HESI Module 3 Mental Health Concepts
A nurse is caring for a patient whose partner has died. How does the nurse determine that a
consumer who has misplaced a spouse has successfully completed the obligations of
mourning? Select all that apply.
A. Heard explaining to family that contamination “took” her husband
B. Purchasing a smaller car she is cushty riding
C. Placing a photograph of her husband on the bedside stand
D. Reporting that sound asleep by myself is so hard now
E. Relating that “its higher he went first”
A. Heard explaining to family that illness “took” her husband
B. Purchasing a smaller vehicle she is snug using
C. Placing a photograph of her husband on the bedside stand
D. Reporting that snoozing by myself is so tough now
Rationale: The tasks of mourning were diagnosed as accepting the fact of the loss; experiencing
the ache of grief; adjusting to lifestyles with out the lost one; and moving and memorializing the
cherished one. It isn't vital to discover a high-quality thing to the loss to be able to cope with the
loss in a psychologically healthy manner. Therefore relating that “its higher he went first” is
incorrect.
A client who is an alcoholic, and has been sober for 8 months asks the nurse, "Do you suspect I
ought to add man or woman remedy to my treatment plan?" Which reaction by using the nurse
might be healing?
A. "Okay, what's taking place with you? You had to be coerced into remedy, but now you seem
to want the whole monty."
,B. "The great time to feature person therapy appears to be after 2 to five years of sobriety.
Individuals vary, though, and it is able to be that you are asking due to the fact you sense
prepared to work on your issues."
C. "Are you feeling which you're vulnerable to a slip? If no longer, why complicate treatment
further?"
D. "What do you watched? What is the person remedy all about?"
B. “The exceptional time to feature person remedy seems to be after 2 to 5 years of sobriety.
Individuals vary, although, and it may be that you are asking due to the fact you feel prepared to
work to your issues.”
Rationale: The appropriate response is the one that offers records to the purchaser
approximately person remedy. In asking, “What do you watched? What is the character remedy
all about?” the nurse makes a sincere question without doubting and probing however does no
longer offer any data to the consumer, which isn't always useful. In asking, “Are you feeling like
you're still very susceptible to a slip? If now not, why complicate treatment similarly?” the nurse
is tough the client. In asking, “Okay, what’s occurring with you? You needed to be coerced into
remedy, however now you appear to need the full monty,” the nurse questions and is aggressive
to the client, using an accusatory style of expressing doubt.
A consumer says to the nurse, "My medical doctor says he thinks I'm equipped to taper off my
pain medicinal drug, but the new painkiller he prescribed does not relieve my pain the manner
the opposite pill did. I get ache after I attempt to do matters." Which nursing reaction could be
most supportive to the customer?
A. "Your fitness care provider feels that your frame is bodily equipped to make the exchange in
medicinal drug."
B. "Well, your health care provider is worried which you turns into bodily depending on the
primary painkiller."
C. "Perhaps if I medicate you approximately a 1/2-hour earlier than you plan to begin your each
day sports, the medicine can be greater effective."
D. "I think you need to pay attention on your fitness care provider on the subject of taking such
sturdy medicine."
C. “Perhaps if I medicate you about a 1/2-hour before you intend to start your each day sports,
the drugs may be greater powerful.”
,Rationale: The maximum supportive response is the one that addresses the patron’s challenge
and gives a plan so that it will help limit the customer’s ache. If this nursing degree does not
manage to pay for ache relief, then the nurse can report the patron’s persisted ache to the
health care issuer. In mentioning, “Your fitness care company feels that your body is physically
ready to make the trade in medicinal drug,” the nurse is shifting attention from the customer’s
feelings to the health care provider’s view. In telling the consumer that he or she wishes to
concentrate to the health care provider, the nurse is nontherapeutically giving advice and
patronizing the consumer. Stating, “Well, your physician is concerned which you turns into bodily
depending on the first painkiller” is a defensive response, and the nurse’s assertion
approximately dependence may not be primarily based on fact.
The purchaser is the wife of a former workaholic who now has not worked in years, refusing to
get a activity or assist with chores around the residence. The man watches television and
snacks all day. The patron tells the nurse that her husband now weighs more than three
hundred lb (136 kg) and expects her to support him. The purchaser states, "I maintain
announcing the entirety can be quality. It can be if he keeps up those horrific fitness habits, due
to the fact they will kill him, and then I would be free and wouldn't should deal with his obnoxious
conduct." Which terrible stress response does the nurse understand within the customer's
conduct?
A. Wishful wondering
B. Daydreaming
C. Problem- fixing
D. Blaming
A. Wishful wondering
Rationale: Wishful questioning, a negative stress reaction, involves the perception that the
whole lot will training session and resolve itself. Blaming entails placing the reason for a specific
incidence on some other person or item. Daydreaming is questioning however not always
verbalizing. Problem-solving involves using a systematic plan to work thru troubles.
The mother of a 3-year-antique baby tells the nurse that her baby hit her doll after the mother
scolded her for selecting the acquaintances' flowers. Which defense mechanism used by the
child does the nurse perceive inside the mother's document?
