Cognition-psychosis- HESI Quiz 2023 Questions and
Answers
A nurse is caring for a client who is delusional and talking about people who are plotting
to do harm. The staff members note that the client is pacing more than usual, and the
primary nurse concludes that the client is beginning to lose control. What is the most
therapeutic nursing intervention?
1 Moving the client to a quiet place
2 Urging the client to sit down for a short time
3 Encouraging the client to use a punching bag
4 Allowing the client to continue pacing under supervision
1
A client tells the nurse, "That man on the television is talking only to me." What should
the nurse document that the client is exhibiting?
1 Illusion
2 Hallucination
3 Idea of reference
4 Autistic thinking
3
A client is admitted to a psychiatric unit with the diagnosis of schizophrenia,
undifferentiated type. When assessing the client, the nurse identifies the presence of
several characteristics related to this disorder. What may this include? Select all that
apply.
1 Bizarre behavior
2 Extreme negativism
3 Disorganized speech
4 Persecutory delusions
5 Auditory hallucinations
1,3,5
The nurse notes that a client has been experiencing a somatic delusion. Which
statement led to this conclusion?
1 "I am Jesus Christ."
2 "I know I'm dead."
3 "This food has been poisoned."
4 "My stomach has disintegrated."
4
A client recently admitted to the psychiatric unit is found to be experiencing command
auditory hallucinations. The nurse conducts an initial one-on-one session centered on
the development of trust. What is the next important nursing intervention?
1 Identifying the content of the messages in the auditory hallucinations
2 Determining whether the command hallucinations are frightening to the client
3 Helping the client determine whether the voices are outside or inside the client's head
4 Determining the client's ability to refrain from listening to the messages from the
voices
1
, What should a nurse do when a client with the diagnosis of schizophrenia talks about
being controlled by others?
1 Express disbelief about the delusion.
2 Acknowledge the feeling tone of the delusion.
3 Determine the content of the delusions of control.
4 Institute an activity that will compete with the delusion
3
A client with schizophrenia is demonstrating waxy flexibility. Which intervention is the
best way to manage the possible outcome of this behavior?
1 Providing thickened liquids to minimize the risk of aspiration
2 Documenting intake and output each shift to monitor hydration
3 Reinforcing appropriate social boundaries through staff role modeling
4 Performing passive range-of-motion exercises three times a day for effective joint
health
4
A client has been prescribed chlorpromazine for the management of positive symptoms
of schizophrenia. What is the nurse's response when the client reports difficulty
sustaining an erection?
1 Reassuring the client that this side effect will resolve in a few weeks
2 Consulting with the primary healthcare provider regarding alternative medication
therapies
3 Explaining that all conventional antipsychotic medications cause impotence
4 Providing additional medication education to explain the medication's side effects in
detail
2
A delusional client has refused to eat for the past 24 hours, saying "the food is
poisoned." How should the nurse respond?
1 "Why do you think that the food is poisoned?"
2 "You feel worried that someone wants to poison you?"
3 "This feeling is a symptom of your illness. It's not real."
4 "You'll be safe with me. I won't let anyone poison you."
2
An adult with the diagnosis of schizophrenia is admitted to the psychiatric hospital. The
client is ungroomed, appears to be hearing voices, is withdrawn, and has not spoken to
anyone for several days. What should the nurse do during the first few hospital days?
1 See that the client bathes and changes clothes daily.
2 Wait and see whether the client approaches the staff.
3 Conduct an admission assessment interview with the client.
4 Seek out the client frequently to spend short periods of time together.
4
A client states, "The voices are saying I killed my husband." What is the best response
by the nurse?
1 "You're having very frightening thoughts right now."
2 "We'll put you in a private room where you'll be safe."
3 "Tell me more about these worries about your husband."
4 "I just saw your husband, and he seems to be doing fine."
Answers
A nurse is caring for a client who is delusional and talking about people who are plotting
to do harm. The staff members note that the client is pacing more than usual, and the
primary nurse concludes that the client is beginning to lose control. What is the most
therapeutic nursing intervention?
1 Moving the client to a quiet place
2 Urging the client to sit down for a short time
3 Encouraging the client to use a punching bag
4 Allowing the client to continue pacing under supervision
1
A client tells the nurse, "That man on the television is talking only to me." What should
the nurse document that the client is exhibiting?
1 Illusion
2 Hallucination
3 Idea of reference
4 Autistic thinking
3
A client is admitted to a psychiatric unit with the diagnosis of schizophrenia,
undifferentiated type. When assessing the client, the nurse identifies the presence of
several characteristics related to this disorder. What may this include? Select all that
apply.
1 Bizarre behavior
2 Extreme negativism
3 Disorganized speech
4 Persecutory delusions
5 Auditory hallucinations
1,3,5
The nurse notes that a client has been experiencing a somatic delusion. Which
statement led to this conclusion?
1 "I am Jesus Christ."
2 "I know I'm dead."
3 "This food has been poisoned."
4 "My stomach has disintegrated."
4
A client recently admitted to the psychiatric unit is found to be experiencing command
auditory hallucinations. The nurse conducts an initial one-on-one session centered on
the development of trust. What is the next important nursing intervention?
1 Identifying the content of the messages in the auditory hallucinations
2 Determining whether the command hallucinations are frightening to the client
3 Helping the client determine whether the voices are outside or inside the client's head
4 Determining the client's ability to refrain from listening to the messages from the
voices
1
, What should a nurse do when a client with the diagnosis of schizophrenia talks about
being controlled by others?
1 Express disbelief about the delusion.
2 Acknowledge the feeling tone of the delusion.
3 Determine the content of the delusions of control.
4 Institute an activity that will compete with the delusion
3
A client with schizophrenia is demonstrating waxy flexibility. Which intervention is the
best way to manage the possible outcome of this behavior?
1 Providing thickened liquids to minimize the risk of aspiration
2 Documenting intake and output each shift to monitor hydration
3 Reinforcing appropriate social boundaries through staff role modeling
4 Performing passive range-of-motion exercises three times a day for effective joint
health
4
A client has been prescribed chlorpromazine for the management of positive symptoms
of schizophrenia. What is the nurse's response when the client reports difficulty
sustaining an erection?
1 Reassuring the client that this side effect will resolve in a few weeks
2 Consulting with the primary healthcare provider regarding alternative medication
therapies
3 Explaining that all conventional antipsychotic medications cause impotence
4 Providing additional medication education to explain the medication's side effects in
detail
2
A delusional client has refused to eat for the past 24 hours, saying "the food is
poisoned." How should the nurse respond?
1 "Why do you think that the food is poisoned?"
2 "You feel worried that someone wants to poison you?"
3 "This feeling is a symptom of your illness. It's not real."
4 "You'll be safe with me. I won't let anyone poison you."
2
An adult with the diagnosis of schizophrenia is admitted to the psychiatric hospital. The
client is ungroomed, appears to be hearing voices, is withdrawn, and has not spoken to
anyone for several days. What should the nurse do during the first few hospital days?
1 See that the client bathes and changes clothes daily.
2 Wait and see whether the client approaches the staff.
3 Conduct an admission assessment interview with the client.
4 Seek out the client frequently to spend short periods of time together.
4
A client states, "The voices are saying I killed my husband." What is the best response
by the nurse?
1 "You're having very frightening thoughts right now."
2 "We'll put you in a private room where you'll be safe."
3 "Tell me more about these worries about your husband."
4 "I just saw your husband, and he seems to be doing fine."
