Psych/Mental Health Exit HESI – Saunders || || || || ||
questions with answers
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The home care nurse is visiting an older client whose spouse died 6 months
|| || || || || || || || || || || || || ||
ago. Which behavior by the client indicates ineffective coping?
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1. Neglecting personal grooming
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2. Looking at old snapshots of family
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3. Participating in a senior citizens' program
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4. Visiting their spouse's grave once a month - CORRECT ANSWERS ✔✔1.
|| || || || || || || || || || || ||
Neglecting personal grooming || ||
Rational:
Coping mechanisms are behaviors used to decrease stress and anxiety. In
|| || || || || || || || || || ||
response to a death, ineffective coping is manifested by an extreme behavior
|| || || || || || || || || || || ||
that in some cases may be harmful to the individual physically or
|| || || || || || || || || || || ||
psychologically. The correct option is indicative of a behavior that identifies || || || || || || || || || || ||
an ineffective coping behavior in the grieving process.
|| || || || || || ||
A client with a diagnosis of major depression who has attempted suicide says
|| || || || || || || || || || || || ||
to the nurse, "I should have died. I've always been a failure. Nothing ever goes
|| || || || || || || || || || || || || ||
right for me." Which response demonstrates therapeutic communication?
|| || || || || || || ||
1. "You have everything to live for."
|| || || || || ||
,2. "Why do you see yourself as a failure?"
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3. "Feeling like this is all part of being depressed."
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4. "You've been feeling like a failure for a while?" - CORRECT ANSWERS
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✔✔4. "You've been feeling like a failure for a while?"
|| || || || || || || || ||
Rationale: ||
Responding to the feelings expressed by a client is an effective therapeutic
|| || || || || || || || || || || ||
communication technique. The correct option is an example of the use of || || || || || || || || || || || ||
restating. The remaining options block communication because they
|| || || || || || || ||
minimize the client's experience and do not facilitate exploration of the
|| || || || || || || || || || ||
client's expressed feelings. In addition, use of the word "why" is
|| || || || || || || || || || ||
nontherapeutic.
When the mental health nurse visits a client at home, the client states, "I
|| || || || || || || || || || || || || ||
haven't slept at all the last couple of nights." Which response by the nurse
|| || || || || || || || || || || || || ||
illustrates a therapeutic communication response to this client?
|| || || || || || ||
1. "I see."
|| ||
2. "Really?"
||
3. "You're having difficulty sleeping?"
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4. "Sometimes, I have trouble sleeping too." - CORRECT ANSWERS ✔✔3.
|| || || || || || || || || ||
"You're having difficulty sleeping?"
|| || || ||
Rationale: ||
The correct option uses the therapeutic communication technique of
|| || || || || || || || ||
restatement. Although restatement is a technique that has a prompting
|| || || || || || || || || ||
,component to it, it repeats the client's major theme, which assists the nurse to
|| || || || || || || || || || || || ||
obtain a more specific perception of the problem from the client. The
|| || || || || || || || || || || || ||
remaining options are not therapeutic responses since none encourage the
|| || || || || || || || || ||
client to expand on the problem. Offering personal experiences moves the
|| || || || || || || || || || ||
focus away from the client and onto the nurse.
|| || || || || || || ||
A client experiencing disturbed thought processes believes that his food is
|| || || || || || || || || || ||
being poisoned. Which communication technique should the nurse use to
|| || || || || || || || || ||
encourage the client to eat? || || || ||
1. Using open-ended questions and silence
|| || || || ||
2. Sharing personal preference regarding food choices
|| || || || || ||
3. Documenting reasons why the client does not want to eat
|| || || || || || || || || ||
4. Offering opinions about the necessity of adequate nutrition - CORRECT
|| || || || || || || || || || ||
ANSWERS ✔✔1. Using open-ended questions and silence || || || || || ||
Rationale: ||
Open-ended questions and silence are strategies used to encourage clients to
|| || || || || || || || || || ||
discuss their problems. Sharing personal food preferences is not a client-
|| || || || || || || || || ||
centered intervention. The remaining options are not helpful to the client
|| || || || || || || || || || ||
because they do not encourage the client to express feelings. The nurse should
|| || || || || || || || || || || ||
not offer opinions and should encourage the client to identify the reasons for
|| || || || || || || || || || || || || ||
the behavior.
||
A client admitted to a mental health unit for treatment of psychotic behavior
|| || || || || || || || || || || || ||
spends hours at the locked exit door shouting, "Let me out. There's nothing
|| || || || || || || || || || || || ||
, wrong with me. I don't belong here." What defense mechanism is the client
|| || || || || || || || || || || || ||
implementing?
