HESI- Behaviors questions and answers 2022.

HESI- Behaviors questions and answers 2022.A depressed client frequently expresses doubts about living and admits to thinking about suicide while denying having developed a plan. During this period, what action by the nurse is essential? 1 Have a staff member stay with the client continuously. 2 Plan to involve the client in activities that foster independence. 3 Explain in detail to the client how the staff will prevent self-harm. 4 Make frequent unobtrusive observations of the client's moods and activities. 4 A nurse reminds a client that it is time for group therapy. The client responds by shouting, "You're always telling me what to do, just like my father!" What defense mechanism is the client using? 1 Regression 2 Transference 3 Reaction formation 4 Cognitive distortion 2 A nurse educates a group of teenagers about the physical changes they will experience. What statement made by the teenager shows inadequate learning? 1 "My shoulders will change in width." 2 "My reproductive system will develop." 3 "My body fat distribution will be altered." 4 "My bones will grow at a decreased rate." 4 According to Piaget's theory, which of these statements would a nurse say to a mother about her four-year-old child? Select all that apply. 1 "The child will only be able to consider his or her own point of view." 2 "The child will consider that inanimate objects may be alive." 3 "The child will think about an action before performing it." 4 "The child will believe that his or her actions are scrutinized." 5 "The child will be able to order things according to length." 1,2 A client's history demonstrates a pervasive pattern of unstable and intense relationships, impulsiveness, inappropriate anger, manipulation, offensive behavior, and hostility. The admitting diagnosis is borderline personality disorder. What does the nurse anticipate that this client may attempt to do? 1 Act out to intimidate others. 2 Cooperate with the staff to gain praise. 3 Divide the staff into opposing factions to gain self-esteem. 4 Remain removed from others to avoid interacting with them. 3 One afternoon the nurse on the unit overhears a young female client having an argument with her boyfriend. A while later the client complains to the nurse that dinner is always late and the meals are terrible. The nurse identifies the defense mechanism that the client is using as what? 1 Projection 2 Dissociation 3 Displacement 4 Intellectualization 3 A mother complains to the nurse that her 4-year-old child partially awakens from sleep, sweats profusely, and screams in the night. What is the best nursing action in this situation? 1 Recommend that the mother take her child into her own bed. 2 Ask the child to describe the dream that he or she saw last night. 3 Advise the mother to accept the child's dream as a real fear for the child. 4 Advise the mother to observe her child for a few minutes until the child is calm 4 A nurse has just completed a mental status examination on a newly admitted psychiatric client and returns to the nurses' station to document the results. The nurse reflects on the client's drawn-out explanation of the reason for the admission and concludes that excessive detail was given before the client eventually answered the questions. What mental process does the nurse identify? 1 Flight of ideas 2 Circumstantiality 3 Thought blocking 4 Tangential thinking 2 How would an adolescent mother ensure the appropriate cognitive development of her child? 1 The adolescent mother should stay alone. 2 The adolescent mother should receive nursing guidance. 3 The adolescent mother should perform well in academics. 4 The adolescent mother and the grandmother should stay together. 2 Which action of the clinical nurse is consistent with Gardner's task of "achieving work unity"? 1 Helping clients accomplish optimal functioning 2 Relating to and inspiring clients to achieve their vision 3 Providing self-care to enhance the ability to care for staff, clients, and families 4 Representing nursing and the unit on task forces and shared governance councils 1 An executive assistant experiences an overwhelming impulse to count and arrange the rubber bands and paper clips in his desk. The client feels that something dreadful will occur if the ritual is not carried out. Considering the client's symptoms, what does the nurse conclude about the rituals? 1 They are useful in our society as long as they can be controlled 2 They serve to control anxiety resulting from unconscious impulses 3 They are a displacement of general anxiety onto an unrelated specific fear 4 They serve to consciously limit the associated anxiety that otherwise is overwhelming 2 After several interactions with a client, the nurse at the mental health clinic identifies a pattern of withdrawal and nonparticipation in situations requiring communication with others. In which area should the nurse expect the client to have difficulty? 1 Personal identity 2 Social interaction 3 Sensory perception 4 Verbal communication 2