HESI RN Mental Health Exam Prep
Questions & Knowledge Review
with solutions
A married male client with three children has lost his job and states
that he feels useless. He is tearful, upset, and embarrassed. What is an
appropriate objective of care for this client?
1. Limiting tearfulness
2. Increasing self-esteem
3. Controlling feelings of sadness
4. Promoting acceptance by others - Answer 2. Increasing self-esteem
The loss of a job can precipitate negative feelings about the self and
decrease self-esteem. Feelings should be expressed, not limited;
attempting to decrease a client's crying often ends up worsening it.
Crying is not necessarily an expression of sadness; other feelings are
involved. The focus should be on the client's self-acceptance, not
acceptance by others.
,HESI RN Mental Health Exam Prep
Questions & Knowledge Review
with solutions
A 44-year-old client has been unable to function since her husband
asked for a divorce 2 weeks ago. She is brought to the crisis
intervention center by a friend. What type of crisis is this situation?
1. Social
2. Situational
3. Maturational
4. Developmental - Answer 2. Situational
Situational crises involve an unanticipated loss, such as a divorce, that is
threatening to the client. Social crises involve multiple losses such as
those occurring during major disasters. Maturational crises occur in
response to stress experienced as one struggles with developmental
tasks. Developmental (maturational) crises are associated with
developmental tasks; divorce is not a developmental task.
,HESI RN Mental Health Exam Prep
Questions & Knowledge Review
with solutions
A resident in a nursing home recently immigrated to the United States
from Italy. How does the nurse plan to provide emotional support?
1. By offering choices consistent with the client's heritage
2. By ensuring that the client understands American beliefs
3. By assisting the client in adjusting to the American culture
4. By correcting the client's misconceptions about appropriate health
practices - Answer 1. By offering choices consistent with the client's
heritage
Adherence to a plan of care is enhanced by the nurse's providing
choices consistent with the client's cultural beliefs and practices. The
nurse's cultural or personal beliefs and biases should not influence or
interfere with the implementation of appropriate care. Helping the
client adjust to the American culture is not the priority at this time; care
should be adapted to the client's needs and culture. The person's
cultural practices should not be addressed unless they are detrimental
to the person's health.
, HESI RN Mental Health Exam Prep
Questions & Knowledge Review
with solutions
A nurse should reassess an older adult client's needs and current plan
of care when the client's behavior indicates the development of what
symptom?
1. Confusion
2. Hypochondriasis
3. Additional complaints
4. Increased socialization - Answer 1. Confusion
The development of confusion indicates that the client's ability to
maintain equilibrium has not been achieved and that further
disequilibrium is occurring. Hypochondriasis and additional complaints
do not indicate that the plan needs to be changed unless the client's
history demonstrates no prior use of these defenses. Increased
socialization is a positive response to the plan of care that does not
require reassessment.
Questions & Knowledge Review
with solutions
A married male client with three children has lost his job and states
that he feels useless. He is tearful, upset, and embarrassed. What is an
appropriate objective of care for this client?
1. Limiting tearfulness
2. Increasing self-esteem
3. Controlling feelings of sadness
4. Promoting acceptance by others - Answer 2. Increasing self-esteem
The loss of a job can precipitate negative feelings about the self and
decrease self-esteem. Feelings should be expressed, not limited;
attempting to decrease a client's crying often ends up worsening it.
Crying is not necessarily an expression of sadness; other feelings are
involved. The focus should be on the client's self-acceptance, not
acceptance by others.
,HESI RN Mental Health Exam Prep
Questions & Knowledge Review
with solutions
A 44-year-old client has been unable to function since her husband
asked for a divorce 2 weeks ago. She is brought to the crisis
intervention center by a friend. What type of crisis is this situation?
1. Social
2. Situational
3. Maturational
4. Developmental - Answer 2. Situational
Situational crises involve an unanticipated loss, such as a divorce, that is
threatening to the client. Social crises involve multiple losses such as
those occurring during major disasters. Maturational crises occur in
response to stress experienced as one struggles with developmental
tasks. Developmental (maturational) crises are associated with
developmental tasks; divorce is not a developmental task.
,HESI RN Mental Health Exam Prep
Questions & Knowledge Review
with solutions
A resident in a nursing home recently immigrated to the United States
from Italy. How does the nurse plan to provide emotional support?
1. By offering choices consistent with the client's heritage
2. By ensuring that the client understands American beliefs
3. By assisting the client in adjusting to the American culture
4. By correcting the client's misconceptions about appropriate health
practices - Answer 1. By offering choices consistent with the client's
heritage
Adherence to a plan of care is enhanced by the nurse's providing
choices consistent with the client's cultural beliefs and practices. The
nurse's cultural or personal beliefs and biases should not influence or
interfere with the implementation of appropriate care. Helping the
client adjust to the American culture is not the priority at this time; care
should be adapted to the client's needs and culture. The person's
cultural practices should not be addressed unless they are detrimental
to the person's health.
, HESI RN Mental Health Exam Prep
Questions & Knowledge Review
with solutions
A nurse should reassess an older adult client's needs and current plan
of care when the client's behavior indicates the development of what
symptom?
1. Confusion
2. Hypochondriasis
3. Additional complaints
4. Increased socialization - Answer 1. Confusion
The development of confusion indicates that the client's ability to
maintain equilibrium has not been achieved and that further
disequilibrium is occurring. Hypochondriasis and additional complaints
do not indicate that the plan needs to be changed unless the client's
history demonstrates no prior use of these defenses. Increased
socialization is a positive response to the plan of care that does not
require reassessment.
