Psych-Mental Health Exit HESI - Saunders 2025 Questions with Correct Answers | Verified | Updated 2025 / 2026 GET IT 100% ACCURATE!(Graded A+)

Psych-Mental Health Exit HESI
Questions and Answers
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1. The home care nurse is visiting an older client whose spouse died 6 months ago.
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Which behavior by the client indicates ineffective coping?
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1. Neglecting personal grooming g g




2. Looking at old snapshots of family
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3. Participating in a senior citizens' program g g g g g




4. Visiting their spouse's grave once a month
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Answer 1. Neglecting personal grooming
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Rational

Coping mechanisms are behaviors used to decrease stress and anxiety. In response to a de
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ath, ineffective coping is manifested by an extreme behavior that in some cases may be
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harmful to the individual physically or psychologically. The correct option is indicative
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of a behavior that identifies an ineffective coping behavior in the grieving process.
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2. A client with a diagnosis of major depression who has attempted suicide says t
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o the nurse, "I should have died. I've always been a failure. Nothing ever goes right f
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,or me." Which response demonstrates therapeutic communica- tion?
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1. "You have everything to live for."
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2. "Why do you see yourself as a failure?"
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3. "Feeling like this is all part of being depressed."
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4. "You've been feeling like a failure for a while?"
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Answer 4. "You've been feeling like a failure for a while?"
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Rationale

Responding to the feelings expressed by a client is an effective therapeutic com-
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munication technique. The correct option is an example of the use of restating.
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The remaining options block communication because they minimize the client's exp
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erience and do not facilitate exploration of the client's expressed feelings. In additio
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n, use of the word "why" is nontherapeutic.
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3. When the mental health nurse visits a client at home, the client states, "I have
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n't slept at all the last couple of nights." Which response by the nurse illustrates
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g a therapeutic communication response to this client?
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1. "I see." g




2. "Really?"

3. "You're having difficulty sleeping?" g g g

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,4. "Sometimes, I have trouble sleeping too."
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Answer 3. "You're having difficulty sleep-
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, ing?"


Rationale

The correct option uses the therapeutic communication technique of restatement. Alth
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ough restatement is a technique that has a prompting component to it, it repeats the clien
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t's major theme, which assists the nurse to obtain a more specific perception of the proble
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m from the client.The remaining options are not therapeutic responses since none enco
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urage the client to expand on the problem. Offering personal experiences moves the foc
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us away from the client and onto the nurse.
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4. A client experiencing disturbed thought processes believes that his food is bei
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ng poisoned. Which communication technique should the nurse use to encourag
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e the client to eat?
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1. Using open-ended questions and silence g g g g




2. Sharing personal preference regarding food choices g g g g g




3. Documenting reasons why the client does not want to eat g g g g g g g g g




4. Offering opinions about the necessity of adequate nutrition
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Answer 1. Using open-ended questions and silence
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Rationale

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