PSYCH/MENTAL HEALTH EXIT HESI –
SAUNDERS NEWEST 2026 TEST
BANK| 3 VERSIONS WITH COMPLETE
110 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+ (MOST RECENT!!)
Themhomemcaremnursemismvisitingmanmoldermclientmwhosemspousemdiedm6mmonthsmago.mWhichmbeh
aviormbymthemclientmindicatesmineffectivemcoping?
1.mNeglectingmpersonalmgrooming
2.mLookingmatmoldmsnapshotsmofmfamily
3.mParticipatingminmamseniormcitizens'mprogram
4.mVisitingmtheirmspouse'smgravemoncemammonthm-
mCORRECTmANSWERm1.mNeglectingmpersonalmgrooming
Rational:
Copingmmechanismsmarembehaviorsmusedmtomdecreasemstressmandmanxiety.mInmresponsemtomamdeat
h,mineffectivemcopingmismmanifestedmbymanmextremembehaviormthatminmsomemcasesmmaymbemharmf
ulmtomthemindividualmphysicallymormpsychologically.mThemcorrectmoptionmismindicativemofmambehavio
rmthatmidentifiesmanmineffectivemcopingmbehaviorminmthemgrievingmprocess.
Amclientmwithmamdiagnosismofmmajormdepressionmwhomhasmattemptedmsuicidemsaysmtomthemnurse,m"
Imshouldmhavemdied.mI'vemalwaysmbeenmamfailure.mNothingmevermgoesmrightmformme."mWhichmrespo
nsemdemonstratesmtherapeuticmcommunication?
1.m"Youmhavemeverythingmtomlivemfor."
,2.m"Whymdomyoumseemyourselfmasmamfailure?"
3.m"Feelingmlikemthismismallmpartmofmbeingmdepressed."
4.m"You'vembeenmfeelingmlikemamfailuremformamwhile?"m-
mCORRECTmANSWERm4.m"You'vembeenmfeelingmlikemamfailuremformamwhile?"
Rationale:m
Respondingmtomthemfeelingsmexpressedmbymamclientmismanmeffectivemtherapeuticmcommunicationmt
echnique.mThemcorrectmoptionmismanmexamplemofmthemusemofmrestating.mThemremainingmoptionsmbl
ockmcommunicationmbecausemtheymminimizemthemclient'smexperiencemandmdomnotmfacilitatemexplo
rationmofmthemclient'smexpressedmfeelings.mInmaddition,musemofmthemwordm"why"mismnontherapeuti
c.
Whenmthemmentalmhealthmnursemvisitsmamclientmatmhome,mthemclientmstates,m"Imhaven'tmsleptmatmall
mthemlastmcouplemofmnights."mWhichmresponsembymthemnursemillustratesmamtherapeuticmcommunica
tionmresponsemtomthismclient?
1.m"Imsee."
2.m"Really?"
3.m"You'remhavingmdifficultymsleeping?"
4.m"Sometimes,mImhavemtroublemsleepingmtoo."m-
mCORRECTmANSWERm3.m"You'remhavingmdifficultymsleeping?"
Rationale:m
Themcorrectmoptionmusesmthemtherapeuticmcommunicationmtechniquemofmrestatement.mAlthoughm
restatementmismamtechniquemthatmhasmampromptingmcomponentmtomit,mitmrepeatsmthemclient'smmaj
ormtheme,mwhichmassistsmthemnursemtomobtainmammoremspecificmperceptionmofmthemproblemmfromm
themclient.mThemremainingmoptionsmaremnotmtherapeuticmresponsesmsincemnonemencouragemthemcli
entmtomexpandmonmthemproblem.mOfferingmpersonalmexperiencesmmovesmthemfocusmawaymfrommth
emclientmandmontomthemnurse.
,Amclientmexperiencingmdisturbedmthoughtmprocessesmbelievesmthatmhismfoodmismbeingmpoisoned.m
Whichmcommunicationmtechniquemshouldmthemnursemusemtomencouragemthemclientmtomeat?
