2023 Upgraded Questions and Answers For HESI mental

2023 Upgraded Questions and Answers For HESI mental Which statement made by a patient demonstrates a healthy degree of resilience? Select all that apply. a. "I try to remember not to take other people's bad moods personally." b. "I know that if I get really mad I'll end up being depressed." c. "I really feel that sometimes bad things are meant to happen." d. "I've learned to calm down before trying to defend my opinions." e. "I know that discussing issues with my boss would help me get my point across." - CORRECT ANSWER-A,D,E A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be: a. Nursing Interventions Classification (NIC) b. Nursing Outcomes Classification (NOC) c. NANDA-I nursing diagnoses d. DSM-5 - CORRECT ANSWER-D epidemiological studies contribute to improvements in care for individuals with mental disorders by: Select all that apply: a. Providing information about effective nursing techniques. b. Identifying risk factors that contribute to the development of a disorder. c. Identifying individuals in the general population who will develop a specific disorder. d. Identifying which individuals will respond favorably to a specific treatment. - CORRECT ANSWER-B,D When discussing therapy options, the nurse should provide information about interpersonal therapy to which patient? Select all that apply. a. The teenager who is the focus of bullying at school b. The older woman who has just lost her life partner to cancer c. The young adult who has begun demonstrating hoarding tendencies d. The adolescent demonstrating aggressive verbal and physical tendencies e. The middleaged adult who recently discovered her partner has been unfaithful - CORRECT ANSWER-A,B,E When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations? a. Assessing the patient for unexpressed concerns and fears b. Evaluating the possible need for additional training and education c. Reflecting on personal behaviors and personal needs d. Avoiding power struggles with the manipulative patient - CORRECT ANSWER-C Which action reflects therapeutic practices associated with operant conditioning? a. Encouraging a parent to read to their children to foster a love for learning b. Encouraging a patient to make daily journal entries describing their feelings c. Suggesting to a new mother that she spend time cuddling her newborn often during the day d. Acknowledging a patient who is often verbally aggressive for complimenting a picture another patient drew - CORRECT ANSWER-D Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy? a. Behavioral b. Biofeedback c. Aversion d. Systematic desensitization - CORRECT ANSWER-D A patient is telling a tearful story. The nurse listens empathically and responds therapeutically with: a. "The next time you find yourself in a similar situation, please call me." b. "I am sorry this situation made you feel so badly. Would you like some tea?" c. "Let's devise a plan on how you will react next time in a similar situation." d. "I am sorry that your friend was so thoughtless. You should be treated better." - CORRECT ANSWER-C Besides antianxiety agents, which classification of drugs is also commonly given to treat anxiety and anxiety disorders? a. Antipsychotics b. Mood stabilizers c. Antidepressants d. Cholinesterase inhibitors - CORRECT ANSWER-C A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient? a. Obsessive-compulsive disorder b. Generalized anxiety disorder c. Persistent depressive disorder d. Substance use disorder - CORRECT ANSWER-D Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply. a. "I hope Wellbutrin will help my depression and also help me to finally quit smoking." b. "I'm happy to hear that I won't need to worry too much about weight gain." c. "It's okay to take Wellbutrin since I haven't had a seizure in 6 months." d. "I need to be careful about driving since the medication could make me drowsy." e. "My partner and I have discussed the possible effects this medication could have on our sex life." - CORRECT ANSWER-A,B Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages? a. SSRIs b. antipsychotics c. benzodiazepines d. tricyclic antidepressants - CORRECT ANSWER-B Psychotropic drugs have been used for more than half a century. What statement regarding their current status is true? a. Only one classification of psychotropic drugs exists. b. The Food and Drug Administration no longer approves new antidepressants. c. We do not know exactly how they work. d. Chlorpromazine (Thorazine), the first psychotropic, continues to be the treatment of choice with hallucinations. - CORRECT ANSWER-C A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs: a. Selective serotonin reuptake inhibitors b. Monoamine oxidase inhibitors c. Serotonin and norepinephrine reuptake inhibitors d. All of the above - CORRECT ANSWER-B Which intervention demonstrates an attempt by nursing staff to meet the goals identified by the Joint Commission as National Patient Safety Goals? Select all that apply. a. Identifying patients using both name and date