HESI-PN Mental Health
Study online at https://quizlet.com/_8jxkew
1. Which data indicate to the nurse that a client is experiencing effective coping
following the loss of a spouse? Select all that apply.
1.Looks at old snapshots of family
2.Constantly neglects personal grooming
3.Visits the spouse's grave once a month
4.Visits the senior citizens' center once a month
5.Prefers to spend time alone and avoids contact with others: Looking at old snapshots
of family
Visits the Spouse's grave once a month
Visits the senior citizens' center once a month
Coping mechanisms are behaviors that are used to decrease stress and anxiety. Visiting a spouse's grave, visiting the
senior citizens' center, and looking at snapshots of the family are effective coping mechanisms. Neglecting grooming
and preferring to spend time alone and avoiding contact with others are behaviors that identify ineffective coping of
the grieving process.
2. Which client is most likely at risk to become a victim of elder abuse?
1.A 75-year-old man with moderate hypertension
2.A 68-year-old man with newly diagnosed cataracts
3.A 90-year-old woman with advanced Alzheimer's disease
4.A 70-year-old woman with early diagnosed Lyme disease: A 90-year-old woman with
advanced Alzheimer's disease
Elder abuse is widespread and occurs among all subgroups of the population. It includes physical and psychological
abuse, the misuse of property, and the violation of rights. The person at highest risk of abuse is an elder with dementia
that occurs with Alzheimer's disease.
3. The nurse is assigned to care for a client experiencing disturbed thought
processes. The nurse is told that the client believes that their food is being
poisoned. Which communication technique should the nurse plan to use to
encourage the client to eat?
1.Open-ended questions and silence
2.Focusing on self-disclosure regarding food preferences
3.Stating the reasons that the client may not want to eat
, HESI-PN Mental Health
Study online at https://quizlet.com/_8jxkew
4.Offering opinions about the necessity of adequate nutrition: Open-ended questions
and silence
Open-ended questions and silence are strategies used to encourage clients to discuss their problem. Options 3 and 4
do not encourage the client to express feelings. The nurse should not offer opinions and should not state the reasons,
but should encourage the client to identify the reasons for their behavior. Option 2 is not a client-centered intervention.
4. The nurse is assigned to care for a client admitted to the hospital after
sustaining an injury from a house fire. The client attempted to save a neighbor
involved in the fire, but despite the client's efforts, the neighbor died. Which
action should the nurse take to enable the client to work through the meaning
of the crisis?
1.Identifying the client's ability to function
2.Identifying the client's potential for self-harm
3.Inquiring about the client's feelings that may affect coping 4.Inquiring about
the client's perception of the cause of the neighbor's death: Inquiring about the client's
feelings that may affect coping
The client must first deal with feelings and negative responses before the client is able to work through the meaning
of the crisis. Option 3 pertains directly to the client's feelings. Options 1, 2, and 4 do not directly address the client's
feelings.
5. The nurse is assisting with the data collection on a client admitted to the
psychiatric unit. After review of the obtained data, the nurse should identify
which as a priority concern?
1.The client's report of not eating or sleeping
2.The presence of bruises on the client's body
3.The client's report of self-destructive thoughts
4.The family member is disapproving of the treatment.: The client's report of self-destruc-
tive thoughts
The client's thoughts are extremely important when verbalized. Self-destructive thoughts are the highest priority.
Options 1, 2, and 4 will all affect the treatment of the client but are not of greatest importance at this time.
Study online at https://quizlet.com/_8jxkew
1. Which data indicate to the nurse that a client is experiencing effective coping
following the loss of a spouse? Select all that apply.
1.Looks at old snapshots of family
2.Constantly neglects personal grooming
3.Visits the spouse's grave once a month
4.Visits the senior citizens' center once a month
5.Prefers to spend time alone and avoids contact with others: Looking at old snapshots
of family
Visits the Spouse's grave once a month
Visits the senior citizens' center once a month
Coping mechanisms are behaviors that are used to decrease stress and anxiety. Visiting a spouse's grave, visiting the
senior citizens' center, and looking at snapshots of the family are effective coping mechanisms. Neglecting grooming
and preferring to spend time alone and avoiding contact with others are behaviors that identify ineffective coping of
the grieving process.
2. Which client is most likely at risk to become a victim of elder abuse?
1.A 75-year-old man with moderate hypertension
2.A 68-year-old man with newly diagnosed cataracts
3.A 90-year-old woman with advanced Alzheimer's disease
4.A 70-year-old woman with early diagnosed Lyme disease: A 90-year-old woman with
advanced Alzheimer's disease
Elder abuse is widespread and occurs among all subgroups of the population. It includes physical and psychological
abuse, the misuse of property, and the violation of rights. The person at highest risk of abuse is an elder with dementia
that occurs with Alzheimer's disease.
3. The nurse is assigned to care for a client experiencing disturbed thought
processes. The nurse is told that the client believes that their food is being
poisoned. Which communication technique should the nurse plan to use to
encourage the client to eat?
1.Open-ended questions and silence
2.Focusing on self-disclosure regarding food preferences
3.Stating the reasons that the client may not want to eat
, HESI-PN Mental Health
Study online at https://quizlet.com/_8jxkew
4.Offering opinions about the necessity of adequate nutrition: Open-ended questions
and silence
Open-ended questions and silence are strategies used to encourage clients to discuss their problem. Options 3 and 4
do not encourage the client to express feelings. The nurse should not offer opinions and should not state the reasons,
but should encourage the client to identify the reasons for their behavior. Option 2 is not a client-centered intervention.
4. The nurse is assigned to care for a client admitted to the hospital after
sustaining an injury from a house fire. The client attempted to save a neighbor
involved in the fire, but despite the client's efforts, the neighbor died. Which
action should the nurse take to enable the client to work through the meaning
of the crisis?
1.Identifying the client's ability to function
2.Identifying the client's potential for self-harm
3.Inquiring about the client's feelings that may affect coping 4.Inquiring about
the client's perception of the cause of the neighbor's death: Inquiring about the client's
feelings that may affect coping
The client must first deal with feelings and negative responses before the client is able to work through the meaning
of the crisis. Option 3 pertains directly to the client's feelings. Options 1, 2, and 4 do not directly address the client's
feelings.
5. The nurse is assisting with the data collection on a client admitted to the
psychiatric unit. After review of the obtained data, the nurse should identify
which as a priority concern?
1.The client's report of not eating or sleeping
2.The presence of bruises on the client's body
3.The client's report of self-destructive thoughts
4.The family member is disapproving of the treatment.: The client's report of self-destruc-
tive thoughts
The client's thoughts are extremely important when verbalized. Self-destructive thoughts are the highest priority.
Options 1, 2, and 4 will all affect the treatment of the client but are not of greatest importance at this time.
