HESI NSG 221: Mental Health Exam
Questions and Answers 100% Pass
Countertransference - ANSWER-Countertransference occurs when the therapist
displaces onto the client attitudes or feelings from his or her past. For example, a
female nurse who has teenage children and who is experiencing extreme frustration
with an adolescent client may respond by adopting a parental or chastising tone.
The nurse is countertransfering her own attitudes and feelings toward her children
onto the client. Nurses can deal with countertransference by examining their own
feelings and responses, using self-awareness, and talking with colleagues.
Tardive Dyskinesia - ANSWER-Tardive dyskinesia (TD), a syndrome of
permanent involuntary movements, is most commonly caused by the long-term
use of conventional antipsychotic drugs. Tongue thrusting and protruding, lip
smacking, blinking, grimacing, and other excessive unnecessary facial movements
are characteristic. After it has developed, TD is irreversible, although decreasing or
discontinuing antipsychotic medications can arrest its progression
Civial Rights-Psychiatric Clients - ANSWER-Clients receiving mental health care
retain all civil rights afforded to all people except the right to leave the hospital in
the case of involuntary commitment. Any restrictions (e.g., mail, visitors, clothing)
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,must be made for a verifiable, documented reason. These decisions can be made
by a court or a designated decision-making person or persons, for example, a
primary nurse or treatment team, depending on local laws or regulations.
Group Therapy - ANSWER-In group therapy, clients participate in sessions with a
group of people. The members share a common purpose and are expected to
contribute to the group to benefit others and receive benefit from others in return.
Group rules are established, which all members must observe. These rules vary
according to the type of group. Being a member of a group allows the client to
learn new ways of looking at a problem or ways of coping with or solving
problems and also helps him or her learn important interpersonal skills.
Crisis Intervention-Empathy - ANSWER-Empathy is the ability to place oneself
into the experience of another for a moment in time. Nurses develop empathy by
gathering as much information about an issue as possible directly from the client to
avoid interjecting their personal experiences and interpretations of the situation.
The nurse asks as many questions as needed to gain a clear understanding of the
client's perceptions of an event or issue.
Clarification Communication - ANSWER-Understanding the context of
communication is extremely important in accurately identifying the meaning of a
message. To clarify context, the nurse must gather information from verbal and
nonverbal sources and validate findings with the client.
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,Depressed Adolescent Rapport (use of self disclosure) - ANSWER-Self-disclosure
means revealing personal information such as biographical information and
personal ideas, thoughts, and feelings about oneself to clients. Now, however, it is
believed that some purposeful, well-planned self-disclosure can improve rapport
between the nurse and the client. The nurse can use self-disclosure to convey
support, educate clients, and demonstrate that a client's anxiety is normal and that
many people deal with stress and problems in their lives.
Depressed Adolescent Rapport (Establishing Rapport) - ANSWER-When
assessing a new patient, establish rapport first. If not much time is available to
establish rapport, or if the patient is guarded or suspicious, you can say, "The
questions I am about to ask you I ask all of my patients," and then proceed. Some
other tips include the following:
Establish rapport and connection by showing interest in the patient and by
listening.
Codependent Behaviors & Alcohol Abuse - ANSWER-Codependence is a
maladaptive coping pattern on the part of family members or others resulting from
a prolonged relationship with the person who uses substances. Characteristics of
codependence are poor relationship skills, excessive anxiety and worry, compulsive
behaviors, and resistance to change. Family members learn these dysfunctional
behavior patterns as they try to adjust to the behavior of the substance user. One
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, type of codependent behavior is called enabling, which is a behavior that seems
helpful on the surface but actually perpetuates the substance use.
Clonidine (Catapress) - ANSWER-Suppresses opiate withdrawal symptoms
It is given to clients with opiate dependence to suppress some effects of
withdrawal or abstinence. It is most effective against nausea, vomiting, and
diarrhea, but produces modest relief from muscle aches, anxiety, and restlessness
is an alpha-2-adrenergic agonist used to treat hypertension. It is given to clients
with opiate dependence to suppress some effects of withdrawal or abstinence. It is
most effective against nausea, vomiting, and diarrhea, but produces modest relief
from muscle aches, anxiety, and restlessness
Disulfiram (Antabuse) - ANSWER-Maintains abstinence from alcohol
Disulfiram (Antabuse) may be prescribed to help deter clients from drinking. If a
client taking disulfiram drinks alcohol, a severe adverse reaction occurs with
flushing, a throbbing headache, sweating, nausea, and vomiting. In severe cases,
severe hypotension, confusion, coma, and even death may result.
