HESI RN Mental Health Exam Prep Questions & Knowledge
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A married male client with three children has lost his job and states that he feels
useless. He is tearful, upset, and embarrassed. What is an appropriate objective of
care for this client?
1. Limiting tearfulness
2. Increasing self-esteem
3. Controlling feelings of sadness
4. Promoting acceptance by others
2. Increasing self-esteem
The loss of a job can precipitate negative feelings about the self and decrease self-
esteem. Feelings should be expressed, not limited; attempting to decrease a client's
crying often ends up worsening it. Crying is not necessarily an expression of
sadness; other feelings are involved. The focus should be on the client's self-
acceptance, not acceptance by others.
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A 44-year-old client has been unable to function since her husband asked for a
divorce 2 weeks ago. She is brought to the crisis intervention center by a friend.
What type of crisis is this situation?
1. Social
2. Situational
3. Maturational
4. Developmental
2. Situational
Situational crises involve an unanticipated loss, such as a divorce, that is threatening to
the client. Social crises involve multiple losses such as those occurring during
major disasters. Maturational crises occur in response to stress experienced as one
struggles with developmental tasks. Developmental (maturational) crises are
associated with developmental tasks; divorce is not a developmental task.
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A resident in a nursing home recently immigrated to the United States from Italy. How
does the nurse plan to provide emotional support?
1. By offering choices consistent with the client's heritage
2. By ensuring that the client understands American beliefs
3. By assisting the client in adjusting to the American culture
4. By correcting the client's misconceptions about appropriate health practices
1. By offering choices consistent with the client's heritage
Adherence to a plan of care is enhanced by the nurse's providing choices consistent
with the client's cultural beliefs and practices. The nurse's cultural or personal beliefs
and biases should not influence or interfere with the implementation of appropriate
care. Helping the client adjust to the American culture is not the priority at this time; care
should be adapted to the client's needs and culture. The person's cultural
practices should not be addressed unless they are detrimental to the person's health.
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A nurse should reassess an older adult client's needs and current plan of care when the
client's behavior indicates the development of what symptom?
1. Confusion
2. Hypochondriasis
3. Additional complaints
4. Increased socialization
1. Confusion
The development of confusion indicates that the client's ability to maintain
equilibrium has not been achieved and that further disequilibrium is occurring.
Hypochondriasis and additional complaints do not indicate that the plan needs to be changed
unless the client's history demonstrates no prior use of these defenses.
Increased socialization is a positive response to the plan of care that does not require
reassessment.
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