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2023 [NGN] HESI MENTAL HEALTH RN V1-V3 TEST BANK EXAM Q& A BEST SOLUTION GRADED A+.
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2023 [NGN] HESI MENTAL HEALTH RN V1-V3 TEST BANK EXAM Q& A BEST SOLUTION GRADED A+.
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2024 [NGN] HESI MENTAL HEALTH RN V1 -V3 TEST BANK EXAM Q& A BEST SOLUTION GRADED A+. 1. A nurse is communicating with a client who has major depressive disorder. The client states, "I feel like I'm worthless." Which of the following responses is appropriate? a. "You shouldn't feel that way." b. "Everyone feels down sometimes." c. "I'm sorry you're feeling this way. Can you tell me more about what's been going on?" d. "Try to think positively." Answer: c. "I'm sorry you're feeling this way. Can you tell me more about what's been going on?" Rationale : This response shows empathy and encourages the client to express their feelings further, which is essential in therapeutic communication. 2. A client with anxiety disorder expresses fear about an upcoming medical procedure. Which response by the nurse demonstrates therapeutic communication? a. "Don't worry, everything will be fine." b. "Why are you so worried about this?" c. "It's normal to feel anxious before a procedure. What specifically concerns you?" d. "You shouldn't be afraid; it's a routine procedure." Answer: c. "It's normal to feel anxious before a procedure. What specifically concerns you?" Rationale : This response normalizes the client's feelings and opens the door for further discussion about specific concerns. 3. During a group therapy session, a client with bipolar disorder begins to interrupt others frequently. What is the most therapeutic response by the nurse? a. "Please stop interrupting." b. "You need to let others speak." c. "Let's give everyone a chance to share their thoughts." d. "Why do you feel the need to interrupt?" Answer: c. "Let's give everyone a chance to share their thoughts." Rationale : This response gently reminds the client of group rules and encourages respectful communication without being confrontational. 4. A client with schizophrenia reports hearing voices telling them they are worthless. Which response by the nurse is most therapeutic? a. "Those voices aren't real." b. "You shouldn't listen to those voices." c. "I understand that the voices seem real to you, but I do not hear them." d. "Why do you think you hear these voices?" Answer: c. "I understand that the voices seem real to you, but I do not hear them." Rationale : This response acknowledges the client's experience without reinforcing the hallucination, maintaining reality orientation. 5. A nurse is talking to a client who has been diagnosed with borderline personality disorder. The client says, "I hate you, you're just like everyone else." Which response is most appropriate? a. "That's not true." b. "Why do you feel that way?" c. "I'm sorry you feel that way. Can you tell me more about what's bothering you?" d. "You're wrong about me." Answer: c. "I'm sorry you feel that way. Can you tell me more about what's bothering you?" Rationale : This response validates the client's feelings and opens the door for further discussion. 6. A client with obsessive -compulsive disorder (OCD) tells the nurse that they have to wash their hands 50 times a day to feel clean. What is the best response by the nurse? a. "That's excessive. You need to stop doing that." b. "Why do you feel the need to wash your hands so often?" c. "It sounds like hand washing is very important to you. How does it help you feel better?" d. "Washing your hands so much is not good for you." Answer: c. "It sounds like hand washing is very important to you. How does it help you feel better?" Rationale : This response acknowledges the client's behavior and encourages them to discuss their feelings and the function of their compulsion. 7. A nurse is caring for a client with post -traumatic stress disorder (PTSD) who is experiencing a flashback. What is the most appropriate response? a. "You're safe here. Take some deep breaths and try to stay in the present." b. "Snap out of it. You're not in danger." c. "Why are you so upset?" d. "It's all in your mind. You're fine." Answer: a. "You're safe here. Take some deep breaths and try to stay in the present." Rationale : This response provides reassurance and grounding techniques to help the client manage their flashback. 8. A client with depression says, "I don't see any reason to keep living." What is the most appropriate response by the nurse? a. "You have so much to live for." b. "Why do you feel that way?" c. "I'm really concerned about you. Let's talk about what you're feeling." d. "You shouldn't think like that." Answer: c. "I'm really concerned about you. Let's talk about what you're feeling." Rationale : This response expresses concern and opens a dialogue about the client's feelings, which is crucial in assessing the risk of self -harm. 9. A client with schizophrenia believes they are being monitored by the government. Which response by the nurse is most therapeutic? a. "That's not true. You're not being monitored." b. "I don't believe that's happening, but it must be frightening for you to feel that way." c. "Why do you think the government is monitoring you?" d. "You need to stop thinking like that." Answer: b. "I don't believe that's happening, but it must be frightening for you to feel that way." Rationale : This response acknowledges the client's fear without validating the delusion, promoting a therapeutic relationship. 