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Psych-Mental Health Exit HESI - Saunders 2025 Questions with 100% Correct Answers | Verified | Updated 2025 / 2026 $12.99
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Psych-Mental Health Exit HESI - Saunders 2025 Questions with 100% Correct Answers | Verified | Updated 2025 / 2026

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Psych-Mental Health Exit HESI - Saunders 2025 Questions with 100% Correct Answers | Verified | Updated 2025 / 2026

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  • February 1, 2024
  • 143
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • Psych HESI
  • Psych HESI
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NurseFerian
Psych/Mental Health Exit HESI - Saunders

1. The home care nurse is visiting an older client whose spouse died 6

months ago. Which behavior by the client indicates ineffective coping?


1. Neglecting personal grooming

2. Looking at old snapshots of family

3. Participating in a senior citizens' program

4. Visiting their spouse's grave once a month: 1. Neglecting personal

grooming



Rational:

Coping mechanisms are behaviors used to decrease stress and anxiety.

In response to a death, ineffective coping is manifested by an extreme

behavior that in some cases may be harmful to the individual physically

or psychologically. The correct option is indicative of a behavior that

identifies an ineffective coping behavior in the grieving process.

2. A client with a diagnosis of major depression who has attempted suicide

says to the nurse, "I should have died. I've always been a failure. Nothing

ever goes right for me." Which response demonstrates therapeutic


,communica- tion?



1. "You have everything to live for."

2. "Why do you see yourself as a failure?"

3. "Feeling like this is all part of being depressed."

4. "You've been feeling like a failure for a while?": 4. "You've been feeling

like a failure for a while?"



Rationale:

Responding to the feelings expressed by a client is an effective

therapeutic com- munication technique. The correct option is an

example of the use of restating.

The remaining options block communication because they minimize

the client's experience and do not facilitate exploration of the client's

expressed feelings. In addition, use of the word "why" is

nontherapeutic.

3. When the mental health nurse visits a client at home, the client states,

"I haven't slept at all the last couple of nights." Which response by the

nurse illustrates a therapeutic communication response to this client?



,1. "I see."

2. "Really?"

3. "You're having difficulty sleeping?"

4. "Sometimes, I have trouble sleeping too.": 3. "You're having difficulty

sleep-






, ing?"


Rationale:

The correct option uses the therapeutic communication technique of

restatement. Although restatement is a technique that has a prompting

component to it, it repeats the client's major theme, which assists the

nurse to obtain a more specific perception of the problem from the

client. The remaining options are not therapeutic responses since none

encourage the client to expand on the problem. Offering personal

experiences moves the focus away from the client and onto the nurse.

4. A client experiencing disturbed thought processes believes that his food

is being poisoned. Which communication technique should the nurse use to

encourage the client to eat?



1. Using open-ended questions and silence

2. Sharing personal preference regarding food choices

3. Documenting reasons why the client does not want to eat

4. Offering opinions about the necessity of adequate nutrition: 1.

Using open-ended questions and silence

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