HESI-FOCUS ON MENTAL HEALTH
EXAM 15
A nurse overhears a hospitalized client with mania telling another client, "I'm actually a
journalist writing an article for a magazine-I'm just posing as a person with mental illness." How
should the nurse respond - ANSWERSpresenting the client with the actual situation
a client who is hallucinating fearfully says to the nurse, "Please tell that demon to get out." How
should the nurse respond to the client - ANSWERSI know you must be very upset by this, but I
don't see a demon
the mother of a 3 y/o says, "My child hit his teddy bear after being scolded for picking the
neighbor's flowers." Which defense mechanism was the child using - ANSWERSdisplacement
a client says to the nurse, "even though my husband and I keep telling them we don't to have
children, our parents are pressuring us to 'start a family'. What should we say to them?" Which
of the following responses by the nurse is therapeutic - ANSWERSthis must be very difficulty for
both of you
a young adult client says, "I just can't seem to stop snapping at my parents. I know they work
hard to support me, but what do I do when they're so overbearing?" Which responses by the
nurse is therapeutic - ANSWERShave you talked to your parents about your frustrations
a client says, "I have so much trouble caring for my husband's child from his first marriage. I
resent the money we have to pay for child support bc we have to deprive my own child of
things. How can I stop feeling this way?" Which response by the nurse is therapeutic? -
ANSWERShave you shared your feelings with your husband
, a client says to the nurse, "My wife retired last year from a lucrative law practice and I'm really
discouraged. I'll be working until I die, even though I helped pay for her education." Which
response by the nurse is supportive - ANSWERSyou sound very troubled by this
a gay man is brought to the ED by the police. The client tells the nurse, "I was beaten up. I guess
I just have to expect this kind of tx for the rest of my life." Which statement by the nurse is
therapeutic - ANSWERSyou feel that being beaten up goes along with being gay
a client whose spouse died is experiencing dysfunctional grieving. Which intervention has
priority in the plan of care - ANSWERSassessing the client's risk for violence toward self and
others
a nurse develops a plan of care for a client in whom AIDS was recently diagnosed. The client is
experiencing difficulty adjusting to the illness. Which interventions are appropriate for this
client SATA
a) assisting the client in verbalizing fears
b) helping the client identify sources of hope
c) monitoring the client for signs of self harm
d) assisting the client with problem solving and decision making
e) discouraging social networking to prevent the spread of infection - ANSWERSa, b, d
the parents of an 18 month old arrive at the ED with their unconscious child. Physical exam
reveals bruises on the child's upper arms that resemble grip marks. Which nursing intervention
is the priority - ANSWERSstabilizing the child's physical condition
a nurse in a women's clinic develops a plan of care for abused women. Which tertiary
prevention intervention should be included in the plan of care - ANSWERSassisting abused
women in overcoming the physical and psychological effects of abuse
EXAM 15
A nurse overhears a hospitalized client with mania telling another client, "I'm actually a
journalist writing an article for a magazine-I'm just posing as a person with mental illness." How
should the nurse respond - ANSWERSpresenting the client with the actual situation
a client who is hallucinating fearfully says to the nurse, "Please tell that demon to get out." How
should the nurse respond to the client - ANSWERSI know you must be very upset by this, but I
don't see a demon
the mother of a 3 y/o says, "My child hit his teddy bear after being scolded for picking the
neighbor's flowers." Which defense mechanism was the child using - ANSWERSdisplacement
a client says to the nurse, "even though my husband and I keep telling them we don't to have
children, our parents are pressuring us to 'start a family'. What should we say to them?" Which
of the following responses by the nurse is therapeutic - ANSWERSthis must be very difficulty for
both of you
a young adult client says, "I just can't seem to stop snapping at my parents. I know they work
hard to support me, but what do I do when they're so overbearing?" Which responses by the
nurse is therapeutic - ANSWERShave you talked to your parents about your frustrations
a client says, "I have so much trouble caring for my husband's child from his first marriage. I
resent the money we have to pay for child support bc we have to deprive my own child of
things. How can I stop feeling this way?" Which response by the nurse is therapeutic? -
ANSWERShave you shared your feelings with your husband
, a client says to the nurse, "My wife retired last year from a lucrative law practice and I'm really
discouraged. I'll be working until I die, even though I helped pay for her education." Which
response by the nurse is supportive - ANSWERSyou sound very troubled by this
a gay man is brought to the ED by the police. The client tells the nurse, "I was beaten up. I guess
I just have to expect this kind of tx for the rest of my life." Which statement by the nurse is
therapeutic - ANSWERSyou feel that being beaten up goes along with being gay
a client whose spouse died is experiencing dysfunctional grieving. Which intervention has
priority in the plan of care - ANSWERSassessing the client's risk for violence toward self and
others
a nurse develops a plan of care for a client in whom AIDS was recently diagnosed. The client is
experiencing difficulty adjusting to the illness. Which interventions are appropriate for this
client SATA
a) assisting the client in verbalizing fears
b) helping the client identify sources of hope
c) monitoring the client for signs of self harm
d) assisting the client with problem solving and decision making
e) discouraging social networking to prevent the spread of infection - ANSWERSa, b, d
the parents of an 18 month old arrive at the ED with their unconscious child. Physical exam
reveals bruises on the child's upper arms that resemble grip marks. Which nursing intervention
is the priority - ANSWERSstabilizing the child's physical condition
a nurse in a women's clinic develops a plan of care for abused women. Which tertiary
prevention intervention should be included in the plan of care - ANSWERSassisting abused
women in overcoming the physical and psychological effects of abuse
