HESI Fundamentals UPDATED VERSION
2025/2026 GRADED A+
the purpose of therapeutic interaction
 ANSWER : to allow the client to autonomy to make choices when appropriate. keep statements valuefree, advice free, and reassurance-free
what action should the nurse take in a psychiatric situation when the client describes a physical
problem?
 ANSWER : assess. example: if a client has schizophrenia complains of chest pain take their blood
pressure
basic communication principles
 ANSWER : establish trust, nonjudgemental attitude,active listening, offer self, accept client's feelings,
validate client's statements, matter of fact approach
nausea is a common complaint after ECT
 ANSWER : vomiting by an unconscious can lead to aspiration. maintain a paten airway
common physiological responses to anxiety
 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
 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
 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