A. Sublimation
B. Identification
C. Projection
D. Displacement
D. Displacement
, Rationale: The defense mechanism of displacement involves the release of intense feelings for
one individual onto a substitute man or woman or object this is less threatening to fulfill an
impulse. Projection entails attributing an mind-set, conduct, or impulse, which includes that
which takes place in blaming or scapegoating, to a person else. Sublimation is the act of
rechanneling an impulse into a more socially proper object. Identification entails modeling
conduct after a person else's.
We have an professional-written approach to this trouble!
A customer's son and daughter were killed in the course of a fellow pupil's murderous rampage
at their high school 9 months ago. The consumer says to the nurse, "My wife and I simply
experience empty and exhausted. I can't consider that I had a vasectomy after our son and
daughter were born because we desired to offer them both whatever they needed. We have
university finances for both of them that they may never use now." The nurse have to make
which suitable statement to the customer?
A. "My dad and mom could be devastated if they misplaced me and my sister, too. How can I be
of carrier to you?"
B. "Your loss touches me so. How virtually devastated you each should be. Can you percentage
what matters you have got been doing to grieve?"
C. "Your feelings are suitable for the quantity of your loss and how your kid's deaths occurred."
D. "Your loss is incalculable. Perhaps you can bear in mind a few ways wherein to
commemorate their lives for you and on your community."
B. “Your loss touches me so. How virtually devastated you both need to be. Can you percentage
what matters you've got been doing to grieve?”
Rationale: The mother and father on this query have skilled a absolutely devastating loss.
Although there are no set techniques for this example, positive actions are crucial. First, the
nurse communicates to the parents that the terrible loss is sad for others and provide empathy.
Second, the nurse gathers records about what has came about to the dad and mom over the
nine months because the loss. In declaring, “My dad and mom would be devastated if they
misplaced me and my sister, too. How can I be of carrier to you?” the nurse nontherapeutically
makes use of a social response that personalizes and shifts the focus from their feelings. In
stating, “Your emotions are suitable for the quantity of your loss and the way their deaths took
place,” the nurse lectures and movements faraway from the parents’ expressed feelings to
intellectualize. By declaring, “Your loss is incalculable. Perhaps you may recollect a few ways
wherein to commemorate their lives for you and to your community,” the nurse is empathetic
after which begins to try to manual them closer to creating a memorial. There can be a time
whilst the nurse can assist the dad and mom reframe what has occurred and think of ways to
A nurse is caring for a patient whose partner has died. How does the nurse determine that a
consumer who has misplaced a spouse has successfully completed the obligations of
mourning? Select all that apply.
A. Heard explaining to family that contamination “took” her husband
B. Purchasing a smaller car she is cushty riding
C. Placing a photograph of her husband on the bedside stand
D. Reporting that sound asleep by myself is so hard now
E. Relating that “its higher he went first”
A. Heard explaining to family that illness “took” her husband
B. Purchasing a smaller vehicle she is snug using
C. Placing a photograph of her husband on the bedside stand
D. Reporting that snoozing by myself is so tough now
Rationale: The tasks of mourning were diagnosed as accepting the fact of the loss; experiencing
the ache of grief; adjusting to lifestyles with out the lost one; and moving and memorializing the
cherished one. It isn't vital to discover a high-quality thing to the loss to be able to cope with the
loss in a psychologically healthy manner. Therefore relating that “its higher he went first” is
incorrect.
A client who is an alcoholic, and has been sober for 8 months asks the nurse, "Do you suspect I
ought to add man or woman remedy to my treatment plan?" Which reaction by using the nurse
might be healing?
A. "Okay, what's taking place with you? You had to be coerced into remedy, but now you seem
to want the whole monty."
,B. "The great time to feature person therapy appears to be after 2 to five years of sobriety.
Individuals vary, though, and it is able to be that you are asking due to the fact you sense
prepared to work on your issues."
C. "Are you feeling which you're vulnerable to a slip? If no longer, why complicate treatment
further?"
D. "What do you watched? What is the person remedy all about?"
B. “The exceptional time to feature person remedy seems to be after 2 to 5 years of sobriety.
Individuals vary, although, and it may be that you are asking due to the fact you feel prepared to
work to your issues.”
Rationale: The appropriate response is the one that offers records to the purchaser
approximately person remedy. In asking, “What do you watched? What is the character remedy
all about?” the nurse makes a sincere question without doubting and probing however does no
longer offer any data to the consumer, which isn't always useful. In asking, “Are you feeling like
you're still very susceptible to a slip? If now not, why complicate treatment similarly?” the nurse
is tough the client. In asking, “Okay, what’s occurring with you? You needed to be coerced into
remedy, however now you appear to need the full monty,” the nurse questions and is aggressive
to the client, using an accusatory style of expressing doubt.
