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HESI NSG 221 - Mental Health Case Studies Answer 2024
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HESI NSG 221: Mental Health CaseStudies Answer 2024
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
,HESI NSG 221: Mental Health Case
Studies Answer 2024
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 Case
Studies Answer 2024
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:
, HESI NSG 221: Mental Health Case
Studies Answer 2024
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
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