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Foundations of Mental Health Care

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The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the children, has abandoned the family and moved to another state. During this developmental stage, this abandonment will have the strongest negative effect on the children’s: a. Motor skills b. Self-concept c. Body image d. Cognitive skills ANS: B Trust and consistency play a major role in the development of a child’s self-concept. Abandonment provides neither. The mother’s absence may not affect the motor or cognitive skills of the children. Body image is only one component of self-concept. PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 276 OBJ: 3 TOP: Self-Concept in Childhood KEY: Nursing Process Step: Diagnosis MSC: Client Needs: Health Promotion and Maintenance 2. The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the children, has abandoned the family and moved to another state. During this developmental stage, this abandonment will have the strongest negative effect on the children’s: a. Motor skills b. Self-concept c. Body image d. Cognitive skills ANS: B Trust and consistency play a major role in the development of a child’s self-concept. Abandonment provides neither. The mother’s absence may not affect the motor or cognitive skills of the children. Body image is only one component of self-concept. PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 279 OBJ: 3 TOP: Self-Concept in Childhood KEY: Nursing Process Step: Diagnosis MSC: Client Needs: Health Promotion and Maintenance 3. The hospice nurse notices that, following the death of his wife of 50 years, a surviving husband’s affect is anxious, and he reports a feeling of detachment from his body, stating, “I feel like I am seeing myself from outside of my body.” The caregiver knows that this client is displaying the characteristics of the dissociative disorder of: a. Dissociative fugue b. Dissociative amnesia c. Dissociative identity disorder d. Depersonalization disorder ANS: D NURSINGTB.COM Foundations of Mental Health Care 6th Edition Morrison-Valfre Test Bank NURSINGTB.COM Depersonalization serves as a defense mechanism in response to severe anxiety. The person often is described as “working on automatic” or “functioning as a robot.” The characteristics listed describe the behavioral or social signs and symptoms of depersonalized disorder. Fugue is characterized by traveling that occurs suddenly and unexpectedly with no recall of the traveling. Amnesia is the inability to remember personal information, and dissociative identity disorder was formerly known as multiple personality disorder. PTS: 1 DIF: Cognitive Level: Application REF: p. 281 OBJ: 5 TOP: Depersonalization/Derealization Disorder KEY: Nursing Process Step: Evaluation MSC: Client Needs: Psychosocial Integrity 4. The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the: a. Host b. Alter c. Ego d. Identity ANS: A Host is the term for the primary personality, which may not be aware of the alters (the other personalities). Ego is one component of the three-part theory of the ego, id, and super-ego identified by Sigmund Freud when referring to his belief of how personalities are structured. Identity refers to how one sees oneself. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 281 OBJ: 6 TOP: Dissociative Identity Disorder KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 5. When developing the nursing care plan for a client with dissociative identity disorder (DID), the nurse knows that one of the major goals of therapy is to assist the client in:

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HESI Mental Health RN Questions and Answers from V1-V3 Test
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HESI Mental Health RN Questions and Answers from V1-V3 Test Banks
and Actual Exams (Latest Update 2022/2023) Rated A+




 During admission to the psychiatric unit, a female client is extremely

anxious and states that she is worried about the sun coming up the next day.
What intervention is most important for the RN to implement during the
admission process?




A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.




 A female client is brought to the emergency department after police

officers found her disoriented, disorganized, and confused. The RN also
determines that the client is homeless and is exhibiting suspiciousness. The
client’s plan of care should include what priority problem?




HESI Mental Health RN Questions and Answers from V1-V3 Test
Banks and Actual Exams (Latest Update 2022/2023) Rated
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, HESI Mental Health RN Questions and Answers from V1-V3 Test
Banks and Actual Exams (Latest Update 2022/2023) Rated
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A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.
 An antidepressant medication is prescribed for a client who reports

sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within the
last month. Which client goal is most important to achieve within the first
three days of treatment?




A. Meet scheduled appointment with
dietitian. B. Sleep at least 6 hours a
night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization.




 When preparing to administer to domestic violence screening tool to a

female client, which statement should the RN provide?




HESI Mental Health RN Questions and Answers from V1-V3 Test
Banks and Actual Exams (Latest Update 2022/2023) Rated
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, HESI Mental Health RN Questions and Answers from V1-V3 Test
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A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic violence.
C. The HCP provider needs to know if you are experiencing any
domestic abuse. D. All clients are screened for domestic abuse
because it is common in our society.




 A young adult female visits the mental health clinic complaining of

diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all
laboratory findings are within normal limits. During the physical
assessment, the client tells the RN that her sister thinks she is neurotic and
calls her a hypochondriac. Which response is best for the RN to provide?




A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it’s possible that you might be a hypochondriac?
D. Besides your sister’s comments, what in your life is troubling you?




 The RN is leading a group on the inpatient psychiatric unit. Which
approach should the RN use during the working phase of group


HESI Mental Health RN Questions and Answers from V1-V3 Test
Banks and Actual Exams (Latest Update 2022/2023) Rated
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, HESI Mental Health RN Questions and Answers from V1-V3 Test
Banks and Actual Exams (Latest Update 2022/2023) Rated
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development?




A. Establishing a rapport with group members.
B. Clarifying the nurse’s role and clients’ responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives.




 An older homeless client visits the psychiatric clinic to obtain a
prescription renewal for alprazolam (Xanax). During the health
assessment, the client complains of chest pain. Which action should the RN
take first?




A. Refer the client to the cardiology unit.
B. Obtain the client Blood pressure.
C. Assess the client for substance
abuse. D. Determine if Xanax was
taken recently.




 The mother of an 8-month-old infant with profound mental and physical
disabilities tells he RN how depressed she is because she realized that her
HESI Mental Health RN Questions and Answers from V1-V3 Test
Banks and Actual Exams (Latest Update 2022/2023) Rated
A+

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