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Exam (elaborations)

HESI Psych Mental Health Questions With Complete Solutions

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HESI Psych Mental Health Questions With Complete Solutions

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September 30, 2024
Number of pages
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Written in
2024/2025
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HESI Psych Mental Health Questions With Complete
Solutions

_________________ provide stability to clients with
neurocognitive disorders Correct Answer routines

"Undoing" is Correct Answer Making up for an action

A depressed patient is not med-compliant. The nurse infers their
motivational level is: Correct Answer not motivated

A mental status examination looks at what areas? Correct
Answer Appearance
Behavior
Speech
Mood
Disorders of the Form of Thought
Perceptual Disturbances
Cognition
Ideas of Harming Self or Others

A nurse in the ED is assessing a patient who has been physically
and sexually assaulted. After taking care of the patient's physical
needs, what is the nurse's first priority during the assessment?
Correct Answer Safety/The patient's ability to cope with the
situation/whether the client is a danger to self or others.

(If the patient is unable to cope with the situation, she may be a
danger to herself or others)

,A nurse would chart a patient's uncontrollable, persistent urges
to perform repetitive acts to ease anxiety as: Correct Answer
compulsions

A patient diagnosed with histrionic personality disorder refuses
a sleeping pill, then throws a book at the nurse. What behavior is
the patient is displaying? Correct Answer Acting Out

A patient in the dayroom with several other patients suddenly
screams, bursts into tears, and runs from the room to the far end
of the hallway. What is the first thing the nurse should do?
Correct Answer Go to the end of the hallway with the client.

A patient in the ED presents with bruises and a concussion from
domestic violence. What information would the nurse obtain to
determine the patient's risk for further injury Correct Answer
Frequency of abuse
triggers to abuse

A patient reports to a clinic for STI/STD testing after an assault.
As the student nurse is explaining the procedure to test for
Syphilis, Chlamydia, Hepatitis B, Hepatitis C, and
Trichomoniasis, the patient asks why they will be drawing
blood. The student explains that the blood sample will be used to
test for: Correct Answer Syphilis, Hepatitis B, Hepatitis C

A patient with a history of aggressive, violent behavior becomes
very angry and starts screaming at the nurse and pounding on
the table. Which assessment is the priority? Correct Answer
Degree of control over the behavior

, (Orientation to reality is only an influence of degree of control
over behavior)

A teacher comes into the ED with a small head injury involving
an accident at the school where she works. While the nurse is
assessing her, she asks the patient about depression. The teacher
says that she has been depressed. The nurse asks if the teacher
has thought about harming or killing herself. The teacher says,
"Every day on the way to school, I hope I get into a car accident.
Not enough to die, but enough so that I won't have to go to work
for a while." The nurse asks whether the teacher has any plans to
make that happen, but the teacher says, "No, I would never put
anyone else in danger. And I wouldn't intentionally hurt myself
either. I just want it to happen." The nurse thinks this sounds
dangerous.

Based on this assessment, can the teacher be held involuntarily
for her own safety? Correct Answer No. (She does not have
suicidal ideation or any plans to commit suicide, self-harm, or
harm to others. The patient was very clear that they would not
take any action to harm themselves or others. "Wishing" is not a
plan.)

A young woman in a clinic, accompanied by a partner, very
quietly tells the nurse during the assessment, "My partner
prevents me from taking my medications." What action should
the nurse take to obtain more information? Correct Answer
Conduct an interview with the client alone, when the partner is
not around.

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