Alcohol Detoxification - ANSWER-Alcohol detoxification through pharmacologic
means generally takes place in a hospital setting but may occur in the home. The
home care nurse shares the responsibility for teaching patients how to use
chlordiazepoxide effectively and how to recognize medication responses that
should be reported to the health care provider. The nurse instructs the patient
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
Questions and Answers 100% Pass
Countertransference - ANSWER-Countertransference occurs when the therapist
displaces onto the client attitudes or feelings from his or her past. For example, a
female nurse who has teenage children and who is experiencing extreme frustration
with an adolescent client may respond by adopting a parental or chastising tone.
The nurse is countertransfering her own attitudes and feelings toward her children
onto the client. Nurses can deal with countertransference by examining their own
feelings and responses, using self-awareness, and talking with colleagues.
Tardive Dyskinesia - ANSWER-Tardive dyskinesia (TD), a syndrome of
permanent involuntary movements, is most commonly caused by the long-term
use of conventional antipsychotic drugs. Tongue thrusting and protruding, lip
smacking, blinking, grimacing, and other excessive unnecessary facial movements
are characteristic. After it has developed, TD is irreversible, although decreasing or
discontinuing antipsychotic medications can arrest its progression
Civial Rights-Psychiatric Clients - ANSWER-Clients receiving mental health care
retain all civil rights afforded to all people except the right to leave the hospital in
the case of involuntary commitment. Any restrictions (e.g., mail, visitors, clothing)
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,must be made for a verifiable, documented reason. These decisions can be made
by a court or a designated decision-making person or persons, for example, a
primary nurse or treatment team, depending on local laws or regulations.
Group Therapy - ANSWER-In group therapy, clients participate in sessions with a
group of people. The members share a common purpose and are expected to
contribute to the group to benefit others and receive benefit from others in return.
Group rules are established, which all members must observe. These rules vary
according to the type of group. Being a member of a group allows the client to
learn new ways of looking at a problem or ways of coping with or solving
problems and also helps him or her learn important interpersonal skills.
Crisis Intervention-Empathy - ANSWER-Empathy is the ability to place oneself
into the experience of another for a moment in time. Nurses develop empathy by
gathering as much information about an issue as possible directly from the client to
avoid interjecting their personal experiences and interpretations of the situation.
The nurse asks as many questions as needed to gain a clear understanding of the
client's perceptions of an event or issue.
Clarification Communication - ANSWER-Understanding the context of
communication is extremely important in accurately identifying the meaning of a
message. To clarify context, the nurse must gather information from verbal and
nonverbal sources and validate findings with the client.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,Depressed Adolescent Rapport (use of self disclosure) - ANSWER-Self-disclosure
means revealing personal information such as biographical information and
personal ideas, thoughts, and feelings about oneself to clients. Now, however, it is
believed that some purposeful, well-planned self-disclosure can improve rapport
between the nurse and the client. The nurse can use self-disclosure to convey
support, educate clients, and demonstrate that a client's anxiety is normal and that
many people deal with stress and problems in their lives.
Depressed Adolescent Rapport (Establishing Rapport) - ANSWER-When
assessing a new patient, establish rapport first. If not much time is available to
establish rapport, or if the patient is guarded or suspicious, you can say, "The
questions I am about to ask you I ask all of my patients," and then proceed. Some
other tips include the following:
Establish rapport and connection by showing interest in the patient and by
listening.
Codependent Behaviors & Alcohol Abuse - ANSWER-Codependence is a
maladaptive coping pattern on the part of family members or others resulting from
a prolonged relationship with the person who uses substances. Characteristics of
codependence are poor relationship skills, excessive anxiety and worry, compulsive
behaviors, and resistance to change. Family members learn these dysfunctional
behavior patterns as they try to adjust to the behavior of the substance user. One
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, type of codependent behavior is called enabling, which is a behavior that seems
helpful on the surface but actually perpetuates the substance use.
Clonidine (Catapress) - ANSWER-Suppresses opiate withdrawal symptoms
It is given to clients with opiate dependence to suppress some effects of
withdrawal or abstinence. It is most effective against nausea, vomiting, and
diarrhea, but produces modest relief from muscle aches, anxiety, and restlessness
is an alpha-2-adrenergic agonist used to treat hypertension. It is given to clients
with opiate dependence to suppress some effects of withdrawal or abstinence. It is
most effective against nausea, vomiting, and diarrhea, but produces modest relief
from muscle aches, anxiety, and restlessness
Disulfiram (Antabuse) - ANSWER-Maintains abstinence from alcohol
Disulfiram (Antabuse) may be prescribed to help deter clients from drinking. If a
client taking disulfiram drinks alcohol, a severe adverse reaction occurs with
flushing, a throbbing headache, sweating, nausea, and vomiting. In severe cases,
severe hypotension, confusion, coma, and even death may result.
Alcohol Detoxification - ANSWER-Alcohol detoxification through pharmacologic
means generally takes place in a hospital setting but may occur in the home. The
home care nurse shares the responsibility for teaching patients how to use
chlordiazepoxide effectively and how to recognize medication responses that
should be reported to the health care provider. The nurse instructs the patient
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
