NU473 HESI Psychiatric/Mental Health Practice Exam -
75 Questions & Accurate Detailed Answers
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The nurse should include o Permit rest periods as needed.
which o Speaking slowly and simply.
interventions in the plan of o Place the client on suicide precautions.
care for a severely o Observe and encourage food and fluid intake.
depressed client with · Neurovegetative symptoms that accompany the mood disorder
neurovegetative symptoms? of depression
include physiological disruptions, such as anorexia,
(Select all that apply.)
o Permit rest periods as constipation, sleep disturbance, and psychomotor
needed.
retardation. The client's plan of care should include
o Speaking slowly and simply.
measures that promote the client's comfort and well-
o Place the client on suicide
precautions. being, such as rest, nutrition, suicide
o Observe and encourage precautions, and simple communications. Vigorous
food and fluid intake. exercise and long walks are not indicated for clients
o Encourage vigorous in a neurovegetative state.
exercise and long walks
on the unit.
Which diet selection by a o Roast beef, baked potato with butter, and iced tea.
client who is depressed · Foods with tyramine interact with MAOI
and taking the MAO antidepressant, such as Parnate, and can cause a
inhibitor hypertensive crisis that is life-threatening. Roast beef,
tranylcy promine sulfate potatoes, butter, and tea do not contain tyramine. The
(Parnate) indicates to the other selections contain tyramine and should be
nurse that the client avoided by the client who is taking Parnate.
understands the dietary
restrictions imposed by
this
medication regimen?
o Hamburger, French fries,
and chocolate milkshake.
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o Liver and onions,
broccoli, and
decaffeinated
coffee.
o Pepperoni and cheese
pizza, tossed salad, and
a soft drink.
o Roast beef, baked potato
with butter, and iced tea.
An older male client in the o Cluster care so brief periods of rest can be scheduled during
intensive care unit who has the day.
· The critical care environment confronts clients with an
been oriented suddenly
environment which is
becomes disoriented and
stressful and heightened by treatment modalities that
fearful.
may prove to be lifesaving. These stressors can result in
Assessment of vital signs and
other isolation or sensory overload that leads to confusion.
physical parameters reveal The best intervention is to cluster care to provide the
no significant change and client with uninterrupted rest periods. The other
the nurse formulates the actions may not be possible.
client's problem as
confusion related to ICU
psychosis. Which
intervention is most
important for the nurse
implement?
o Move all machines away
from the client's
immediate area.
o Attempt to allay the
client's fears by
explaining the etiology
of confusion.
o Cluster care so brief
periods of rest can be
scheduled during the
day.
o Extend visitation times
for family and friends.
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A male client is admitted to o Assess the content of the hallucinations by asking the client
the psychiatric unit with a what he is hearing.
· Further assessment is indicated and the nurse should
medical diagnosis of
obtain information about what the client believes the
paranoid schizophrenia.
voices are telling him--they may be telling him to kill
During the admission
himself or the nurse. The other actions are not
procedure, the client looks
indicated.
up and states, "No, it's not
MY fault. You can't blame
me. I didn't kill him, you
did." What action is best for
the nurse to take?
o Reassure the client by
telling him that his fear of
the admission procedure
is to be expected.
o Tell the client that no one
is accusing him of murder
and remind him that the
hospital is a safe place.
o Assess the content of the
hallucinations by asking
the client what he is
hearing.
o Ignore the behavior and
make no response at all to
his delusional statements.
The nurse is assessing a o Intelligence is influenced by social and cultural beliefs.
client's intelligence. · Social and cultural beliefs have significant impact on
Which factor should the intelligence. The other factors do not necessarily
nurse remember during suggest limited intelligence.
this part of the mental status
exam? o Acute psychiatric
illnesses impair
intelligence.
o Intelligence is influenced
by social and cultural
beliefs.
o Poor concentration skills
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suggests limited
intelligence.
o The inability to think
abstractly indicates limited
intelligence.
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