1. Denial
||
2. Projection
||
3. Regression
||
4. Rationalization - CORRECT ANSWERS ✔✔1. Denial
|| || || || || ||
Rationale: ||
Denial is refusal to admit to a painful reality, which is treated as if it does not
|| || || || || || || || || || || || || || || || ||
exist. In projection, a person unconsciously rejects emotionally unacceptable
|| || || || || || || || ||
features and attributes them to other persons, objects, or situations.
|| || || || || || || || || ||
Regression allows the client to return to an earlier, more comforting, although
|| || || || || || || || || || ||
less mature, way of behaving. Rationalization is justifying illogical or
|| || || || || || || || || || ||
unreasonable ideas, actions, or feelings by developing acceptable explanations
|| || || || || || || ||
that satisfy the teller and the listener.
|| || || || || || ||
A client diagnosed with terminal cancer says to the nurse, "I'm going to die,
|| || || || || || || || || || || || || ||
and I wish my family would stop hoping for a cure! I get so angry when they
|| || || || || || || || || || || || || || || || ||
carry on like this. After all, I'm the one who's dying." Which response by the
|| || || || || || || || || || || || || || ||
nurse is therapeutic? || ||
1. "Have you shared your feelings with your family?"
|| || || || || || || ||
2. "I think we should talk more about your anger with your family."
|| || || || || || || || || || || ||
3. "You're feeling angry that your family continues to hope for you to be
|| || || || || || || || || || || || || ||
cured?"
questions with answers
|| || ||
The home care nurse is visiting an older client whose spouse died 6 months
|| || || || || || || || || || || || || ||
ago. Which behavior by the client indicates ineffective coping?
|| || || || || || || ||
1. Neglecting personal grooming
|| || ||
2. Looking at old snapshots of family
|| || || || || ||
3. Participating in a senior citizens' program
|| || || || || ||
4. Visiting their spouse's grave once a month - CORRECT ANSWERS ✔✔1.
|| || || || || || || || || || || ||
Neglecting personal grooming || ||
Rational:
Coping mechanisms are behaviors used to decrease stress and anxiety. In
|| || || || || || || || || || ||
response to a death, ineffective coping is manifested by an extreme behavior
|| || || || || || || || || || || ||
that in some cases may be harmful to the individual physically or
|| || || || || || || || || || || ||
psychologically. The correct option is indicative of a behavior that identifies || || || || || || || || || || ||
an ineffective coping behavior in the grieving process.
|| || || || || || ||
A client with a diagnosis of major depression who has attempted suicide says
|| || || || || || || || || || || || ||
to the nurse, "I should have died. I've always been a failure. Nothing ever goes
|| || || || || || || || || || || || || ||
right for me." Which response demonstrates therapeutic communication?
|| || || || || || || ||
1. "You have everything to live for."
|| || || || || ||
,2. "Why do you see yourself as a failure?"
|| || || || || || || ||
3. "Feeling like this is all part of being depressed."
|| || || || || || || || ||
4. "You've been feeling like a failure for a while?" - CORRECT ANSWERS
|| || || || || || || || || || || || ||
✔✔4. "You've been feeling like a failure for a while?"
|| || || || || || || || ||
Rationale: ||
Responding to the feelings expressed by a client is an effective therapeutic
|| || || || || || || || || || || ||
communication technique. The correct option is an example of the use of || || || || || || || || || || || ||
restating. The remaining options block communication because they
|| || || || || || || ||
minimize the client's experience and do not facilitate exploration of the
|| || || || || || || || || || ||
client's expressed feelings. In addition, use of the word "why" is
|| || || || || || || || || || ||
nontherapeutic.