1.mUsingmopen-endedmquestionsmandmsilence
2.mSharingmpersonalmpreferencemregardingmfoodmchoices
3.mDocumentingmreasonsmwhymthemclientmdoesmnotmwantmtomeat
4.mOfferingmopinionsmaboutmthemnecessitymofmadequatemnutritionm-
mCORRECTmANSWERm1.mUsingmopen-endedmquestionsmandmsilence
Rationale:m
Open-
endedmquestionsmandmsilencemaremstrategiesmusedmtomencouragemclientsmtomdiscussmtheirmproble
ms.mSharingmpersonalmfoodmpreferencesmismnotmamclient-
centeredmintervention.mThemremainingmoptionsmaremnotmhelpfulmtomthemclientmbecausemtheymdomn
otmencouragemthemclientmtomexpressmfeelings.mThemnursemshouldmnotmoffermopinionsmandmshouldm
encouragemthemclientmtomidentifymthemreasonsmformthembehavior.
Amclientmadmittedmtomammentalmhealthmunitmformtreatmentmofmpsychoticmbehaviormspendsmhoursma
tmthemlockedmexitmdoormshouting,m"Letmmemout.mThere'smnothingmwrongmwithmme.mImdon'tmbelongm
here."mWhatmdefensemmechanismmismthemclientmimplementing?
1.mDenial
2.mProjection
3.mRegression
4.mRationalizationm-mCORRECTmANSWERm1.mDenial
Rationale:m
Denialmismrefusalmtomadmitmtomampainfulmreality,mwhichmismtreatedmasmifmitmdoesmnotmexist.mInmproje
ction,mampersonmunconsciouslymrejectsmemotionallymunacceptablemfeaturesmandmattributesmthemm
, tomothermpersons,mobjects,mormsituations.mRegressionmallowsmthemclientmtomreturnmtomanmearlier,m
moremcomforting,malthoughmlessmmature,mwaymofmbehaving.mRationalizationmismjustifyingmillogicalm
ormunreasonablemideas,mactions,mormfeelingsmbymdevelopingmacceptablemexplanationsmthatmsatisfy
mthemtellermandmthemlistener.
Amclientmdiagnosedmwithmterminalmcancermsaysmtomthemnurse,m"I'mmgoingmtomdie,mandmImwishmmymf
amilymwouldmstopmhopingmformamcure!mImgetmsomangrymwhenmtheymcarrymonmlikemthis.mAftermall,mI'm
mthemonemwho'smdying."mWhichmresponsembymthemnursemismtherapeutic?
1.m"Havemyoumsharedmyourmfeelingsmwithmyourmfamily?"
2.m"Imthinkmwemshouldmtalkmmoremaboutmyourmangermwithmyourmfamily."
3.m"You'remfeelingmangrymthatmyourmfamilymcontinuesmtomhopemformyoumtombemcured?"
4.m"Youmaremprobablymverymdepressed,mwhichmismunderstandablemwithmsuchmamdiagnosis."m-
mCORRECTmANSWERm3.m"You'remfeelingmangrymthatmyourmfamilymcontinuesmtomhopemformyoumtombe
mcured?"
Rationale:m
Restatingmismamtherapeuticmcommunicationmtechniqueminmwhichmthemnursemrepeatsmwhatmthemclie
ntmsaysmtomshowmunderstandingmandmtomreviewmwhatmwasmsaid.mWhilemitmismappropriatemformthem
nursemtomattemptmtomassessmthemclient'smabilitymtomdiscussmfeelingsmopenlymwithmfamilymmembers
,mitmdoesmnotmhelpmthemclientmdiscussmthemfeelingsmcausingmthemanger.mThemnurse'smattemptmtomfo
cusmonmthemcentralmissuemofmangermismpremature.mThemnursemwouldmnevermmakemamjudgmentmreg
ardingmthemreasonmformthemclient'smfeeling;mthismismnontherapeuticminmthemone-to-
onemrelationship.
Onmreviewmofmthemclient'smrecord,mthemnursemnotesmthatmthemmentalmhealthmadmissionmwasmvolu
ntary.mBasedmonmthisminformation,mthemnursemanticipatesmwhichmclientmbehavior?
1.mFearfulnessmregardingmtreatmentmmeasures.
2.mAngermandmaggressivenessmdirectedmtowardmothers.
