HESI PSYCH / MENTAL HEALTH EXAM 2024 A client says to a 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." The therapeutic response by the nurse is: 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." 4) "Well, it sounds like you're being pretty pessimistic. After all, years ago, people died of pneumonia." - correct answer 3) "You're feeling angry that your family continues to hope for you to be cured."
On review of the client's record, the nurse notes that the admission was voluntary. Based on this information, the nurse anticipates which client behavior: 1) Fearfulness regarding treatment measures 2) Anger and aggressiveness directed towards others 3) An understanding of the pathology and symptoms of the diagnosis. 4) A willingness to participate in the planning the care and treatment plan. - correct answer 4) A willingness to participate in the planning the care and treatment plan.
A nurse is preparing a client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task appropriate for this phase? 1) Planning short-term goals 2) Making appropriate referrals 3) Developing realistic solutions
4) Identifying expected outcomes - correct answer 2) Making appropriate referrals
The nurse calls security and has physical restrains applied when a client who was admitted voluntarily becomes both physically and verbally abusive while demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply. 1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment - correct answer 2) Battery
3) Assault
5) False Imprisonment
A nurse is working with a client who has sought counseling after trying to rescue a neighbor involved in a
house fire. Despite the client's efforts, the neighbor died. Which action does the nurse engage in with the client during the working phase of the nurse-client relationship? 1) Exploring the client's ability to function
2) Exploring the client's potential for self-harm 3) Inquiring about the client's perception of appraisal of the neighbor's death 4) Inquiring about and examine the client's feelings that may block adaptive coping - correct answer 4) Inquiring about and examine the client's feelings that may block adaptive coping
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this behavior as indicating which defense mechanism? 1) Denial
2) Projection
3) Rationalization 4) Intellectualization - correct answer 1) Denial
Unresolved feelings related to loss most likely may be recognized during which phase of the therapeutic nurse-client relationship? 1) Working 2) Trusting 3) Orientation
On review of the client's record, the nurse notes that the admission was voluntary. Based on this information, the nurse anticipates which client behavior: 1) Fearfulness regarding treatment measures 2) Anger and aggressiveness directed towards others 3) An understanding of the pathology and symptoms of the diagnosis. 4) A willingness to participate in the planning the care and treatment plan. - correct answer 4) A willingness to participate in the planning the care and treatment plan.
A nurse is preparing a client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task appropriate for this phase? 1) Planning short-term goals 2) Making appropriate referrals 3) Developing realistic solutions
4) Identifying expected outcomes - correct answer 2) Making appropriate referrals
The nurse calls security and has physical restrains applied when a client who was admitted voluntarily becomes both physically and verbally abusive while demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply. 1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment - correct answer 2) Battery
3) Assault
5) False Imprisonment
A nurse is working with a client who has sought counseling after trying to rescue a neighbor involved in a
house fire. Despite the client's efforts, the neighbor died. Which action does the nurse engage in with the client during the working phase of the nurse-client relationship? 1) Exploring the client's ability to function
2) Exploring the client's potential for self-harm 3) Inquiring about the client's perception of appraisal of the neighbor's death 4) Inquiring about and examine the client's feelings that may block adaptive coping - correct answer 4) Inquiring about and examine the client's feelings that may block adaptive coping
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this behavior as indicating which defense mechanism? 1) Denial
2) Projection
3) Rationalization 4) Intellectualization - correct answer 1) Denial
Unresolved feelings related to loss most likely may be recognized during which phase of the therapeutic nurse-client relationship? 1) Working 2) Trusting 3) Orientation