A consumer says to the nurse, "My medical doctor says he thinks I'm equipped to taper off my
pain medicinal drug, but the new painkiller he prescribed does not relieve my pain the manner
the opposite pill did. I get ache after I attempt to do matters." Which nursing reaction could be
most supportive to the customer?
A. "Your fitness care provider feels that your frame is bodily equipped to make the exchange in
medicinal drug."
B. "Well, your health care provider is worried which you turns into bodily depending on the
primary painkiller."
C. "Perhaps if I medicate you approximately a 1/2-hour earlier than you plan to begin your each
day sports, the medicine can be greater effective."
D. "I think you need to pay attention on your fitness care provider on the subject of taking such
sturdy medicine."
C. “Perhaps if I medicate you about a 1/2-hour before you intend to start your each day sports,
the drugs may be greater powerful.”
,Rationale: The maximum supportive response is the one that addresses the patron’s challenge
and gives a plan so that it will help limit the customer’s ache. If this nursing degree does not
manage to pay for ache relief, then the nurse can report the patron’s persisted ache to the
health care issuer. In mentioning, “Your fitness care company feels that your body is physically
ready to make the trade in medicinal drug,” the nurse is shifting attention from the customer’s
feelings to the health care provider’s view. In telling the consumer that he or she wishes to
concentrate to the health care provider, the nurse is nontherapeutically giving advice and
patronizing the consumer. Stating, “Well, your physician is concerned which you turns into bodily
depending on the first painkiller” is a defensive response, and the nurse’s assertion
approximately dependence may not be primarily based on fact.
The purchaser is the wife of a former workaholic who now has not worked in years, refusing to
get a activity or assist with chores around the residence. The man watches television and
snacks all day. The patron tells the nurse that her husband now weighs more than three
hundred lb (136 kg) and expects her to support him. The purchaser states, "I maintain
announcing the entirety can be quality. It can be if he keeps up those horrific fitness habits, due
to the fact they will kill him, and then I would be free and wouldn't should deal with his obnoxious
conduct." Which terrible stress response does the nurse understand within the customer's
conduct?
A. Wishful wondering
B. Daydreaming
C. Problem- fixing
D. Blaming
A. Wishful wondering
Rationale: Wishful questioning, a negative stress reaction, involves the perception that the
whole lot will training session and resolve itself. Blaming entails placing the reason for a specific
incidence on some other person or item. Daydreaming is questioning however not always
verbalizing. Problem-solving involves using a systematic plan to work thru troubles.
The mother of a 3-year-antique baby tells the nurse that her baby hit her doll after the mother
scolded her for selecting the acquaintances' flowers. Which defense mechanism used by the
child does the nurse perceive inside the mother's document?
A. Sublimation
B. Identification
C. Projection
D. Displacement
D. Displacement
, Rationale: The defense mechanism of displacement involves the release of intense feelings for
one individual onto a substitute man or woman or object this is less threatening to fulfill an
impulse. Projection entails attributing an mind-set, conduct, or impulse, which includes that
which takes place in blaming or scapegoating, to a person else. Sublimation is the act of
rechanneling an impulse into a more socially proper object. Identification entails modeling
conduct after a person else's.
We have an professional-written approach to this trouble!
A customer's son and daughter were killed in the course of a fellow pupil's murderous rampage
at their high school 9 months ago. The consumer says to the nurse, "My wife and I simply
experience empty and exhausted. I can't consider that I had a vasectomy after our son and
daughter were born because we desired to offer them both whatever they needed. We have
university finances for both of them that they may never use now." The nurse have to make
which suitable statement to the customer?
A. "My dad and mom could be devastated if they misplaced me and my sister, too. How can I be
of carrier to you?"
B. "Your loss touches me so. How virtually devastated you each should be. Can you percentage
what matters you have got been doing to grieve?"
C. "Your feelings are suitable for the quantity of your loss and how your kid's deaths occurred."
D. "Your loss is incalculable. Perhaps you can bear in mind a few ways wherein to
commemorate their lives for you and on your community."
B. “Your loss touches me so. How virtually devastated you both need to be. Can you percentage
what matters you've got been doing to grieve?”
Rationale: The mother and father on this query have skilled a absolutely devastating loss.
Although there are no set techniques for this example, positive actions are crucial. First, the
nurse communicates to the parents that the terrible loss is sad for others and provide empathy.
Second, the nurse gathers records about what has came about to the dad and mom over the
nine months because the loss. In declaring, “My dad and mom would be devastated if they
misplaced me and my sister, too. How can I be of carrier to you?” the nurse nontherapeutically
makes use of a social response that personalizes and shifts the focus from their feelings. In
stating, “Your emotions are suitable for the quantity of your loss and the way their deaths took
place,” the nurse lectures and movements faraway from the parents’ expressed feelings to
intellectualize. By declaring, “Your loss is incalculable. Perhaps you may recollect a few ways
wherein to commemorate their lives for you and to your community,” the nurse is empathetic
after which begins to try to manual them closer to creating a memorial. There can be a time
whilst the nurse can assist the dad and mom reframe what has occurred and think of ways to
