HESI MENTAL HEALTH V6 MID EXAM 2024 QUESTIONS WITH REVISED ANSWERS VERIFIED BY EXPERTS AND GRADED A+
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Course
HESI MENTAL HEALTH
Institution
HESI MENTAL HEALTH
HESI MENTAL HEALTH V6 MID EXAM 2024
QUESTIONS WITH REVISED ANSWERS VERIFIED BY EXPERTS AND GRADED A+
HESI MENTAL HEALTH V6 MID EXAM 2024
QUESTIONS WITH REVISED ANSWERS VERIFIED BY EXPERTS AND GRADED A+
HESI MENTAL HEALTH V6 MID EXAM 2024
QUESTIONS WITH REVISED ANSWERS VERIFIED BY EXPERTS ...
HESI MENTAL HEALTH V6 MID EXAM 2024
QUESTIONS WITH REVISED ANSWERS VERIFIED
BY EXPERTS AND GRADED A+
A client who is on a 30-day commitment to a drug rehab unit, ask the nurse if he can go for a walk on
the grounds of the treatment center. When he is told that his privileges do not include walking on the
grounds, the client becomes verbally abusive. What responses are appropriate for the nurse to use?
(select all that apply)
A. Call a staff member to escort the client to his room
B. Ask the client to talk about what is causing him to upset
C. Ignore the client inappropriate behavior
D. Remind the client of the unit rules
E. Tell the client to talk to his healthcare provider about his privileges - ANSWERS -B. Ask the client to
talk about what is causing him to upset
D. Remind the client of the unit rules
Rationale: Therapeutic responses to disruptive behavior should start with the nurse's reflective
interpretation of the client's distress followed with an open ended statement . "You seem upset; tell me
about it." A discussion of unit rules also provides an opportunity to explain how to obtain privileges to
walk the grounds. The other options are not appropriate ways to respond to this situation.
At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of
the members what kind of things she would like to do with the group. The older women shrugs her
shoulders and says. "You tell me, you're the leader". What is the best response for the nurse to make?
A. "Yes I am the leader today. Would you like to be the leader tomorrow."
B. "Yes, I will be leading this group. What would you like to accomplish during this time."
C. "Yes, I have been assigned to be the leader of this group. I will be here for the next 6 weeks.
D. "Yes, I am the leader. You seem angry about not being the leader yourself." - ANSWERS -B. "Yes, I will
be leading this group. What would you like to accomplish during this time."
,Rationale: Anxiety over participation in a group and testing of the leader characteristically occur in the
initial phase of group dynamics. (B) provides information and focuses the group back to defining its
function.
Over a period of several weeks. one male participant of a socialization group at a community daycare
center for the elderly monopolizes most of the groups time and interrupts others when they are talking.
What is the best action for the nurse to take in this situation.
A. Talk to the client outside the group about his behavior during group meetings.
B. Remind the client to allow others in the group a chance to talk
C. Allow the group to handle the problem
D. Ask the client to join another group - ANSWERS -C. Allow the group to handle the problem
Rationale: After several weeks, the group is in the working phase and the group members should be
allowed to determine the direction of the group. The nurse should ignore the client's comments and
allow the group to handle the situation.
An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care
facility and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse
to provide?
A. Anywhere you want to stand as long as you don't get hurt by those in the parade
B. You are confused because of all the activity in the hall. There is no parade
C. Let's go back to the activity room and see whats going on in there
D. Remember I told you that this is a nursing home and I am your nurse - ANSWERS -C. Let's go back to
the activity room and see whats going on in there
Rationale: It is common for those with Alzheimer's disease to use the wrong words. Redirecting the
client (using an accepting non-judgmental dialogue) to a softer place and familiar activities (C) is most
helpful because clients experience short-term memory loss.
Physical examination of a 6 year old reveals several bite marks in various locations on his body. X-ray
examination revealed healed fractures of the ribs. The mother tells the nurse that her child is always
having accidents. Which initial response by the nurse is most important.
A. I need to inform the health care provider about your child's tendency to be accident prone.
, C. I must report these injuries to the authorities because they do not seem accidental.
D. Boys this age always to require more supervision and can be quite accident prone. - ANSWERS -B. Tell
me more specifically about your child's accidents
Rationale: (B) seeks more information using an open ended, non-threatening statement.
A child is brought to the emergency room with a broken arm. Because of these injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child an injection, the child
mother becomes very loud and shouts."I won't leave my son! Don't you touch him! You'll hurt my child."
What is the best interpretation of the mother's statement? The mother is
A. Regressing to an earlier behavior pattern
B. Sublimating her anger
C. Projecting her feelings onto the nurse
D. Suppressing her fear - ANSWERS -C. Projecting her feelings onto the nurse
Rationale: Projection is attributing one's own thoughts, impulses, or behaviors onto another -- it is the
mother who is probably harming the child and she is attributing her actions to the nurse.
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia. When her tray is
brought to her, she refuses to eat and tells the nurse. "i know you are trying to poison me with food."
Which response would be most important for the nurse to make?
A. I'll leave your tray here. I am available if you need anything else
B. You are not being poisoned. Why do you think someone is trying to poison you
C. No one on this unit has ever died from poisoning. You are safe here.
D. I will talk to your healthcare provider about the possibility of changing your diet - ANSWERS -A. I'll
leave your tray here. I am available if you need anything else
Rationale: (A) is the best choice cited. The nurse does not argue with the client nor demand that she eat,
but offers support by agreeing to "be there if needed," e.g. to warm the food.
A 25-year-old female client has been particularly restless and the nurse finds her trying to leave the
psychiatric unit. She tells the nurse "Please let me go I must leave because the secret police are after
me." which is best for the nurse to make?
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