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DC BOILER EXAM ACTUAL EXAM COMPLETE 240 QUESTIONS AND CORRECT DETAILED ANSWERS VERIFIED ANSWERS ALREADY GRADED A ALREADY GRADED A 2024 $5.99
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DC BOILER EXAM ACTUAL EXAM COMPLETE 240 QUESTIONS AND CORRECT DETAILED ANSWERS VERIFIED ANSWERS ALREADY GRADED A ALREADY GRADED A 2024

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DC BOILER EXAM ACTUAL EXAM COMPLETE 240 QUESTIONS AND CORRECT DETAILED ANSWERS VERIFIED ANSWERS ALREADY GRADED A ALREADY GRADED A 2024

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  • July 12, 2024
  • 122
  • 2023/2024
  • Exam (elaborations)
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HESI PN MENTAL HEALTH EXAM PREP QUESTIONS &
KNOWLEDGE REVIEW. 285 EXAM QUESTIONS WITH VERIFIED
ANSWERS. LATEST 2024

1. 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?

1. Limiting tearfulness
2. Increasing self-esteem
3. Controlling feelings of sadness
4. Promoting acceptance by others: 2. Increasing self-esteem

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.
2. 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?

1. Social
2. Situational
3. Maturational
4. Developmental: 2. Situational

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.
3. 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
3. By assisting the client in adjusting to the American culture
4. By correcting the client's misconceptions about appropriate health
practices: 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.
4. 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?

1. Confusion
2. Hypochondriasis
3. Additional complaints
4. Increased socialization: 1. Confusion

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.
5. 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: 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.
6. A nurse is planning to teach a client about self-care. What level of
anxiety will best enhance the client's learning abilities?

1. Mild
2. Panic
3. Severe
4. Moderate: 1. Mild

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.
7. 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
5. An injury requiring hospitalization: 2. Multiple losses
3. Declines in health






, Depression in the older adult is most often associated with the loss of family
members and friends (e.g., death, relocation) and declines in mobility, health,
and income. A decline in health, particularly when associated with a chronic
illness, frequently precipitates depression in older adults. Dementia is a cognitive
problem. Research does not correlate 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, sucking, and lags in intellectual
development in a child. She also concludes the child is suffering from
sleep disorders. What could be the reason for the child's condition?

1. Physical neglect
2. Sexual abuse
3. Physical abuse
4. Emotional abuse: 4. Emotional abuse

The child may be neglected if the parent is having a mental illness such as
psychosis. Sleep disorders, feeding disorders, biting, rocking, sucking, and lags
in intellectual development are behavioral findings associated with emotional
abuse. Physical neglect, sexual abuse, and physical abuse manifest in different
sets of signs and symptoms.
9. Which emotional condition may be apparent in a client with an
addiction?

1. Insomnia
2. Social isolation
3. Acute confusion
4. Functional urinary incontinence: 2. Social isolation

Social isolation is an emotional condition that may be apparent in a client with
an addiction. Insomnia, acute confusion, and functional urinary incontinence
are physical, not emotional, conditions that may be apparent in clients with
addiction.
10. A client who has been battling cancer of the ovary for 7 years is
admitted to the hospital in a debilitated state. The healthcare provider tells
the client that she is too frail for surgery or further chemotherapy. When
making rounds during the night, the nurse enters the client's room and
finds her crying. Which is the most appropriate intervention by the nurse?

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