HESI-PN Mental Health
Looking at old snapshots of family
Which data indicate to the nurse that Visits the Spouse's grave once a month
a client is experiencing effective coping Visits the senior citizens' center once a
following the loss of a spouse? Select all month
that apply.
1.Looks at old snapshots of family Coping mechanisms are behaviors that
2.Constantly neglects personal groom- are used to decrease stress and anxiety.
ing Visiting a spouse's grave, visiting the se-
3.Visits the spouse's grave once a nior citizens' center, and looking at snap-
month shots of the family are effective coping
4.Visits the senior citizens' center once a mechanisms. Neglecting grooming and
month preferring to spend time alone and avoid-
5.Prefers to spend time alone and avoids ing contact with others are behaviors that
contact with others identify ineffective coping of the grieving
process.
Which client is most likely at risk to be- A 90-year-old woman with advanced
come a victim of elder abuse? Alzheimer's disease
1.A 75-year-old man with moderate hy-
pertension Elder abuse is widespread and occurs
2.A 68-year-old man with newly diag- among all subgroups of the population.
nosed cataracts It includes physical and psychological
3.A 90-year-old woman with advanced abuse, the misuse of property, and the
Alzheimer's disease violation of rights. The person at highest
4.A 70-year-old woman with early diag- risk of abuse is an elder with dementia
nosed Lyme disease that occurs with Alzheimer's disease.
The nurse is assigned to care for a client
Open-ended questions and silence
experiencing disturbed thought process-
es. The nurse is told that the client be-
Open-ended questions and silence are
lieves that their food is being poisoned.
strategies used to encourage clients to
Which communication technique should
discuss their problem. Options 3 and 4 do
the nurse plan to use to encourage the
not encourage the client to express feel-
client to eat?
ings. The nurse should not offer opinions
1.Open-ended questions and silence
and should not state the reasons, but
2.Focusing on self-disclosure regarding
should encourage the client to identify
food preferences
the reasons for their behavior. Option 2
3.Stating the reasons that the client may
is not a client-centered intervention.
not want to eat
, HESI-PN Mental Health
4.Offering opinions about the necessity
of adequate nutrition
The nurse is assigned to care for a client
admitted to the hospital after sustaining
an injury from a house fire. The client
attempted to save a neighbor involved in Inquiring about the client's feelings that
the fire, but despite the client's efforts, may affect coping
the neighbor died. Which action should
the nurse take to enable the client to The client must first deal with feelings
work through the meaning of the crisis? and negative responses before the client
1.Identifying the client's ability to function is able to work through the meaning of
2.Identifying the client's potential for the crisis. Option 3 pertains directly to the
self-harm client's feelings. Options 1, 2, and 4 do
3.Inquiring about the client's feelings that not directly address the client's feelings.
may affect coping 4.Inquiring about the
client's perception of the cause of the
neighbor's death
The nurse is assisting with the data col-
lection on a client admitted to the psy-
chiatric unit. After review of the obtained The client's report of self-destructive
data, the nurse should identify which as thoughts
a priority concern?
1.The client's report of not eating or The client's thoughts are extremely im-
sleeping portant when verbalized. Self-destructive
2.The presence of bruises on the client's thoughts are the highest priority. Options
body 1, 2, and 4 will all affect the treatment of
3.The client's report of self-destructive the client but are not of greatest impor-
thoughts tance at this time.
4.The family member is disapproving of
the treatment.
Laboratory work is prescribed for a
client who has been experiencing delu- "Are you fearful and think that others may
sions. When the laboratory technician want to hurt you?"
approaches the client to obtain a spec-
imen of the client's blood, the client be- Option 2 is the only option that recog-
gins to shout, "You're all vampires. Let nizes the client's need. This response
me out of here!" The nurse present at the helps the client focus on the emotion un-
time should respond with which question
Looking at old snapshots of family
Which data indicate to the nurse that Visits the Spouse's grave once a month
a client is experiencing effective coping Visits the senior citizens' center once a
following the loss of a spouse? Select all month
that apply.
1.Looks at old snapshots of family Coping mechanisms are behaviors that
2.Constantly neglects personal groom- are used to decrease stress and anxiety.
ing Visiting a spouse's grave, visiting the se-
3.Visits the spouse's grave once a nior citizens' center, and looking at snap-
month shots of the family are effective coping
4.Visits the senior citizens' center once a mechanisms. Neglecting grooming and
month preferring to spend time alone and avoid-
5.Prefers to spend time alone and avoids ing contact with others are behaviors that
contact with others identify ineffective coping of the grieving
process.
Which client is most likely at risk to be- A 90-year-old woman with advanced
come a victim of elder abuse? Alzheimer's disease
1.A 75-year-old man with moderate hy-
pertension Elder abuse is widespread and occurs
2.A 68-year-old man with newly diag- among all subgroups of the population.
nosed cataracts It includes physical and psychological
3.A 90-year-old woman with advanced abuse, the misuse of property, and the
Alzheimer's disease violation of rights. The person at highest
4.A 70-year-old woman with early diag- risk of abuse is an elder with dementia
nosed Lyme disease that occurs with Alzheimer's disease.
The nurse is assigned to care for a client
Open-ended questions and silence
experiencing disturbed thought process-
es. The nurse is told that the client be-
Open-ended questions and silence are
lieves that their food is being poisoned.
strategies used to encourage clients to
Which communication technique should
discuss their problem. Options 3 and 4 do
the nurse plan to use to encourage the
not encourage the client to express feel-
client to eat?
ings. The nurse should not offer opinions
1.Open-ended questions and silence
and should not state the reasons, but
2.Focusing on self-disclosure regarding
should encourage the client to identify
food preferences
the reasons for their behavior. Option 2
3.Stating the reasons that the client may
is not a client-centered intervention.
not want to eat
, HESI-PN Mental Health
4.Offering opinions about the necessity
of adequate nutrition
The nurse is assigned to care for a client
admitted to the hospital after sustaining
an injury from a house fire. The client
attempted to save a neighbor involved in Inquiring about the client's feelings that
the fire, but despite the client's efforts, may affect coping
the neighbor died. Which action should
the nurse take to enable the client to The client must first deal with feelings
work through the meaning of the crisis? and negative responses before the client
1.Identifying the client's ability to function is able to work through the meaning of
2.Identifying the client's potential for the crisis. Option 3 pertains directly to the
self-harm client's feelings. Options 1, 2, and 4 do
3.Inquiring about the client's feelings that not directly address the client's feelings.
may affect coping 4.Inquiring about the
client's perception of the cause of the
neighbor's death
The nurse is assisting with the data col-
lection on a client admitted to the psy-
chiatric unit. After review of the obtained The client's report of self-destructive
data, the nurse should identify which as thoughts
a priority concern?
1.The client's report of not eating or The client's thoughts are extremely im-
sleeping portant when verbalized. Self-destructive
2.The presence of bruises on the client's thoughts are the highest priority. Options
body 1, 2, and 4 will all affect the treatment of
3.The client's report of self-destructive the client but are not of greatest impor-
thoughts tance at this time.
4.The family member is disapproving of
the treatment.
Laboratory work is prescribed for a
client who has been experiencing delu- "Are you fearful and think that others may
sions. When the laboratory technician want to hurt you?"
approaches the client to obtain a spec-
imen of the client's blood, the client be- Option 2 is the only option that recog-
gins to shout, "You're all vampires. Let nizes the client's need. This response
me out of here!" The nurse present at the helps the client focus on the emotion un-
time should respond with which question