SAUNDERS NEWEST 2026 TEST
BANK| 3 VERSIONS WITH COMPLETE
110 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+ (MOST RECENT!!)
Themhomemcaremnursemismvisitingmanmoldermclientmwhosemspousemdiedm6mmonthsmago.mWhichmbeh
aviormbymthemclientmindicatesmineffectivemcoping?
1.mNeglectingmpersonalmgrooming
2.mLookingmatmoldmsnapshotsmofmfamily
3.mParticipatingminmamseniormcitizens'mprogram
4.mVisitingmtheirmspouse'smgravemoncemammonthm-
mCORRECTmANSWERm1.mNeglectingmpersonalmgrooming
Rational:
Copingmmechanismsmarembehaviorsmusedmtomdecreasemstressmandmanxiety.mInmresponsemtomamdeat
h,mineffectivemcopingmismmanifestedmbymanmextremembehaviormthatminmsomemcasesmmaymbemharmf
ulmtomthemindividualmphysicallymormpsychologically.mThemcorrectmoptionmismindicativemofmambehavio
rmthatmidentifiesmanmineffectivemcopingmbehaviorminmthemgrievingmprocess.
Amclientmwithmamdiagnosismofmmajormdepressionmwhomhasmattemptedmsuicidemsaysmtomthemnurse,m"
Imshouldmhavemdied.mI'vemalwaysmbeenmamfailure.mNothingmevermgoesmrightmformme."mWhichmrespo
nsemdemonstratesmtherapeuticmcommunication?
1.m"Youmhavemeverythingmtomlivemfor."
,2.m"Whymdomyoumseemyourselfmasmamfailure?"
3.m"Feelingmlikemthismismallmpartmofmbeingmdepressed."
4.m"You'vembeenmfeelingmlikemamfailuremformamwhile?"m-
mCORRECTmANSWERm4.m"You'vembeenmfeelingmlikemamfailuremformamwhile?"
Rationale:m
Respondingmtomthemfeelingsmexpressedmbymamclientmismanmeffectivemtherapeuticmcommunicationmt
echnique.mThemcorrectmoptionmismanmexamplemofmthemusemofmrestating.mThemremainingmoptionsmbl
ockmcommunicationmbecausemtheymminimizemthemclient'smexperiencemandmdomnotmfacilitatemexplo
rationmofmthemclient'smexpressedmfeelings.mInmaddition,musemofmthemwordm"why"mismnontherapeuti
c.
Whenmthemmentalmhealthmnursemvisitsmamclientmatmhome,mthemclientmstates,m"Imhaven'tmsleptmatmall
mthemlastmcouplemofmnights."mWhichmresponsembymthemnursemillustratesmamtherapeuticmcommunica
tionmresponsemtomthismclient?
1.m"Imsee."
2.m"Really?"
3.m"You'remhavingmdifficultymsleeping?"
4.m"Sometimes,mImhavemtroublemsleepingmtoo."m-
mCORRECTmANSWERm3.m"You'remhavingmdifficultymsleeping?"
Rationale:m
Themcorrectmoptionmusesmthemtherapeuticmcommunicationmtechniquemofmrestatement.mAlthoughm
restatementmismamtechniquemthatmhasmampromptingmcomponentmtomit,mitmrepeatsmthemclient'smmaj
ormtheme,mwhichmassistsmthemnursemtomobtainmammoremspecificmperceptionmofmthemproblemmfromm
themclient.mThemremainingmoptionsmaremnotmtherapeuticmresponsesmsincemnonemencouragemthemcli
entmtomexpandmonmthemproblem.mOfferingmpersonalmexperiencesmmovesmthemfocusmawaymfrommth
emclientmandmontomthemnurse.
,Amclientmexperiencingmdisturbedmthoughtmprocessesmbelievesmthatmhismfoodmismbeingmpoisoned.m
Whichmcommunicationmtechniquemshouldmthemnursemusemtomencouragemthemclientmtomeat?
