only.
Advise the client to increase caffeine intake.
Initiate a referral for mental health support.
8. Discuss the significance of recognizing diverse client types in psychiatric
nursing.
It simplifies the treatment process by focusing only on individual
clients.
Recognizing diverse client types allows psychiatric nurses to
address the broader impact of mental health on individuals,
families, and communities.
It ensures that all clients receive the same type of care regardless of
their needs.
It limits the scope of practice to only inpatient settings.
9. If a nurse encounters a client who expresses delusional beliefs, what is the
most appropriate initial intervention to ensure effective communication?
Encourage the client to discuss their beliefs in detail.
Validate the client's feelings while gently redirecting the
conversation.
Challenge the client's beliefs directly to promote insight.
Ignore the delusional statements to avoid confrontation.
