HESI PN Mental Health Exam Prep
m m m m m
Questions & Knowledge Review | 100% V
m m m m m m
ERIFIED CORRECT m
Ammarriedmmalemclientmwith mthreemchildrenmhasmlostmhismjobmandmstatesmthatmhemfeelsmus
eless.mHemismtearful,mupset,mandmembarrassed.mWhatmismanmappropriatemobjectivemof mca
remformthismclient?
1. Limitingm tearfulness
2. Increasingmself-esteem
3. Controllingmfeelingsmof msadness
4. Promotingm acceptancem bym othersm - 2.m Increasingm self-esteem
Themlossmof mamjobmcanmprecipitatemnegativemfeelingsmaboutmthemselfmandmdecreasemself
-
mesteem.mFeelingsmshouldmbemexpressed,mnotmlimited;mattemptingmtomdecrease mamclient
'smcryingmoftenmendsmupmworseningmit.mCryingmismnotmnecessarilymanmexpressionmofm sad
ness;mothermfeelingsmareminvolved.mThemfocusmshouldmbemon mthemclient'smself-
macceptance,mnotmacceptance mbymothers.
Am44-year-
oldmclientmhasmbeenmunablemtomfunctionmsincemhermhusbandmaskedmformamdivorcem2mwe
eksmago.mShemismbroughtmtomthemcrisisminterventionmcentermbymamfriend.mWhatmtypemofmc
risismismthismsituation?
1. Social
2. Situational
3. Maturational
4. Developmental m- 2.m Situational
Situational mcrisesminvolvemanmunanticipatedmloss,msuchmasmamdivorce,mthatmismthreateni
ngmtomthemclient.mSocial mcrisesminvolvemmultiplemlossesmsuchmasmthosemoccurringmdurin
gm majormdisasters.mMaturational mcrisesmoccurminmresponsemtomstressmexperiencedmasm
onemstrugglesmwithmdevelopmental mtasks.mDevelopmental m(maturational)mcrisesmarema
ssociatedmwith mdevelopmental mtasks;mdivorcemismnotmamdevelopmental mtask.
AmresidentminmamnursingmhomemrecentlymimmigratedmtomthemUnitedmStatesmfrommItaly.mHo
wmdoesmthemnursemplan mtomprovidememotional msupport?
1. Bym offeringm choicesm consistentm with m them client'sm heritage
2. Bym ensuringm thatm them clientm understandsm American m beliefs
3. Bym assistingm them clientm in m adjustingm tom them American m culture
4. Bymcorrectingmthemclient'smmisconceptionsmaboutmappropriatemhealth mpracticesm-
1.mBymofferingmchoicesmconsistentmwith mthemclient'smheritage
,Adherencemtomamplanmof mcaremismenhancedmbymthemnurse'smprovidingmchoicesmconsistent
mwith mthemclient'smcultural mbeliefsmandmpractices.mThemnurse'smcultural mormpersonal mbelief
smandmbiasesmshouldmnotminfluencemorminterferemwithmthemimplementationmofmappropriate
mcare.mHelping mthemclientmadjustmtomthemAmericanmculture mismnotmthemprioritymatmthismtime
;mcaremshouldmbemadaptedmtomthemclient'smneedsmandmculture.mThemperson'smcultural mpra
cticesmshouldmnotmbemaddressedmunlessmtheymaremdetrimental mtomthemperson'smhealth.
Amnursemshouldmreassessmanmoldermadultmclient'smneedsmandmcurrentmplanmof mcaremwhe
n mthemclient'smbehaviormindicatesmthemdevelopmentmof mwhatmsymptom?
1. Confusion
2. Hypochondriasis
3. Additional m complaints
4. Increasedm socialization m - 1.m Confusion
Themdevelopmentmof mconfusionmindicatesmthatmthemclient'smabilitymtommaintain mequilibriu
mmhasmnotmbeenmachievedmandmthatmfurthermdisequilibriummismoccurring.mHypochondrias
ismandmadditional mcomplaintsmdomnotmindicatemthatmthemplanmneedsmtombemchangedmunle
ssm themclient'smhistorymdemonstratesmnompriormusemof mthesemdefenses.mIncreasedmsocia
lization mismampositivemresponsemtomthemplanmofmcaremthatmdoesmnotmrequiremreassessmen
t.
An minjuredmchildmismbroughtmtomthememergencymdepartmentmbymthemparents.mWhileminte
rviewingmthemparents,mthemnursembeginsmtomsuspectmchildmabuse.mWhichmparental mbeh
aviorsmmightmsupportmthismconclusion?mSelectmall mthatmapply.
1. Demonstratingm concern m form them injuredm child
2. Focusingm on m them child'sm rolem in m sustainingm them injury
3. Changingm them storymof m how m them childm sustainedm theminjury
4. Askingm questionsm aboutm them injurym andm them child'sm prognosis
5. Givingman mexplanationmofmhow mtheminjurymoccurredmthatmismnotmconsistentmwithmthe
minjurym- 2.mFocusingmon mthemchild'smrolemin msustainingmtheminjury
3.m Changingm them storymof m how m them childm sustainedm them injury
5.mGivingman mexplanationmofmhowmtheminjurymoccurredmthatmismnotmconsistentmwith mthemi
njury
Themchildmismoftenmmademthemscapegoatminmthemsituation;mthemparentsmblamemthemchildmb
ecausemtheymhavemunrealisticmexpectationsmof mthemchild.mDiscrepanciesmorminconsisten
ciesmin mthemhistorymresultmfrommattemptsmtompresentmamstorymthatmismnotmbasedm in mfact.m
Discrepanciesmbetweenmthemparental mexplanationmformthemchild'sminjuriesmandmthemphysi
calmfindingsmormdiscrepanciesminmthemhistorymthatmeachmparentmgivesmaremcommon mbeca
usemtheminformationmthatmismbeingmprovidedmismnotmbasedminmfact.mAbusivemparentsmusu
allym dom notm askm questionsm aboutm them injurym orm prognosism andm demonstratem littlem orm
nominterestmin mtheirmchild'smwell-being.