of birth before drawing blood. b. Sitting with the patient diagnosed with an eating disorder during meals. c. Administering the Beck Scale on each patient at the time of admission. d. Performing a medication history assessment on each new patient. e. Using appropriate hand washing technique at all times. - CORRECT ANSWERA,C,D,E The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply. a. "Is the patient expressing suicidal thoughts?" b. "Does the patient have intact judgment and insight into his situation?" c. "Does the patient have experiences with either community or inpatient mental healthcare facilities?" d. "Does the patient require a therapeutic environment to support the management of psychotic symptoms?" e. "Does the patient require the regular involvement of their family/significant other in planning and executing the plan of care?" - CORRECT ANSWER-A,B,D,E A Gulf War veteran has been homeless since being discharged from military service. He is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive community treatment (ACT) is a good option for this patient since ACT provides: a. Psychiatric home care b. Care for hard-to-engage, seriously ill patients c. Outpatient community mental health center care d. A comprehensive emergency service model - CORRECT ANSWER-B Emma is a 40-year-old married female who has found it increasingly difficult to leave her home due to agoraphobia. Emma's family is appropriately concerned and suggests that she seek psychiatric care. After investigating her options, Emma decides to try: a. Telepsychiatry b. Assertive community treatment c. Psychiatric home care d. Outpatient psychiatric care - CORRECT ANSWER-A Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply. a. Intermittent supervision is available in inpatient settings. b. He requires stabilization of multiple symptoms. c. He has nutritional and self-care needs. d. Medication adherence will be mandated. e. He is in imminent danger of harming himself. - CORRECT ANSWER-B,C,E Which intervention demonstrates the nurse's understanding of what guides effective nursing care with a diverse patient population? a. Treating all patients the same to avoid prejudicial actions. b. Identifying the cultural norms of the population being served. c. Recognizing that race and ethnicity result in specific illness management views. d. Addressing the physical and emotional needs that originate from genetic factors. - CORRECT ANSWER-B Which statement indicates the beliefs and values that tend to be representative of a member of an indigenous culture? Select all that apply. a. "I've reinforced the importance of taking medications at the time they are prescribed." b. "The patient believes that illness is a result of being out of harmony with nature." c. "Spending money on medicine for his diabetes is not a comfortable concept for my patient." d. "The patient refuses treatment." e. "We discussed the patient's needs regarding warding off evil spirits before her surgery." - CORRECT ANSWER-A,B,C,E Which assessment questions will support effective communication with a patient who recently emigrated from an Asian country? Select all that apply. a. "What do you call this kind of pain?" b. "What do you think is causing your pain?" c. "How do you think your pain should be treated?" d. "Do you consider this kind of pain a serious problem?" e. "Do you think American medicine will help your pain?" - CORRECT ANSWERA,B,C,D Which nursing intervention can assist a Hindu patient in maintaining his religious practice? a. Assisting the patient to choose his own food from the menu b. Contacting the hospital pastor for a visit c. Showing him which side of the room faces east d. Offering a Torah to the patient - CORRECT ANSWER-A Which nursing actions demonstrate cultural competence? Select all that apply. a. Planning mealtime around the patient's prayer schedule b. Helping a patient to visit with the hospital chaplain c. Researching foods that a lacto-ovo-vegetarian patient will eat d. Providing time for a patient's spiritual healer to visit e. Ordering standard meal trays to be delivered three times daily - CORRECT ANSWER-A,B,C,D Based on Maslow's hierarchy of needs, physiological needs for a restrained patient include: Select all that apply. a. Private toileting, oral hydration b. Checking the tightness of the restraints c. Therapeutic communication d. Maintaining a patent airway - CORRECT ANSWER-A,B,D In providing care for patients of a mental health unit, Li recognizes the importance of standards of care. When Li notices that some policies fall short of the state licensing laws, which of the following statements represents the most appropriate standard of care pathway? a. Professional association, customary care, facility policy b. State board of nursing, facility policy, customary care c. Facility policy, professional associations, state board of nursing d. State board of nursing, professional association, facility policy - CORRECT ANSWER-D Which situations demonstrate liable behavior on the part of the staff? Select all that apply.