HESI PN Mental Health TEST LATEST
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1. A married male client with three children 2. Increasing self-esteem
has lost his job and states that he feels
useless. He is tearful, upset, and embar- The loss of a job can precipitate negative feel-
rassed. What is an appropriate objective ings about the self and decrease self-esteem.
of care for this client? Feelings should be expressed, not limited;
attempting to decrease a client's crying often
1. Limiting tearfulness ends up worsening it. Crying is not neces-
2. Increasing self-esteem sarily an expression of sadness; other feel-
3. Controlling feelings of sadness ings are involved. The focus should be on
4. Promoting acceptance by others the client's self-acceptance, not acceptance
by others.
2. A 44-year-old client has been unable to 2. Situational
function since her husband asked for a
divorce 2 weeks ago. She is brought to Situational crises involve an unanticipated
the crisis intervention center by a friend. loss, such as a divorce, that is threatening to
What type of crisis is this situation? the client. Social crises involve multiple losses
such as those occurring during major dis-
1. Social asters. Maturational crises occur in response
2. Situational to stress experienced as one struggles with
3. Maturational developmental tasks. Developmental (matu-
4. Developmental rational) crises are associated with develop-
mental tasks; divorce is not a developmental
task.
3. A resident in a nursing home recently im- 1. By offering choices consistent with the
migrated to the United States from Italy. client's heritage
How does the nurse plan to provide emo-
tional support? Adherence to a plan of care is enhanced by
the nurse's providing choices consistent with
1. By offering choices consistent with the the client's cultural beliefs and practices. The
client's heritage nurse's cultural or personal beliefs and bias-
, HESI PN Mental Health TEST LATEST
Study online at https://quizlet.com/_hm0gmm
2. By ensuring that the client understands es should not influence or interfere with the
American beliefs implementation of appropriate care. Helping
3. By assisting the client in adjusting to the client adjust to the American culture is
the American culture not the priority at this time; care should be
4. By correcting the client's misconcep- adapted to the client's needs and culture.
tions about appropriate health practices The person's cultural practices should not be
addressed unless they are detrimental to the
person's health.
4. A nurse should reassess an older adult 1. Confusion
client's needs and current plan of care
when the client's behavior indicates the The development of confusion indicates that
development of what symptom? the client's ability to maintain equilibrium
has not been achieved and that further dise-
1. Confusion quilibrium is occurring. Hypochondriasis and
2. Hypochondriasis additional complaints do not indicate that the
3. Additional complaints plan needs to be changed unless the client's
4. Increased socialization history demonstrates no prior use of these
defenses. Increased socialization is a positive
response to the plan of care that does not
require reassessment.
5. An injured child is brought to the emer- 2. Focusing on the child's role in sustaining
gency department by the parents. While the injury
interviewing the parents, the nurse be- 3. Changing the story of how the child sus-
gins to suspect child abuse. Which tained the injury
parental behaviors might support this 5. Giving an explanation of how the injury
conclusion? Select all that apply. occurred that is not consistent with the injury
1. Demonstrating concern for the injured The child is often made the scapegoat in
child the situation; the parents blame the child
2. Focusing on the child's role in sustain- because they have unrealistic expectations
, HESI PN Mental Health TEST LATEST
Study online at https://quizlet.com/_hm0gmm
ing the injury of the child. Discrepancies or inconsistencies
3. Changing the story of how the child in the history result from attempts to pre-
sustained the injury sent a story that is not based in fact. Dis-
4. Asking questions about the injury and crepancies between the parental explana-
the child's prognosis tion for the child's injuries and the physi-
5. Giving an explanation of how the injury cal findings or discrepancies in the history
occurred that is not consistent with the that each parent gives are common because
injury the information that is being provided is not
based in fact. Abusive parents usually do not
ask questions about the injury or prognosis
and demonstrate little or no interest in their
child's well-being.
6. A nurse is planning to teach a client about 1. Mild
self-care. What level of anxiety will best
enhance the client's learning abilities? Mild anxiety motivates one to action, such as
learning or making changes. Higher levels of
1. Mild anxiety tend to blur the individual's percep-
2. Panic tions and interfere with functioning. Attention
3. Severe is severely reduced by panic. The perceptual
4. Moderate field is greatly reduced with severe anxiety
and narrowed with moderate anxiety.
