Hesi Mental Health Practice Exam 1 Adaptive Quizzing Latest Questions and Correct Answers with Rationales/ EAQ HESI Mental Health Exam Prep – Correctly Answers Questions with Rationales

Real Hesi Mental Health Practice Exam 1 Adaptive Quizzing Latest Questions and Correct Answers with Rationales/ EAQ HESI Mental Health Exam Prep – Correctly Answers Questions with Rationales The nurse is leading a "current events group" with chronic psychiatric clients. One group member states, "Clara Barton was my nurse during my last hospitalization. She was a very mean nurse and wasn't nice to me." Which response is best for the nurse to make? A) Clara Barton was not your nurse. P a ge 1 | 112 Hesi RN Mental Health Exam Page | 2 B) What did she do to you that was so mean? C) I didn't know that Clara Barton was a nurse. D) Clara Barton started the American Red Cross. – Correct Answer :(D) presents the reality of the situation (the individual is not nice) in relation to American culture. The fact that Clara Barton is not a nurse should be addressed on an individual basis. Since this is group therapy, the nurse would be illustrating the concept of universality. (A) is likely to promote defensiveness. (B and C) would support the delusion. Correct Answer(s): D Which statement about contemporary mental health nursing practice is accurate? A) There is one approved theoretical framework for psychiatric nursing practice. B) Psychiatric nursing has yet to be recognized as a core mental health discipline. C) Contemporary practice of psychiatric nursing is primarily focused on inpatient care. Correct Answer(s): D D) The psychiatric nursing client may be an individual, family, group, organization, or community. – Correct Answer :Mental health nursing is not only concerned with one-on-one interactions. Psychiatric stressors can impact and be reflected in the overall direction, activities, and responses involving families, groups, and entire communities (D). (A, B, and C) are incorrect statements about the status of mental health nursing. A 40-year-old male client diagnosed with schizophrenia and alcohol dependence has not had any visitors or phone calls since admission. He reports he has no family that cares about him and was living on the streets prior to this admission. According to Erikson's theory of psychosocial development, which stage is the client in at this time? A) Isolation. P a ge 2 | 112 Hesi RN Mental Health Exam Page | 3 B) Stagnation. C) Despair. D) Role confusion. – Correct Answer :The client is in Erikson's "Generativity vs. Stagnation" stage (age 24 to 45), and meeting the task includes maintaining intimate relationships and moving toward developing a family (B). (A) occurs in young adulthood (age 18 to 25), (C) occurs in maturity (age 45 to death), and (D) occurs in adolescence (age 12 to 20). These are all stages that occur if individuals are not successfully coping with their psychosocial developmental stage. Correct Answer(s): B A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take? A) Reassure the client by telling him that his fear of the admission procedure is to be expected. B) Tell the client that no one is accusing him of murder and remind him that the hospital is a safe place. C) Assess the content of the hallucinations by asking the client what he is hearing. D) Ignore the behavior and make no response at all to his delusional statements. – Correct Answer :Further assessment is indicated (C). The nurse should obtain information about what the client believes the voices are telling him--they may be telling him to kill the nurse! (A) is telling the client how he feels (fearful). The nurse should leave communications open and seek more information. (B) is arguing with the client's delusion, and the nurse should never argue with a client's hallucinations or delusions, also (B) is possibly offering false reassurance. (D) is avoiding the situation and the client's needs. Correct Answer(s): C The nurse is leading a "current events group" with chronic psychiatric clients. One group member states, "Clara Barton was my nurse during my last hospitalization. She was a very mean nurse and wasn't nice to me." Which response is best for the nurse to make? A) Clara Barton was not your nurse. P a ge 1 | 112 Hesi RN Mental Health Exam Page | 2 B) What did she do to you that was so mean? C) I didn't know that Clara Barton was a nurse. D) Clara Barton started the American Red Cross. – Correct Answer :(D) presents the reality of the situation (the individual is not nice) in relation to American culture. The fact that Clara Barton is not a nurse should be addressed on an individual basis. Since this is group therapy, the nurse would be illustrating the concept of universality. (A) is likely to promote defensiveness. (B and C) would support the delusion. Correct Answer(s): D Which statement about contemporary mental health nursing practice is accurate? A) There is one approved theoretical framework for psychiatric nursing practice. B) Psychiatric nursing has yet to be recognized as a core mental health discipline. C) Contemporary practice of psychiatric nursing is primarily focused on inpatient care. Correct Answer(s): D D) The psychiatric nursing client may be an individual, family, group, organization, or community. – Correct Answer :Mental health nursing is not only concerned with one-on-one interactions. Psychiatric stressors can impact and be reflected in the overall direction, activities, and responses involving families, groups, and entire communities (D). (A, B, and C) are incorrect statements about the status of mental health nursing. A 40-year-old male client diagnosed with schizophrenia and alcohol dependence has not had any visitors or phone calls since admission. He reports he has no family that cares about him and was living on the streets prior to this admission. According to Erikson's theory of psychosocial development, which stage is the client in at this time? A) Isolation. P a ge 2 | 112 Hesi RN Mental Health Exam Page | 3 B) Stagnation. C) Despair. D) Role confusion. – Correct Answer :The client is in Erikson's "Generativity vs. Stagnation" stage (age 24 to 45), and meeting the task includes maintaining intimate relationships and moving toward developing a family (B). (A) occurs in young adulthood (age 18 to 25), (C) occurs in maturity (age 45 to death), and (D) occurs in adolescence (age 12 to 20). These are all stages that occur if individuals are not successfully coping with their psychosocial developmental stage. Correct Answer(s): B A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take? A) Reassure the client by telling him that his fear of the admission procedure is to be expected. B) Tell the client that no one is accusing him of murder and remind him that the hospital is a safe place. C) Assess the content of the hallucinations by asking the client what he is hearing. D) Ignore the behavior and make no response at all to his delusional statements. – Correct Answer :Further assessment is indicated (C). The nurse should obtain information about what the client believes the voices are telling him--they may be telling him to kill the nurse! (A) is telling the client how he feels (fearful). The nurse should leave communications open and seek more information. (B) is arguing with the client's delusion, and the nurse should never argue with a client's hallucinations or delusions, also (B) is possibly offering false reassurance. (D) is avoiding the situation and the client's needs. Correct Answer(s): C