HESI RN Mental Health Exam (25 Versions, 1500+ Q & A, Newest-2023) / RN HESI Mental Health Exam / Mental Health HESI RN Exam / Mental Health RN HESI Exam |Real + Practice Exam|
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Course
HESI RN Mental Health
Institution
HESI RN Mental Health
HESI RN Mental Health Exam (25 Versions, 1500+ Q & A,
Newest-2023) / RN HESI Mental Health Exam / Mental Health
HESI RN Exam / Mental Health RN HESI Exam |Real + Practice
Exam|
1. A female client with obsessive-compulsive disorder (OCD) is describing her
obsessions and compulsions and asks ...
HESI RN Mental Health Exam (25 Versions, 1500+ Q & A,
Newest-2023) / RN HESI Mental Health Exam / Mental Health
HESI RN Exam / Mental Health RN HESI Exam |Real + Practice
Exam|
1. A female client with obsessive-compulsive disorder (OCD) is describing her
obsessions and compulsions and asks the nurse why these make her feel safer.
What information should the nurse include in this client's teaching plan? (Select
all that apply.)
A. Compulsions relieve anxiety. Correct
B. Anxiety is the key reason for OCD. Correct
C. Obsessions cause compulsions.
D. Obsessive thoughts are linked to levels of
neurochemicals. CorrectE. Antidepressant medications
increase serotonin levels. Correct
Correct choices are (A, B, D, and E). To promote client understanding and
compliance, the teaching plan should include explanations about the origin and
treatment options of OCD symptomology. Compulsions are behaviors that help
relieve anxiety (A), which is a vague feeling related to unknown fears, that
motivate behavior (B) to help the client cope and feel secure. All obsessions (C)
do not result in compulsive behavior. OCD is supported by the neurophysiology
theory, which attributes a diminished level of neurochemicals (D), particularly
,serotonin, and responds to selective serotonin reuptake inhibitors (SSRI).
2. The nurse observes a female client with schizophrenia watching the news
on TV. She begins to laugh softly and says, "Yes, my love, I'll do it." When the
nurse questions the client about her comment she states, "The news
,commentator is my lover and he speaks to me each evening. Only I can
understand what he says." What is the best response for the nurse to make?
A. What do you believe the news commentator said to you? Correct
B. Let's watch news on a different television channel.
C. Does the news commentator have plans to harm you or others?
D. The news commentator is not talking to you.
It is imperative that the nurse determine what the client believes she heard (A).
The idea of reference may be to hurt herself or someone else, and the main
function of a psychiatric nurse is to maintain safety. (B) is acceptable, but it is
best to determine the client's beliefs. (C) is validating the idea of reference,
while (D) is challenging the client.
3. A 40-year-old male client diagnosed with schizophrenia and alcohol
dependence has not had any visitors or phone calls since admission. He
reports he has no family that cares about him and was living on the streets
prior to this admission. According to Erikson's theory of psychosocial
development, which stage is the client in at this time?
A. Isolation.
B. Stagnation. Correct
C. Despair.
D. Role confusion.
, The client is in Erikson's "Generativity vs. Stagnation" stage (age 24 to 45), and
meeting the task includes maintaining intimate relationships and moving toward
developing a family (B). (A) occurs in young adulthood (age 18 to 25), (C) occurs
in maturity (age 45 to death), and (D)
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