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Mental Health Exam: NCLEX Remediation Course Nov 2021 https://jerseycollege.instructure.com/courses/2491/quizzes/27613 1/126 Session 3 Exam 5 - Focus on Mental Health Exam Due Dec$40.49
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Mental Health Exam: NCLEX Remediation Course Nov 2021 https://jerseycollege.instructure.com/courses/2491/quizzes/27613 1/126 Session 3 Exam 5 - Focus on Mental Health Exam Due Dec
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Course
NURSING CARE
Institution
NURSING CARE
Mental Health Exam: NCLEX Remediation Course Nov 2021
Session 3 Exam 5 - Focus on Mental Health Exam
Due Dec 27 at 11:59pm Points 99 Questions 99
Available Dec 21 at 12am - Jan 2, 2022 at 11:59pm 13 days
Time Limit 150 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 13 minutes 9...
12/27/21, 7:31 PM Session 3 Exam 5 - Focus on Mental Health Exam: NCLEX Remediation Course Nov 2021
Session 3 Exam 5 - Focus on Mental Health Exam
Due Dec 27 at 11:59pm Points 99 Questions 99
Available Dec 21 at 12am - Jan 2, 2022 at 11:59pm 13 days
Time Limit 150 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 13 minutes 99 out of 99
Score for this quiz: 99 out of 99
Submitted Dec 27 at 7:31pm
This attempt took 13 minutes.
Question 1 pts
A nurse overhears a hospitalized client with mania telling another client,
“I’m actually a journalist writing an article for a magazine — I’m just posing
as a person with mental illness.” How should the nurse respond?
Supporting the client’s denial of illness
Ignoring the delusion
Correct!
Presenting the client with the actual situation
,12/27/21, 7:31 PM Session 3 Exam 5 - Focus on Mental Health Exam: NCLEX Remediation Course Nov 2021
Rationale: When dealing with a delusional client, it is important for
the nurse to state clearly that the nurse does not share the client’s
perceptions. All three of the other options — ignoring the delusion,
taking the client to a quiet room, and supporting the client’s denial
of illness — do not focus on reality, and they ignore the issue.
Presenting the client with the actual situation helps orient the client
to reality.
Test-Taking Strategy: Use the process of elimination and your
knowledge that reality orientation is the priority. The correct option
illustrates a means of helping orient the client to reality. Review
care of the client experiencing delusions if you had difficulty with
this question.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial integrity
Integrated Process: Nursing Process/Implementation
Content Area: Mental Health
Giddens Concepts: Communication, Psychosis
HESI Concepts: Cognition – Psychosis, Stress and Coping –
Caregiving
Reference: Varcarolis, E. (2013). Essentials of Psychiatric Mental
Health Nursing: A communication approach to evidence-based
care. (revised reprint)) (2nd ed. pp. 305, 318-320). St. Louis:
Saunders.
Question 2 pts
A client who is hallucinating fearfully says to the nurse, “Please tell that
demon to get out.” How should the nurse respond to the client?
Correct!
“I know you must be very upset by this, but I don’t see a demon.”
“If you tell the demon to go away, it will.”
“I’ll stay here with you until the demon leaves your room.”
,12/27/21, 7:32 PM Session 3 Exam 5 - Focus on Mental Health Exam: NCLEX Remediation Course Nov 2021
“If you return to bed, you will find that the demon will leave.”
Rationale: If the client hallucinates, it is best to provide reality-
based perceptions and not negate the client’s experience, because
this may lead to a regressive struggle with the client. Giving advice
or false reassurance is incorrect because such techniques indicate
that demons actually are present, which feeds into the client’s
hallucination and reinforces the client’s behavior.
Test-Taking Strategy: Use your knowledge of therapeutic
communication techniques, noting that the client is hallucinating.
Remember that it is most important to maintain reality with the
client. This will direct you to the correct option. Review
communication techniques for the client who is hallucinating if you
had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Content Area: Mental Health
Giddens Concepts: Communication, Psychosis
HESI Concepts: Cognition – Psychosis, Communication
References: Stuart, G. (2013). Principles & practice of psychiatric
nursing (10th ed., pp. 25-29). St. Louis: Mosby.
Varcarolis, E. (2013). Essentials of Psychiatric Mental Health
Nursing: A communication approach to evidence-based care.
(revised reprint)) (2nd ed. p. 320). St. Louis: Saunders.
Question 3 pts
The mother of a 3-year-old says, “My child hit his teddy bear after being
scolded for picking the neighbors’ flowers.” Which defense mechanism
was the child using?
, 12/27/21, 7:32 PM Session 3 Exam 5 - Focus on Mental Health Exam: NCLEX Remediation Course Nov 2021
Projection
Identification
Sublimation
Rationale: The defense mechanism of displacement involves the
discharge of intense feelings for one person onto a less
threatening substitute person or object to satisfy an impulse.
Projection involves attributing an attitude, behavior, or impulse to
someone else, such as that which occurs in blaming or
scapegoating. Sublimation is rechanneling an impulse into a more
socially acceptable object. Identification involves modeling
behavior after someone else's.
Test-Taking Strategy: Use the process of elimination and your
knowledge regarding defense mechanisms. Focusing on the
child’s behavior will direct you to the correct option. Review these
defense mechanisms if you had difficulty with this question.
Level of Cognitive Ability: Understanding
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Analysis
Content Area: Mental Health
Giddens Concepts: Development, Coping
HESI Concepts: Developmental, Stress and Coping
Reference: Varcarolis, E. (2013). Essentials of Psychiatric Mental
Health Nursing: A communication approach to evidence-based
care. (revised reprint)) (2nd ed. pp. 171, 173). St. Louis: Saunders.
Question 4 pts
A client says to the nurse, “Even though my husband and I keep telling
them we don’t want to have children, our parents are pressuring us to
‘start a family.’ What should we say to them?” Which of the following
responses by the nurse is therapeutic?
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