PSYCH / MENTAL HEALTH HESI
QUESTIONS WITH COMPLETE
SOLUTIONS
A client says to a nurse, "I'm going to die, and I wish my family would stop hoping for a
cure! I get so angry when they carry on like this. After all, I'm the one who's dying." The
therapeutic response by the nurse is:
1) "Have you shared your feelings with your family?"
2) "I think we should talk more about your anger with your family."
3) "You're feeling angry that your family continues to hope for you to be cured."
4) "Well, it sounds like you're being pretty pessimistic. After all, years ago, people died
of pneumonia." -ANS3) "You're feeling angry that your family continues to hope for you
to be cured."
On review of the client's record, the nurse notes that the admission was voluntary.
Based on this information, the nurse anticipates which client behavior:
1) Fearfulness regarding treatment measures
2) Anger and aggressiveness directed towards others
3) An understanding of the pathology and symptoms of the diagnosis.
4) A willingness to participate in the planning the care and treatment plan. -ANS4) A
willingness to participate in the planning the care and treatment plan.
A nurse is preparing a client for the termination phase of the nurse-client relationship.
The nurse prepares to implement which nursing task appropriate for this phase?
1) Planning short-term goals
2) Making appropriate referrals
3) Developing realistic solutions
4) Identifying expected outcomes -ANS2) Making appropriate referrals
The nurse calls security and has physical restrains applied when a client who was
admitted voluntarily becomes both physically and verbally abusive while demanding to
be discharged from the hospital. Which represents the possible legal ramifications for
the nurse associated with these interventions? Select all that apply.
1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment -ANS2) Battery
3) Assault
5) False Imprisonment
, A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which
action does the nurse engage in with the client during the working phase of the nurse-
client relationship?
1) Exploring the client's ability to function
2) Exploring the client's potential for self-harm
3) Inquiring about the client's perception of appraisal of the neighbor's death
4) Inquiring about and examine the client's feelings that may block adaptive coping -
ANS4) Inquiring about and examine the client's feelings that may block adaptive coping
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this
behavior as indicating which defense mechanism?
1) Denial
2) Projection
3) Rationalization
4) Intellectualization -ANS1) Denial
Unresolved feelings related to loss most likely may be recognized during which phase of
the therapeutic nurse-client relationship?
1) Working
2) Trusting
3) Orientation
4) Termination -ANS4) Termination
Which statement demonstrates the best understanding of the nurse's role regarding
ensuring that each client's rights are respected?
1) "Autonomy is the fundamental right of each and every client."
2) "A client's rights are guaranteed by both state and federal laws."
3) "Being respectful and concerned will ensure that I'm attentive to my clients' rights."
4) "Regardless of the client's condition, all nurses have the duty to respect client rights."
-ANS3) "Being respectful and concerned will ensure that I'm attentive to my clients'
rights."
A nurse employed in a mental health unit of a hospital is the leader of a group
psychotherapy session. The nurses's role in the termination stage of group development
is to:
1) Encourage problem solving
2) Encourage accomplishment of the group's work
3) Acknowledge the contributions of each group member
4) Encourage members to become acquainted with one another -ANS3) Acknowledge
the contributions of each group member
A male client with delirium becomes disoriented and confused in his room at night. The
best initial nursing intervention is to:
1) Move the client next to the nurse's station
2) Use an indirect light source and turn off the television
QUESTIONS WITH COMPLETE
SOLUTIONS
A client says to a nurse, "I'm going to die, and I wish my family would stop hoping for a
cure! I get so angry when they carry on like this. After all, I'm the one who's dying." The
therapeutic response by the nurse is:
1) "Have you shared your feelings with your family?"
2) "I think we should talk more about your anger with your family."
3) "You're feeling angry that your family continues to hope for you to be cured."
4) "Well, it sounds like you're being pretty pessimistic. After all, years ago, people died
of pneumonia." -ANS3) "You're feeling angry that your family continues to hope for you
to be cured."
On review of the client's record, the nurse notes that the admission was voluntary.
Based on this information, the nurse anticipates which client behavior:
1) Fearfulness regarding treatment measures
2) Anger and aggressiveness directed towards others
3) An understanding of the pathology and symptoms of the diagnosis.
4) A willingness to participate in the planning the care and treatment plan. -ANS4) A
willingness to participate in the planning the care and treatment plan.
A nurse is preparing a client for the termination phase of the nurse-client relationship.
The nurse prepares to implement which nursing task appropriate for this phase?
1) Planning short-term goals
2) Making appropriate referrals
3) Developing realistic solutions
4) Identifying expected outcomes -ANS2) Making appropriate referrals
The nurse calls security and has physical restrains applied when a client who was
admitted voluntarily becomes both physically and verbally abusive while demanding to
be discharged from the hospital. Which represents the possible legal ramifications for
the nurse associated with these interventions? Select all that apply.
1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment -ANS2) Battery
3) Assault
5) False Imprisonment
, A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which
action does the nurse engage in with the client during the working phase of the nurse-
client relationship?
1) Exploring the client's ability to function
2) Exploring the client's potential for self-harm
3) Inquiring about the client's perception of appraisal of the neighbor's death
4) Inquiring about and examine the client's feelings that may block adaptive coping -
ANS4) Inquiring about and examine the client's feelings that may block adaptive coping
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this
behavior as indicating which defense mechanism?
1) Denial
2) Projection
3) Rationalization
4) Intellectualization -ANS1) Denial
Unresolved feelings related to loss most likely may be recognized during which phase of
the therapeutic nurse-client relationship?
1) Working
2) Trusting
3) Orientation
4) Termination -ANS4) Termination
Which statement demonstrates the best understanding of the nurse's role regarding
ensuring that each client's rights are respected?
1) "Autonomy is the fundamental right of each and every client."
2) "A client's rights are guaranteed by both state and federal laws."
3) "Being respectful and concerned will ensure that I'm attentive to my clients' rights."
4) "Regardless of the client's condition, all nurses have the duty to respect client rights."
-ANS3) "Being respectful and concerned will ensure that I'm attentive to my clients'
rights."
A nurse employed in a mental health unit of a hospital is the leader of a group
psychotherapy session. The nurses's role in the termination stage of group development
is to:
1) Encourage problem solving
2) Encourage accomplishment of the group's work
3) Acknowledge the contributions of each group member
4) Encourage members to become acquainted with one another -ANS3) Acknowledge
the contributions of each group member
A male client with delirium becomes disoriented and confused in his room at night. The
best initial nursing intervention is to:
1) Move the client next to the nurse's station
2) Use an indirect light source and turn off the television
