HESI RN Mental
Health Exam Prep
Questions &
Knowledge Review
,HESI RN Mental Health Exam Prep Questions & Knowledge Review
A married male client with three children has lost his job and states that he feels useless. He is
tearful, upset, and embarrassed. What is an appropriate objective of care for this client?
The loss of a job can precipitate negative feelings about the self and decrease self-esteem.
Feelings should be expressed, not limited; attempting to decrease a client's crying often ends
up worsening it. Crying is not necessarily an expression of sadness; other feelings are involved.
The focus should be on the client's self-acceptance, not acceptance by others.
A 44-year-old client has been unable to function since her husband asked for a divorce 2 weeks
ago. She is brought to the crisis intervention center by a friend. What type of crisis is this
situation?
Situational crises involve an unanticipated loss, such as a divorce, that is threatening to the
client. Social crises involve multiple losses such as those occurring during major disasters.
Maturational crises occur in response to stress experienced as one struggles with
developmental tasks. Developmental (maturational) crises are associated with developmental
tasks; divorce is not a developmental task.
A resident in a nursing home recently immigrated to the United States from Italy. How does the
nurse plan to provide emotional support?
1. By offering choices consistent with the client's heritage
2. By ensuring that the client understands American beliefs
,HESI RN Mental Health Exam Prep Questions & Knowledge Review
3. By assisting the client in adjusting to the American culture
4. By correcting the client's misconceptions about appropriate health practices - correct
answer 1. By offering choices consistent with the client's heritage
Adherence to a plan of care is enhanced by the nurse's providing choices consistent with the
client's cultural beliefs and practices. The nurse's cultural or personal beliefs and biases should
not influence or interfere with the implementation of appropriate care. Helping the client
adjust to the American culture is not the priority at this time; care should be adapted to the
client's needs and culture. The person's cultural practices should not be addressed unless they
are detrimental to the person's health.
A nurse should reassess an older adult client's needs and current plan of care when the client's
behavior indicates the development of what symptom?
The development of confusion indicates that the client's ability to maintain equilibrium has not
been achieved and that further disequilibrium is occurring. Hypochondriasis and additional
complaints do not indicate that the plan needs to be changed unless the client's history
demonstrates no prior use of these defenses. Increased socialization is a positive response to
the plan of care that does not require reassessment.
An injured child is brought to the emergency department by the parents. While interviewing
the parents, the nurse begins to suspect child abuse. Which parental behaviors might support
this conclusion? Select all that apply.
1. Demonstrating concern for the injured child
2. Focusing on the child's role in sustaining the injury
3. Changing the story of how the child sustained the injury
4. Asking questions about the injury and the child's prognosis
5. Giving an explanation of how the injury occurred that is not consistent with the injury -
correct answer 2. Focusing on the child's role in sustaining the injury
3. Changing the story of how the child sustained the injury
5. Giving an explanation of how the injury occurred that is not consistent with the injury
The child is often made the scapegoat in the situation; the parents blame the child because
they have unrealistic expectations of the child. Discrepancies or inconsistencies in the history
result from attempts to present a story that is not based in fact. Discrepancies between the
parental explanation for the child's injuries and the physical findings or discrepancies in the
history that each parent gives are common because 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.
A nurse is planning to teach a client about 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
anxiety tend to blur the individual's perceptions and interfere with functioning. Attention is
severely reduced by panic. The perceptual field is greatly reduced with severe anxiety and
narrowed with moderate anxiety.
A nurse is caring for depressed older adults. What precipitating factors for depression are most
common in the older adult without cognitive problems? Select all that apply.
1. Dementia
2. Multiple losses
3. Declines in health
4. A milestone birthday
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