Rn hesi mental health exam with rationale.

Rn hesi mental health exam with rationale. 1. Which statement about contemporary mental health nursing practice is accurate? A. There is one approved theoretical framework for psychiatric nursing practice. B. Psychiatric nursing has yet to be recognized as a core mental health discipline. C. Contemporary practice of psychiatric nursing is primarily focused on inpatient care. D. The psychiatric nursing client may be an individual, family, group, organization, or community. Correct Mental health nursing is not only concerned with one-on-one interactions. Psychiatric stressors can impact and be reflected in the overall direction, activities, and responses involving families, groups, and entire communities (D). (A, B, and C) are incorrect statements about the status of mental health nursing. 2. The charge nurse is collaborating with the nursing staff about the plan of care for a client who is very depressed. What is the most important intervention to implement during the first 48 hours after the client's admission to the unit? A. Monitor appetite and observe intake at meals. B. Maintain safety in the client's milieu. Correct C. Provide ongoing, supportive contact. D. Encourage participation in activities. The most important reason for closely observing a depressed client immediately after admission is to maintain safety (B), since suicide is a risk with depression. (A, C, and D) are all important interventions, but safety is the priority. 3. At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the members what kinds of things she would like to do with the group. The older woman shrugs her shoulders and says, "You tell me, you're the leader." What is the best response for the nurse to make? A. Yes, I am the leader today. Would you like to be the leader tomorrow? B. Yes, I will be leading this group. What would you like to accomplish during this time?Correct C. Yes, I have been assigned to be the leader of this group. I will be here for the next six weeks. D. Yes, I am the leader. You seem angry about not being the leader yourself. Anxiety over participation in a group and testing of the leader characteristically occur in the initial phase of group dynamics. (B) provides information and focuses the group back to defining its function. (A) is manipulative bargaining. Although (A) provides information, it does not focus the group on its purpose or task. (D) is interpreting the client's feelings and is almost challenging. 4. Over a period of several weeks, one male participant of a socialization group at a community day care center for the elderly monopolizes most of the group's time and interrupts others when they are talking. What is the best action for the nurse to take in this situation? A. Talk to the client outside the group about his behavior during group meetings. B. Remind the client to allow others in the group a chance to talk. C. Allow the group to handle the problem. Correct D. Ask the client to join another group. After several weeks, the group is in the working phase and the group members should be allowed to determine the direction of the group. The nurse should ignore the client's comments and allow the group to handle the situation (C). A good leader should not have separate meetings with group members (A), as such behavior is manipulative on the part of the leader. (B) is dictatorial and is not in keeping with good leadership skills. (D) is avoiding the problem. Remember, identify what phase the group is in--initial, working, or termination--this will help determine communication style.