10. During a therapy session, a client with generalized anxiety disorder says, "I can't stop worrying about everything." Which response by the nurse is most therapeutic? a. "You need to relax and stop worrying." b. "Why do you worry so much?" c. "It sounds overwhelming to worry all the time. Can you tell me more about your worries?" d. "Everyone worries sometimes. It's normal." Answer: c. "It sounds overwhelming to worry all the time. Can you tell me more about your worries?" Rationale : This response validates the client's feelings and encourages them to express their concerns, which is essential for therapeutic communication. 11. A client with bipolar disorder in a manic phase tells the nurse, "I can do anything! I'm invincible!" What is the most appropriate response? a. "No, you can't do everything." b. "You're not invincible. You need to calm down." c. "It sounds like you're feeling very energetic and confident right now." d. "Why do you think you're invincible?" Answer: c. "It sounds like you're feeling very energetic and confident right now." Rationale : This response acknowledges the client's feelings without reinforcing delusions of grandeur, maintaining a therapeutic approach. 12. A nurse is discussing treatment options with a client who has been diagnosed with schizophrenia. The client says, "I don't want to take medication because it's poison." Which response is most therapeutic? a. "It's not poison. You need to take it." b. "Why do you think it's poison?" c. "I understand you have concerns about the medication. Can we talk about what worries you?" d. "You have to trust the doctors." Answer: c. "I understand you have concerns about the medication. Can we talk about what worries you?" Rationale : This response shows empathy and invites the client to discuss their fears and concerns, which is crucial in building trust and adherence to treatment. 13. A client with major depressive disorder states, "I just want to end it all." What should the nurse do first? a. "Don't talk like that." b. "You have so much to live for." c. "I'm really concerned about you. Let's ensure you're safe. Can you talk more about how you're feeling?" d. "Why do you want to end your life?" Answer: c. "I'm really concerned about you. Let's ensure you're safe. Can you talk more about how you're feeling?" Rationale : This response expresses concern, prioritizes safety, and opens a dialogue to assess the client's risk of self -harm. 14. A nurse is working with a client who has generalized anxiety disorder. The client says, "I'm constantly worried about my family." What is the most therapeutic response? a. "There's no need to worry about your family." b. "Why do you worry about them?" c. "It sounds like you're very concerned about your family. What specifically worries you?" d. "Everyone worries about their family sometimes." Answer: c. "It sounds like you're very concerned about your family. What specifically worries you?" Rationale : This response validates the client's feelings and encourages them to discuss specific concerns, promoting therapeutic communication. 15. A client with borderline personality disorder tells the nurse, "I feel like no one cares about me." Which response is most therapeutic? a. "That's not true. People do care about you." b. "Why do you feel that way?" c. "It must be very painful to feel that way. Can you tell me more about your feelings?" d. "You shouldn't think like that." Answer: c. "It must be very painful to feel that way. Can you tell me more about your feelings?" Rationale : This response validates the client's feelings and encourages further discussion, which is essential in therapeutic communication. • Question 1: Which statement demonstrates therapeutic communication when interacting with a client experiencing hallucinations? a. "You shouldn't be scared of things that aren't real." b. "I understand that you're seeing something frightening." c. "Let's talk about something else; this topic seems upsetting." d. "Are you sure you're not just imagining things?" Answer: b Rationale: Option b acknowledges the client's experience without denying or challenging their perception, promoting a supportive and empathetic environment. • Question 2: A client with depression tells the nurse, "I'm worthless and a burden to everyone." Which response by the nurse is most therapeutic? a. "No one thinks you'reThe benefits of buying summaries with Stuvia:
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