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2024 HESI Test Bank Mental Health Guaranteed A+ Actual Questions and Answers, Complete 100%
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2024 HESI Test Bank Mental Health Guaranteed A+ Actual Questions and Answers, Complete 100%

Voorbeeld 4 van de 484  pagina's

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  • 21 juni 2024
  • 484
  • 2023/2024
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Voorbeeld van de inhoud

2024 HESI Test Bank Mental Health Guaranteed A+ Actual Questions and Answers, Complete 100% • 1: A nurse is assessing a client with depression. The client states, "I feel so worthless and hopeless." Which response by the nurse is most therapeutic? • a. "Everyone feels like that sometimes." • b. "You shouldn't feel that way." • c. "I'm sorry you're feeling this way. Can you tell me more about it?" • d. "Why do you think you're feeling worthless?" A: c. "I'm sorry you're feeling this way. Can you tell me more about it?" • Rationale: Option c demonstrates empathy and encourages the client to express their feelings, fostering therapeutic communication. • 2: During a group therapy session, a client with anxiety begins to hyperventilate. The nurse's immediate action should be to: • a. Tell the client to breathe slowly. • b. Ask the client to leave the group room. • c. Ignore the behavior to prevent attention -seeking. • d. Call for assistance and stay with the client. A: d. Call for assistance and stay with the client. • Rationale: This response ensures client safety and supports therapeutic presence, which is crucial during an anxiety attack. • 3: A client with schizophrenia tells the nurse, "I hear voices telling me I'm worthless." The nurse responds, "I understand you're experiencing distressing voices." This response demonstrates: • a. Empathy. • b. Confrontation. • c. Disinterest. • d. Reassurance. A: a. Empathy. • Rationale: The nurse acknowledges the client's feelings with empathy, validating their experience without reinforcing delusions. • 4: A client with bipolar disorder is irritable and refuses to take medications. The nurse responds, "You need to take your medications. It's important for your health." This response is: • a. Therapeutic. • b. Judgmental. • c. Reassuring. • d. Assertive. A: b. Judgmental. • Rationale: This response is directive and may alienate the client. A more therapeutic approach involves exploring reasons for refusal and offering choices. • 5: A client with dementia repeatedly asks about their deceased spouse. The nurse responds, "Your spouse passed away five years ago." This response is: • a. Therapeutic. • b. Reality -oriented. • c. Empathetic. • d. Distracting. A: b. Reality -oriented. • Rationale: This response provides factual information in a gentle manner, supporting the client's need for reality orientation. • 6: A client with PTSD becomes angry during a therapy session and starts yelling. The nurse's initial action should be to: • a. Ask the client to leave the session. • b. Yell back at the client to assert authority. • c. Remain calm and non -confrontational. • d. Call for security to restrain the client. A: c. Remain calm and non -confrontational. • Rationale: This response helps de -escalate the situation and maintains a therapeutic environment. • 7: A client with schizophrenia states, "I am the President of this hospital." The nurse responds, "Let's talk about something else." This response is: • a. Therapeutic. • b. Confrontational. • c. Encouraging reality testing. • d. Ignoring the delusion. A: d. Ignoring the delusion. • Rationale: This response avoids reinforcing the delusion and gently redirects the conversation. • 8: A client with borderline personality disorder says to the nurse, "You're always against me!" The nurse responds, "It sounds like you're feeling like I'm against you right now." This response demonstrates: • a. Reflection. • b. Deflection. • c. Clarification. • d. Validation. A: d. Validation. • Rationale: The nurse acknowledges the client's feelings without agreeing or disagreeing, fostering therapeutic communication. • 9: A client with schizophrenia believes they have magical powers. The nurse responds, "Tell me more about these powers you believe you have." This response demonstrates: • a. Therapeutic communication. • b. Disbelief. • c. Validation of delusions. • d. Encouragement of fantasy. A: a. Therapeutic communication. • Rationale: This response encourages the client to express their beliefs, which can provide insight into their thought processes. • 10: A client with depression tells the nurse, "I wish I were dead." The nurse responds, "I'm concerned to hear you say that. Can we talk about how you're feeling right now?" This response is: • a. Therapeutic. • b. Confrontational. • c. Dismissive. • d. Distracting. A: a. Therapeutic. • Rationale: The response shows empathy and encourages further discussion about the client's feelings, addressing suicidality directly. • 11: A client with schizophrenia believes their food is poisoned. The nurse responds, "I understand you're afraid your food might harm you." This response demonstrates: • a. Validation. • b. Confrontation. • c. Dismissal. • d. Reassurance. A: a. Validation. • Rationale: The nurse acknowledges the client's fear without agreeing or disagreeing, validating their experience. • 12: A client with OCD spends excessive time washing hands. The nurse responds, "I see you're washing your hands fre uently. Can you tell me more about why you feel the need to do that?" This response is: • a. Confrontational. • b. Distracting. • c. Therapeutic. • d. Indicative of disbelief. A: c. Therapeutic. • Rationale: The nurse shows interest in understanding the client's behavior without judgment, fostering therapeutic communication. • 13: A client with PTSD becomes tearful during a therapy session. The nurse responds, "It's okay to cry. I'm here to listen." This response demonstrates: • a. Therapeutic communication. • b. Dismissal of emotions. • c. Encouragement of dependence. • d. Avoidance of the issue. A: a. Therapeutic communication. • Rationale: The nurse acknowledges the client's emotions and offers support, promoting a therapeutic environment. • 14: A client with anxiety says to the nurse, "I can't stop worrying about everything." The nurse responds, "Have you tried distracting yourself when you feel this way?" This response is: • a. Therapeutic. • b. Dismissive. • c. Judgmental.

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