7. A nurse is caring for depressed older 2. Multiple losses
adults. What precipitating factors for de- 3. Declines in health
pression are most common in the older
adult without cognitive problems? Select Depression in the older adult is most often
all that apply. associated with the loss of family members
and friends (e.g., death, relocation) and de-
1. Dementia clines in mobility, health, and income. A de-
2. Multiple losses cline in health, particularly when associated
3. Declines in health with a chronic illness, frequently precipitates
, HESI PN Mental Health TEST LATEST
Study online at https://quizlet.com/_hm0gmm
4. A milestone birthday depression in older adults. Dementia is a
5. An injury requiring hospitalization cognitive problem. Research does not corre-
late the onset of depression with a milestone
birthday in older adults. A traumatic injury
does not precipitate the onset of depression
in the older adult as often as does a chronic
illness.
8. The nurse observes biting, rocking, suck- 4. Emotional abuse
ing, and lags in intellectual development
in a child. She also concludes the child The child may be neglected if the parent is
is suffering from sleep disorders. What having a mental illness such as psychosis.
could be the reason for the child's condi- Sleep disorders, feeding disorders, biting,
tion? rocking, sucking, and lags in intellectual de-
velopment are behavioral findings associat-
1. Physical neglect ed with emotional abuse. Physical neglect,
2. Sexual abuse sexual abuse, and physical abuse manifest in
3. Physical abuse different sets of signs and symptoms.
4. Emotional abuse
9. Which emotional condition may be appar- 2. Social isolation
ent in a client with an addiction?
Social isolation is an emotional condition that
1. Insomnia may be apparent in a client with an addic-
2. Social isolation tion. Insomnia, acute confusion, and func-
3. Acute confusion tional urinary incontinence are physical, not
4. Functional urinary incontinence emotional, conditions that may be apparent
in clients with addiction.
10. A client who has been battling cancer of 1. Sit down quietly next to the bed and allow
the ovary for 7 years is admitted to the her to cry.
hospital in a debilitated state. The health-
care provider tells the client that she is too Sitting down quietly next to the bed and al-
Study online at https://quizlet.com/_hm0gmm
1. A married male client with three children 2. Increasing self-esteem
has lost his job and states that he feels
useless. He is tearful, upset, and embar- The loss of a job can precipitate negative feel-
rassed. What is an appropriate objective ings about the self and decrease self-esteem.
of care for this client? Feelings should be expressed, not limited;
attempting to decrease a client's crying often
1. Limiting tearfulness ends up worsening it. Crying is not neces-
2. Increasing self-esteem sarily an expression of sadness; other feel-
3. Controlling feelings of sadness ings are involved. The focus should be on
4. Promoting acceptance by others the client's self-acceptance, not acceptance
by others.
2. A 44-year-old client has been unable to 2. Situational
function since her husband asked for a
divorce 2 weeks ago. She is brought to Situational crises involve an unanticipated
the crisis intervention center by a friend. loss, such as a divorce, that is threatening to
What type of crisis is this situation? the client. Social crises involve multiple losses
such as those occurring during major dis-
1. Social asters. Maturational crises occur in response
2. Situational to stress experienced as one struggles with
3. Maturational developmental tasks. Developmental (matu-
4. Developmental rational) crises are associated with develop-
mental tasks; divorce is not a developmental
task.
3. A resident in a nursing home recently im- 1. By offering choices consistent with the
migrated to the United States from Italy. client's heritage
How does the nurse plan to provide emo-
tional support? Adherence to a plan of care is enhanced by
the nurse's providing choices consistent with
1. By offering choices consistent with the the client's cultural beliefs and practices. The
client's heritage nurse's cultural or personal beliefs and bias-
, HESI PN Mental Health TEST LATEST
Study online at https://quizlet.com/_hm0gmm
2. By ensuring that the client understands es should not influence or interfere with the
American beliefs implementation of appropriate care. Helping
3. By assisting the client in adjusting to the client adjust to the American culture is
the American culture not the priority at this time; care should be
4. By correcting the client's misconcep- adapted to the client's needs and culture.
tions about appropriate health practices The person's cultural practices should not be
addressed unless they are detrimental to the
person's health.
