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NSG 221 HESI FINAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS
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NSG 221 HESI FINAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS
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HESI NSG 221 MENTAL HEALTH EXAM QUESTIONSWITH COMPLETE SOLUTIONS
Countertransference - CORRECT ANSWER-Countertransference occurs when the therapist displaces onto
the client attitudes or feelings from his or her past. For example, a female nurse who has teenage
children and who is experiencing extreme frustration with an adolescent client may respond by adopting
a parental or chastising tone. The nurse is countertransfering her own attitudes and feelings toward her
children onto the client. Nurses can deal with countertransference by examining their own feelings and
responses, using self-awareness, and talking with colleagues.
Tardive Dyskinesia - CORRECT ANSWER-Tardive dyskinesia (TD), a syndrome of permanent involuntary
movements, is most commonly caused by the long-term use of conventional antipsychotic drugs.
Tongue thrusting and protruding, lip smacking, blinking, grimacing, and other excessive unnecessary
facial movements are characteristic. After it has developed, TD is irreversible, although decreasing or
discontinuing antipsychotic medications can arrest its progression
Civial Rights-Psychiatric Clients - CORRECT ANSWER-Clients receiving mental health care retain all civil
rights afforded to all people except the right to leave the hospital in the case of involuntary
commitment. Any restrictions (e.g., mail, visitors, clothing) must be made for a verifiable, documented
reason. These decisions can be made by a court or a designated decision-making person or persons, for
example, a primary nurse or treatment team, depending on local laws or regulations.
Group Therapy - CORRECT ANSWER-In group therapy, clients participate in sessions with a group of
people. The members share a common purpose and are expected to contribute to the group to benefit
others and receive benefit from others in return. Group rules are established, which all members must
observe. These rules vary according to the type of group. Being a member of a group allows the client to
learn new ways of looking at a problem or ways of coping with or solving problems and also helps him or
her learn important interpersonal skills.
Crisis Intervention-Empathy - CORRECT ANSWER-Empathy is the ability to place oneself into the
experience of another for a moment in time. Nurses develop empathy by gathering as much information
about an issue as possible directly from the client to avoid interjecting their personal experiences and
interpretations of the situation. The nurse asks as many questions as needed to gain a clear
understanding of the client's perceptions of an event or issue.
HESI NSG 221 Mental Health Exam questions with complete solutions
,Clarification Communication - CORRECT ANSWER-Understanding the context of communication is
extremely important in accurately identifying the meaning of a message. To clarify context, the nurse
must gather information from verbal and nonverbal sources and validate findings with the client.
Depressed Adolescent Rapport (use of self disclosure) - CORRECT ANSWER-Self-disclosure means
revealing personal information such as biographical information and personal ideas, thoughts, and
feelings about oneself to clients. Now, however, it is believed that some purposeful, well-planned self-
disclosure can improve rapport between the nurse and the client. The nurse can use self-disclosure to
convey support, educate clients, and demonstrate that a client's anxiety is normal and that many people
deal with stress and problems in their lives.
Depressed Adolescent Rapport (Establishing Rapport) - CORRECT ANSWER-When assessing a new
patient, establish rapport first. If not much time is available to establish rapport, or if the patient is
guarded or suspicious, you can say, "The questions I am about to ask you I ask all of my patients," and
then proceed. Some other tips include the following:
Establish rapport and connection by showing interest in the patient and by listening.
Codependent Behaviors & Alcohol Abuse - CORRECT ANSWER-Codependence is a maladaptive coping
pattern on the part of family members or others resulting from a prolonged relationship with the person
who uses substances. Characteristics of codependence are poor relationship skills, excessive anxiety and
worry, compulsive behaviors, and resistance to change. Family members learn these dysfunctional
behavior patterns as they try to adjust to the behavior of the substance user. One type of codependent
behavior is called enabling, which is a behavior that seems helpful on the surface but actually
perpetuates the substance use.
Clonidine (Catapress) - CORRECT ANSWER-Suppresses opiate withdrawal symptoms
It is given to clients with opiate dependence to suppress some effects of withdrawal or abstinence. It is
most effective against nausea, vomiting, and diarrhea, but produces modest relief from muscle aches,
anxiety, and restlessness
is an alpha-2-adrenergic agonist used to treat hypertension. It is given to clients with opiate dependence
to suppress some effects of withdrawal or abstinence. It is most effective against nausea, vomiting, and
diarrhea, but produces modest relief from muscle aches, anxiety, and restlessness
Disulfiram (Antabuse) - CORRECT ANSWER-Maintains abstinence from alcohol
HESI NSG 221 Mental Health Exam questions with complete solutions
, Disulfiram (Antabuse) may be prescribed to help deter clients from drinking. If a client taking disulfiram
drinks alcohol, a severe adverse reaction occurs with flushing, a throbbing headache, sweating, nausea,
and vomiting. In severe cases, severe hypotension, confusion, coma, and even death may result.
Alcohol Detoxification - CORRECT ANSWER-Alcohol detoxification through pharmacologic means
generally takes place in a hospital setting but may occur in the home. The home care nurse shares the
responsibility for teaching patients how to use chlordiazepoxide effectively and how to recognize
medication responses that should be reported to the health care provider. The nurse instructs the
patient and/or caregivers to recognize signs and symptoms of alcohol withdrawal and reviews the
pharmacologic treatment regimen with them.
Anxiety Cognitive Behavioral Techniques - CORRECT ANSWER-Cognitive-behavioral therapy (CBT) is used
successfully to treat anxiety disorders.
Positive reframing means turning negative messages into positive messages
Decatastrophizing involves the therapist's use of questions to more realistically appraise the situation.
Assertiveness training helps the person take more control over life situations. These techniques help the
person negotiate interpersonal situations and foster self-assurance. They involve using "I" statements to
identify feelings and to communicate concerns or needs to others.
Valproic Acid (Depakote) Monitoring Lab - CORRECT ANSWER-Valproic acid (Depakote), also known as
divalproex sodium or sodium valproate, is an anticonvulsant used for simple absence and mixed
seizures, migraine prophylaxis, and mania. The mechanism of action is unclear. Therapeutic levels are
monitored periodically to remain at 50 to 125 µg/mL, as are baseline and ongoing liver function tests,
including serum ammonia levels and platelet and bleeding times.
Antisocial Personality Disorder - CORRECT ANSWER-Disregard for rights of others, rules, and laws.
People with antisocial personality disorder generally do not seek treatment voluntarily unless they
perceive some personal gain from doing so.
Clients with antisocial personality disorder have an established pattern of reacting impulsively when
confronted with problems. The nurse can teach problem-solving skills and help clients practice them
HESI NSG 221 Mental Health Exam questions with complete solutions
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