When the mental health nurse visits a client at home, the client states, "I
|| || || || || || || || || || || || || ||
haven't slept at all the last couple of nights." Which response by the nurse
|| || || || || || || || || || || || || ||
illustrates a therapeutic communication response to this client?
|| || || || || || ||
1. "I see."
|| ||
2. "Really?"
||
3. "You're having difficulty sleeping?"
|| || || ||
4. "Sometimes, I have trouble sleeping too." - CORRECT ANSWERS ✔✔3.
|| || || || || || || || || ||
"You're having difficulty sleeping?"
|| || || ||
Rationale: ||
The correct option uses the therapeutic communication technique of
|| || || || || || || || ||
restatement. Although restatement is a technique that has a prompting
|| || || || || || || || || ||
,component to it, it repeats the client's major theme, which assists the nurse to
|| || || || || || || || || || || || ||
obtain a more specific perception of the problem from the client. The
|| || || || || || || || || || || || ||
remaining options are not therapeutic responses since none encourage the
|| || || || || || || || || ||
client to expand on the problem. Offering personal experiences moves the
|| || || || || || || || || || ||
focus away from the client and onto the nurse.
|| || || || || || || ||
A client experiencing disturbed thought processes believes that his food is
|| || || || || || || || || || ||
being poisoned. Which communication technique should the nurse use to
|| || || || || || || || || ||
encourage the client to eat? || || || ||
1. Using open-ended questions and silence
|| || || || ||
2. Sharing personal preference regarding food choices
|| || || || || ||
3. Documenting reasons why the client does not want to eat
|| || || || || || || || || ||
4. Offering opinions about the necessity of adequate nutrition - CORRECT
|| || || || || || || || || || ||
ANSWERS ✔✔1. Using open-ended questions and silence || || || || || ||
Rationale: ||
Open-ended questions and silence are strategies used to encourage clients to
|| || || || || || || || || || ||
discuss their problems. Sharing personal food preferences is not a client-
|| || || || || || || || || ||
centered intervention. The remaining options are not helpful to the client
|| || || || || || || || || || ||
because they do not encourage the client to express feelings. The nurse should
|| || || || || || || || || || || ||
not offer opinions and should encourage the client to identify the reasons for
|| || || || || || || || || || || || || ||
the behavior.
||
A client admitted to a mental health unit for treatment of psychotic behavior
|| || || || || || || || || || || || ||
spends hours at the locked exit door shouting, "Let me out. There's nothing
|| || || || || || || || || || || || ||
, wrong with me. I don't belong here." What defense mechanism is the client
|| || || || || || || || || || || || ||
implementing?
1. Denial
||
2. Projection
||
3. Regression
||
4. Rationalization - CORRECT ANSWERS ✔✔1. Denial
|| || || || || ||
Rationale: ||
Denial is refusal to admit to a painful reality, which is treated as if it does not
|| || || || || || || || || || || || || || || || ||
exist. In projection, a person unconsciously rejects emotionally unacceptable
|| || || || || || || || ||
features and attributes them to other persons, objects, or situations.
|| || || || || || || || || ||
Regression allows the client to return to an earlier, more comforting, although
|| || || || || || || || || || ||
less mature, way of behaving. Rationalization is justifying illogical or
|| || || || || || || || || || ||
unreasonable ideas, actions, or feelings by developing acceptable explanations
|| || || || || || || ||
that satisfy the teller and the listener.
|| || || || || || ||
A client diagnosed with terminal cancer says to the nurse, "I'm going to die,
|| || || || || || || || || || || || || ||
and I wish my family would stop hoping for a cure! I get so angry when they
|| || || || || || || || || || || || || || || || ||
carry on like this. After all, I'm the one who's dying." Which response by the
|| || || || || || || || || || || || || || ||
nurse is therapeutic? || ||
1. "Have you shared your feelings with your family?"
|| || || || || || || ||
2. "I think we should talk more about your anger with your family."
|| || || || || || || || || || || ||
3. "You're feeling angry that your family continues to hope for you to be
|| || || || || || || || || || || || || ||
cured?"