1.mUsingmopen-endedmquestionsmandmsilence
2.mSharingmpersonalmpreferencemregardingmfoodmchoices
3.mDocumentingmreasonsmwhymthemclientmdoesmnotmwantmtomeat
4.mOfferingmopinionsmaboutmthemnecessitymofmadequatemnutritionm-
mCORRECTmANSWERm1.mUsingmopen-endedmquestionsmandmsilence
Rationale:m
Open-
endedmquestionsmandmsilencemaremstrategiesmusedmtomencouragemclientsmtomdiscussmtheirmproble
ms.mSharingmpersonalmfoodmpreferencesmismnotmamclient-
centeredmintervention.mThemremainingmoptionsmaremnotmhelpfulmtomthemclientmbecausemtheymdomn
otmencouragemthemclientmtomexpressmfeelings.mThemnursemshouldmnotmoffermopinionsmandmshouldm
encouragemthemclientmtomidentifymthemreasonsmformthembehavior.
Amclientmadmittedmtomammentalmhealthmunitmformtreatmentmofmpsychoticmbehaviormspendsmhoursma
tmthemlockedmexitmdoormshouting,m"Letmmemout.mThere'smnothingmwrongmwithmme.mImdon'tmbelongm
here."mWhatmdefensemmechanismmismthemclientmimplementing?
1.mDenial
2.mProjection
3.mRegression
4.mRationalizationm-mCORRECTmANSWERm1.mDenial
Rationale:m
Denialmismrefusalmtomadmitmtomampainfulmreality,mwhichmismtreatedmasmifmitmdoesmnotmexist.mInmproje
ction,mampersonmunconsciouslymrejectsmemotionallymunacceptablemfeaturesmandmattributesmthemm
, tomothermpersons,mobjects,mormsituations.mRegressionmallowsmthemclientmtomreturnmtomanmearlier,m
moremcomforting,malthoughmlessmmature,mwaymofmbehaving.mRationalizationmismjustifyingmillogicalm
ormunreasonablemideas,mactions,mormfeelingsmbymdevelopingmacceptablemexplanationsmthatmsatisfy
mthemtellermandmthemlistener.
Amclientmdiagnosedmwithmterminalmcancermsaysmtomthemnurse,m"I'mmgoingmtomdie,mandmImwishmmymf
amilymwouldmstopmhopingmformamcure!mImgetmsomangrymwhenmtheymcarrymonmlikemthis.mAftermall,mI'm
mthemonemwho'smdying."mWhichmresponsembymthemnursemismtherapeutic?
1.m"Havemyoumsharedmyourmfeelingsmwithmyourmfamily?"
2.m"Imthinkmwemshouldmtalkmmoremaboutmyourmangermwithmyourmfamily."
3.m"You'remfeelingmangrymthatmyourmfamilymcontinuesmtomhopemformyoumtombemcured?"
4.m"Youmaremprobablymverymdepressed,mwhichmismunderstandablemwithmsuchmamdiagnosis."m-
mCORRECTmANSWERm3.m"You'remfeelingmangrymthatmyourmfamilymcontinuesmtomhopemformyoumtombe
mcured?"
Rationale:m
Restatingmismamtherapeuticmcommunicationmtechniqueminmwhichmthemnursemrepeatsmwhatmthemclie
ntmsaysmtomshowmunderstandingmandmtomreviewmwhatmwasmsaid.mWhilemitmismappropriatemformthem
nursemtomattemptmtomassessmthemclient'smabilitymtomdiscussmfeelingsmopenlymwithmfamilymmembers
,mitmdoesmnotmhelpmthemclientmdiscussmthemfeelingsmcausingmthemanger.mThemnurse'smattemptmtomfo
cusmonmthemcentralmissuemofmangermismpremature.mThemnursemwouldmnevermmakemamjudgmentmreg
ardingmthemreasonmformthemclient'smfeeling;mthismismnontherapeuticminmthemone-to-
onemrelationship.
Onmreviewmofmthemclient'smrecord,mthemnursemnotesmthatmthemmentalmhealthmadmissionmwasmvolu
ntary.mBasedmonmthisminformation,mthemnursemanticipatesmwhichmclientmbehavior?
1.mFearfulnessmregardingmtreatmentmmeasures.
2.mAngermandmaggressivenessmdirectedmtowardmothers.
