*NURSING > EXAM > 2023-HESI Mental Health RN Questions and Answers from V1-V4 Test Banks from Actual Exams (Latest upd (All)

2023-HESI Mental Health RN Questions and Answers from V1-V4 Test Banks from Actual Exams (Latest update 2023) Complete Guide Rated A+

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2023-HESI Mental Health RN Questions and Answers from V1-V4 Test Banks from Actual Exams (Latest update 2023) Complete Guide Rated A+ A client verbalizes anger toward the staff after denied in unacco... mpanied day pass to leave the psychiatric facility. Which feeling is most likely to be the source of the client's anger? A. Hopelessness B. Indecisiveness C. Powerlessness D. Worthlessness Which response would the nurse make while speaking to a client diagnosed with schizophrenia who keeps interjecting sentences that have nothing to do with the main thoughts being exposed? A. "You aren't making any sense; let's talk about something else." B. "You're so confused; I can't understand what you're saying to me." C. "Why don't you take a rest? We can talk again later this afternoon." D. "I'd like to understand what you're saying, but I'm having difficulty following you." Upon assessing a client who is receiving chemotherapy, the nurse notes the client is using a scarf to cover her head. The nurse asks the client about coping with her altered body image. Which functional pattern would the assessment include? A. Value-belief pattern B. Role-relationship pattern C. Cognitive-perceptual pattern D. Self-perception-self-tolerance pattern Which response would the nurse make when a female client confides to the nurse that she enjoys engaging in sex with multiple male adult sex partners simultaneously? A. 'I recommend that you seek counseling for this problem.' B. 'Don't you think that having sex with multiple partners is immoral?' C. 'These men are abusing you, and you should go to the police to report them.' D. 'What are you using for birth control and protection from sexually transmitted infections?' Which response would the nurse make to a client with obsessive-compulsive disorder who says, 'I know that my hands aren't dirty, but I just can't stop washing them'? A. 'Let's talk about why you feel that you have to wash your hands.' B. 'You're getting better; you're beginning to understand your problem.' C. 'Don't worry about it; these actions are part of your illness, and the feelings will pass.' D. 'I understand that-maybe we can work together to limit the number of times you wash them.' Which statement best defines a crises? A. A threat to equilibrium B. An imbalance of emotions C. Client's perception of the problem D. Circumstance that requires external resources Caplan's theory states that a crises is an internal disturbance caused by a stressful event that alters the usual way of coping with a threat to the self; this temporarily disturbs the person's equilibrium. Emotional instability may occur during a crisis, but many factors, such as past experiences, availability of support systems, and use of coping mechanisms, will affect emotional state. The client's perception of problem is assessed in the first phase of crisis intervention; the assessment is then used to determine the effect of crises and to plan interventions. External resources are identified and mobilized to assist in crisis resolution. Which benefit would a client expect from joining a self-help group after being discharged from a mental health facility? A. Getting support from group members B. Learning about confrontation techniques C. Working on self-awareness exercises D. Practicing psychotherapy interventions Which term describes a display of anger that is socially unacceptable? A. Abuse B. Battery C. Aggression D. Defensiveness Which action would the nurse take for a client with borderline personality disorder? A. Provide an unstructured environment to promote self-expression B. Be firm, consistent, and understanding while focusing on specific target behaviors C. Use an authoritarian approach, because this type of client needs to learn to conform to the rules of society D. Record but ignore marked shifts in mood, suicidal threats, and temper displays because these are attention-seeking behaviors Which therapeutic communication technique is a coping strategy to help the nurse and clients adjust to stress? A. Sharing hope B. Sharing humor C. Sharing empathy D. Sharing observations Which response would the nurse make to a depressed, crying client on the evening of admission? A. 'You're crying. Let's talk about it.' B. 'Let me get a cup of coffee; then we can talk.' C. 'Visitors will be here soon; you'd better get ready.' D. 'You'll feel better soon. Come to the sitting room with me,' Which therapeutic communication technique is used when the nurse and a client have a conversation and the client begins to repeat the conversation to self? A. Focusing B. Clarifying C. Paraphrasing D. Summarizing Focusing is a therapeutic communication technique that is useful when clients begin to repeat conversations to themselves. Clarification helps check whether the client's understanding is accurate by restating an unclear or ambiguous message. Paraphrasing involves restating a message more briefly using one's own words. Summarizing is a concise review of key aspects of an interaction. The nurse hears a child who was not invited to a sleepover say, 'I have better things than to do than go to that sleepover.' Which defense mechanism would the nurse conclude the child is using? A. Denial B. Projection C. Regression D. Rationalization Rationalization is the offering of an explanation to one's self or others to allay anxiety. Denial involves avoiding the reality of a situation; the child is not avoiding the reality of the sleepover. Projection is blaming others for one's shortcomings; the child is not blaming others for not being invited to the sleepover. Regression is returning to an earlier more familiar mode of behavior; the child is not regressing. [Show More]

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