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Mental Health/Psych HESI Review Questions (50 Q study with rationale)
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Mental Health/Psych HESI Review Questions (50 Q study with rationale) A 22-year-old client is admitted to the psychiatric unit from the medical unit following a suicide attempt with an overdose of diazepam (Valium). When developing the nursing care plan for this client, which intervention would be...

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  • February 13, 2025
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  • 2024/2025
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Mental Health/Psych HESI Review Questions (50 Q study with rationale)
A 22-year-old client is admitted to the psychiatric unit from the medical unit following a suicide attempt with
an overdose of diazepam (Valium). When developing the nursing care plan for this client, which intervention
would be most important for the nurse to include?



A.Assist client to focus on personal strengths.

B.Set limits on self-defacing comments.

C.Remind the client of daily activities in the milieu.

D.Assist the client to identify why he or she was self-destructive. - ansANS: A



Encouraging the client to focus on his or her strengths (A) helps the client become aware of positive
qualities, assists in improving self-image, and aids in coping with past and present situations. Although
nursing actions should assist the client in decreasing self-defacing comments (B) and informing the client of
(C), these interventions are not priorities at this time. (D) is not as important as assisting the client to
overcome the depression, which resulted in the overdose, and asking "why" is not therapeutic.



A 25-year-old client has been particularly restless and the nurse finds the client trying to leave the psychiatric
unit. The client tells the nurse, "Please let me go! I must leave because the secret police are after me." Which
response is best for the nurse to make?



A."No one is after you. You're safe here."

B."You'll feel better after you have rested."

C."I know you must feel lonely and frightened."

D."Come with me to your room, and I will sit with you." - ansANS: D



(D) is the best response because it offers support without judgment or demands. (A) is challenging the
client's delusion. (B) is offering false reassurance. (C) is a violation of therapeutic communication because the
nurse is telling the client how she or he feels (frightened and lonely), rather than allowing the client to
describe his or her own feelings. Hallucinating and delusional clients are not capable of discussing their
feelings, particularly when they perceive a crisis.

,A 25-year-old client has suffered extensive burns and is crying during dressing change treatment. The client
tells the nurse, "Please let me die. Why are you all torturing me like this? I just want to die." Which response
by the nurse is best?




A."We aren't torturing you. These treatments are necessary to prevent a terrible infection."

B."I know these treatments must seem like torture to you, but we want to help you recover."

C."You have so much to live for, and all of your family members want you to live."

D."Would you like me to call the chaplain so that you can discuss your feelings privately?" - ansANS: B



(B) offers an empathetic response without sounding patronizing. (A) is not empathetic and is actually
somewhat argumentative. The client is not asking for information as much as pleading for understanding. (C)
appears as scolding and places blame on the client for wanting to die and possibly hurting the client's family
members as a result. (D) might be appropriate if the nurse simply asks the client if a chaplain's visit is
desired, but the nurse is dismissing the client's needs by not addressing them at the moment.



A 27-year-old client is admitted to the psychiatric hospital with a diagnosis of bipolar disorder, manic phase.
The client is demanding and active. Which intervention should the nurse include in this client's plan of care?



A.Schedule the client to attend various group activities.

B.Reinforce the client's ability to make decisions.

C.Encourage the client to identify feelings of anger.

D.Provide a structured environment with little stimuli. - ansANS: D



Clients in the manic phase of a bipolar disorder require decreased stimuli and a structured environment (D).
Noncompetitive activities that can be carried out alone should be planned for these clients. (A) is
contraindicated because stimuli should be reduced as much as possible. Impulsive decision making is
characteristic of clients with bipolar disorder. To prevent future complications, the nurse should monitor
these clients' decisions and assist them in the decision making process (B). (C) is more often associated with
depression than with bipolar disorder.



A 33-year-old client is admitted to a psychiatric facility with a medical diagnosis of major depression. When
the nurse is assigning the client to a room, which roommate is best for this client?

, A.A 35-year-old client who recently attempted suicide.

B.A manic client who has started lithium carbonate treatment.

C.A client who is bipolar and is pacing the floor while telling jokes to everyone.

D.A paranoid client who believes that the staff is trying to poison the food. - ansANS: B



(B) appears to be the most stable client described since treatment was begun with lithium carbonate
(treatment of choice for manic depression). Being around another depressed individual might enhance this
client's own depression and possibly support suicidal ideation (A). Clients in the manic stage of bipolar
disease (C) enhance the level of anxiety of those around them, which would not be therapeutic for the client
at this time. Paranoid ideation (D), which is characterized by suspiciousness, would also increase anxiety in
this client.



A 35-year-old client admitted to the psychiatric unit of an acute care hospital tells the nurse that someone is
trying to poison her. The client's delusions are most likely related to which factor?



A.Authority issues in childhood

B.Anger about being hospitalized

C.Low self-esteem

D.Phobia of food - ansANS: C



Delusional clients have difficulty with trust and have low self-esteem (C). Nursing care should be directed at
building trust and promoting positive self-esteem. Activities with limited concentration and no competition
should be encouraged to build self-esteem. (A, B, and D) are not specifically related to the development of
delusions.



A 38-year-old client is admitted with a diagnosis of paranoid schizophrenia. When the lunch tray is brought
to the room, the client refuses to eat and tells the nurse, "I know you are trying to poison me with that
food." Which response by the nurse is the most therapeutic?



A."I'll leave your tray here. I am available if you need anything else."

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