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Hesi RN Mental Health Exit Exam (First Exam)
Which characteristic is commonly associated with adolescent depression? (Select
all that apply.)
A. Exercising daily
B. Having suicidal ideation
C. Exhibiting tearfulness
D. Having poor muscle tone
E. Avoiding previously enjoyed activities and relationships ---------CORRECT
ANSWER-----------------B. Having suicidal ideation
C. Exhibiting tearfulness
E. Avoiding previously enjoyed activities and relationships
Which characteristic of adolescence is exemplified by risk-taking behavior without
fear of consequences?
A. Animism
B. Personal fable
,C. Imaginery audience
D. Sense of invulnerability ---------CORRECT ANSWER-----------------D. Sense of
invulnerability
A client does not take their medication regularly and is depressed. Which
inference can the nurse make about the client's motivational level?
A. Not motivated
B. Intrinsically motivated
C. Extrinsically motivated with self-determination
D. Extrinsically motivated without self-determination ---------CORRECT ANSWER----
-------------A. Not motivated
Which action would the nurse take for a withdrawn client who suddenly screams,
bursts into tears, and runs from the room to the far end of the hallway?
A. Walk to the end of the hallway where the client is standing
B. Accept the action as the impulsive behavior of a sick person
C. Ask another client in the dayroom why the client acted in this way
D. Document objectively the incident in the client's record immediately ---------
CORRECT ANSWER-----------------A. Walk to the end of the hallway where the client
is standing
This lets the client know that the nurse is available. It also demonstrates an
acceptance of the client.
,Which consistent approach would the nurse use for a client diagnosed with an
antisocial personality disorder?
A. Warm and firm without being punitive
B. Indifferent and detached but nonjudgemental
C. Confidentiality acquiescent to client demands
D. Clearly communicative of personal disapproval ---------CORRECT ANSWER--------
---------A. Warm and firm without being punitive
Which technique would be appropriate for clients who exhibit mild
neurocognitive impairment?
A. Reality orientation
B. Behavioral confrontation
C. Reflective communication
D. Reminiscence group therapy ---------CORRECT ANSWER-----------------A. Reality
orientation
Which characteristic is most essential for the nurse to have in caring for clients
with mental health disorders?
A. Empathy
B. Sympathy
C. Organization
D. Authoritarianism ---------CORRECT ANSWER-----------------A. Empathy
, Empathy - understanding and, to some extent, sharing the emotions of another-
encourages the expression of feelings. Sympathy, or feeling sorry for someone,
may further decrease the client's feelings of self-worth.
Which stage is a terminally ill client displaying by gradually moving towards
resolution of feelings about impending death according to Kubler-Ross' theory of
death and dying?
A. Anger stage
B. Denial stage
C. Bargaining stage
D. Acceptance stage ---------CORRECT ANSWER-----------------D. Acceptance stage
When acceptance is reached. the individual is beginning to withdraw from life;
communication is simple, concise, and most often nonverbal. Kubler-Ross'
research has shown that at this stage, verbal communication is typically less
important, and touch and presence are most important. The client has moved
past the anger, denial, and bargaining stages.
Which action would the nurse take for a client with an obsessive-compulsive
disorder who continually walks up and down the hall, touching every other and
becomes upset if interrupted?
A. Distract the client, which will help the client forget about touching the chairs.
B. Encourage the client to continue touching the chairs as long as the client wants
until fatigue sets in
C. Remove chairs from the hall, thereby relieving the client of the necessity of
touching every other one