HESI FUNDAMENTALS EXAM WITH QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) LATEST
UPDATE 2024/2025
the purpose of therapeutic interaction - CORRECT ANSWER 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? - CORRECT ANSWER assess. example: if a client
has schizophrenia complains of chest pain take their blood pressure
nausea is a common complaint after ECT - CORRECT ANSWER vomiting by an
unconscious can lead to aspiration. maintain a paten airway
common physiological responses to anxiety - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT
ANSWER 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.... - CORRECT
ANSWER 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.... - 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 ANSWER the 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 ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER 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 -
CORRECT ANSWER 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. - CORRECT ANSWER 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 - CORRECT ANSWER the 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 ANSWER comment on signs of
improvement by noting behavior
the nurse knows depressed clients are improving when they - CORRECT
ANSWER begin to take an interest in their appearance or begin to perform self-
care activities
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