4. A nurse should reassess an older adult 1. Confusion
client's needs and current plan of care
when the client's behavior indicates the The development of confusion indicates that
development of what symptom? the client's ability to maintain equilibrium
has not been achieved and that further dise-
1. Confusion quilibrium is occurring. Hypochondriasis and
2. Hypochondriasis additional complaints do not indicate that the
3. Additional complaints plan needs to be changed unless the client's
4. Increased socialization history demonstrates no prior use of these
defenses. Increased socialization is a positive
response to the plan of care that does not
require reassessment.
5. An injured child is brought to the emer- 2. Focusing on the child's role in sustaining
gency department by the parents. While the injury
interviewing the parents, the nurse be- 3. Changing the story of how the child sus-
gins to suspect child abuse. Which tained the injury
parental behaviors might support this 5. Giving an explanation of how the injury
conclusion? Select all that apply. occurred that is not consistent with the injury
1. Demonstrating concern for the injured The child is often made the scapegoat in
child the situation; the parents blame the child
2. Focusing on the child's role in sustain- because they have unrealistic expectations
, HESI PN Mental Health TEST LATEST
Study online at https://quizlet.com/_hm0gmm
ing the injury of the child. Discrepancies or inconsistencies
3. Changing the story of how the child in the history result from attempts to pre-
sustained the injury sent a story that is not based in fact. Dis-
4. Asking questions about the injury and crepancies between the parental explana-
the child's prognosis tion for the child's injuries and the physi-
5. Giving an explanation of how the injury cal findings or discrepancies in the history
occurred that is not consistent with the that each parent gives are common because
injury the information that is being provided is not
based in fact. Abusive parents usually do not
ask questions about the injury or prognosis
and demonstrate little or no interest in their
child's well-being.
6. A nurse is planning to teach a client about 1. Mild
self-care. What level of anxiety will best
enhance the client's learning abilities? Mild anxiety motivates one to action, such as
learning or making changes. Higher levels of
1. Mild anxiety tend to blur the individual's percep-
2. Panic tions and interfere with functioning. Attention
3. Severe is severely reduced by panic. The perceptual
4. Moderate field is greatly reduced with severe anxiety
and narrowed with moderate anxiety.
7. A nurse is caring for depressed older 2. Multiple losses
adults. What precipitating factors for de- 3. Declines in health
pression are most common in the older
adult without cognitive problems? Select Depression in the older adult is most often
all that apply. associated with the loss of family members
and friends (e.g., death, relocation) and de-
1. Dementia clines in mobility, health, and income. A de-
2. Multiple losses cline in health, particularly when associated
3. Declines in health with a chronic illness, frequently precipitates
, HESI PN Mental Health TEST LATEST
Study online at https://quizlet.com/_hm0gmm
4. A milestone birthday depression in older adults. Dementia is a
5. An injury requiring hospitalization cognitive problem. Research does not corre-
late the onset of depression with a milestone
birthday in older adults. A traumatic injury
does not precipitate the onset of depression
in the older adult as often as does a chronic
illness.
8. The nurse observes biting, rocking, suck- 4. Emotional abuse
ing, and lags in intellectual development
in a child. She also concludes the child The child may be neglected if the parent is
is suffering from sleep disorders. What having a mental illness such as psychosis.
could be the reason for the child's condi- Sleep disorders, feeding disorders, biting,
tion? rocking, sucking, and lags in intellectual de-
velopment are behavioral findings associat-
1. Physical neglect ed with emotional abuse. Physical neglect,
2. Sexual abuse sexual abuse, and physical abuse manifest in
3. Physical abuse different sets of signs and symptoms.
4. Emotional abuse
9. Which emotional condition may be appar- 2. Social isolation
ent in a client with an addiction?
Social isolation is an emotional condition that
1. Insomnia may be apparent in a client with an addic-
2. Social isolation tion. Insomnia, acute confusion, and func-
3. Acute confusion tional urinary incontinence are physical, not
4. Functional urinary incontinence emotional, conditions that may be apparent
in clients with addiction.
10. A client who has been battling cancer of 1. Sit down quietly next to the bed and allow
the ovary for 7 years is admitted to the her to cry.
hospital in a debilitated state. The health-
care provider tells the client that she is too Sitting down quietly next to the bed and al-