,Amnursemismplanningmtomteach mamclientmaboutmself-
care.mWhatmlevel mof manxietymwill mbestmenhancemthemclient'smlearningmabilities?
1. Mild
2. Panic
3. Severe
4. Moderatem - 1.m Mild
Mildmanxietymmotivatesmonemtomaction,msuchmasmlearningmormmakingmchanges.mHigherml
evelsmof manxietymtendmtomblurmthemindividual'smperceptionsmandminterferemwithmfunctioni
ng.mAttention mismseverelymreducedmbympanic.mThemperceptual mfieldmismgreatlymreducedm
with mseveremanxietymandmnarrowedmwith mmoderatemanxiety.
Amnursemismcaringmformdepressedmoldermadults.mWhatmprecipitatingmfactorsmformdepression
marem mostm common m in mthem olderm adultm withoutm cognitive m problems?m Selectm allm thatm app
ly.
1. Dementia
2. Multiplem losses
3. Declinesm in m health
4. Am milestonem birthday
5. An m injurym requiringm hospitalization m - 2.m Multiplem losses
3.m Declinesm in m health
Depression minmthemoldermadultmismmostmoften massociatedmwith mthemlossmof mfamilymmembe
rsmandmfriendsm(e.g.,mdeath,mrelocation)mandmdeclinesminmmobility,mhealth,mandmincome.m
Amdeclineminmhealth,mparticularlymwhenmassociatedmwithmamchronicmillness,mfrequentlympr
ecipitatesmdepression minmoldermadults.mDementiamismamcognitivemproblem.mResearch m do
esmnotmcorrelatemthemonsetmofmdepressionmwithmammilestonembirthdayminmoldermadults.mAm
traumaticm injurym doesm notm precipitatem them onsetm ofm depressionm inm them olderm adultm as
moften masmdoesmamchronicmillness.
Themnursemobservesmbiting,mrocking,msucking,mandmlagsminmintellectualmdevelopmentmin m
amchild.mShemalsomconcludesmthemchildmismsufferingmfrommsleepmdisorders.mWhatmcouldmb
emthemreason mformthemchild'smcondition?
1. Physical m neglect
2. Sexual m abuse
3. Physical m abuse
4. Emotional m abusem - 4.m Emotional m abuse
Themchildmmaymbemneglectedmif mthemparentmismhavingmammentalmillnessmsuchmasmpsychosi
s.mSleepmdisorders,mfeedingmdisorders,mbiting,mrocking,msucking,mandmlagsminmintellectua
lmdevelopmentmarembehavioral mfindingsmassociatedmwith memotional mabuse.mPhysical mne
glect,msexual mabuse,mandmphysicalmabusemmanifestminmdifferentmsetsmof msignsmandmsymp
toms.
, Which m emotional m condition m maym bem apparentm in m am clientm with m an m addiction?
1. Insomnia
2. Social m isolation
3. Acutem confusion
4. Functional murinarym incontinencem - 2.m Social m isolation
Social misolationmismanmemotionalmconditionmthatmmaymbemapparentminmamclientmwith manmadd
iction.mInsomnia,macutemconfusion,mandmfunctionalmurinarymincontinencemaremphysical,mno
tmemotional,mconditionsmthatmmaymbemapparentmin mclientsmwith maddiction.
Amclientmwhomhasmbeenmbattlingmcancermof mthemovarymform7myearsmismadmittedmtomthem h
ospital min mamdebilitatedmstate.mThemhealthcaremprovidermtellsmthemclientmthatmshemismtoom
frail mformsurgerymormfurthermchemotherapy.mWhenmmakingmroundsmduringmthemnight,mth
emnursementersmthemclient'smroommandmfindsmhermcrying.mWhichmismthemmostmappropriat
emintervention mbymthemnurse?
1. Sitm down m quietlym nextm tom them bedm andm allow m herm tom cry.
2. Pull m them curtain m andm leavem them roomm tom providem privacym form them client.
3. Explain m tom them clientm thatm herm feelingsm arem expectedm andm theym will m passm with m time.
4. Observemthemlengthmofmtimemthemclientmcriesmandmdocumentmhermdifficultymacceptingmher
mimpending mdeath.m- 1.mSitmdown mquietlymnextm tomthembedmandmallow mhermtomcry.
Sittingm down m quietlym nextm tom them bedm andm allowingm hermtom crymdemonstratesm acceptan
cemof mthemclient'smbehaviormandmprovidesmanmopportunitymformthemclientmtomverballymexpre
ssmfeelingsmifmdesired.mPullingmthemcurtainmandmleavingmthemroommtomprovidemprivacymformt
hemclientm maym makem them clientm feel m thatm them behaviorm ism wrongm orm ismannoyingm others.
m Also,mitm abandonsm them clientm whenm supportm ism needed.m Explaining m tom them clientm thatm
hermfeelingsmaremexpectedmandmtheymwill mpassmwithmtimemclosesmoffmcommunicationmandm
doesmnotmprovidemanmopportunitymformthemclientmtomtalkmaboutmfeelings.mAlso,mitmprovidesmf
alsemreassurance.mThemlength mof mtimemshemcriesmismunimportantmatmthismtime.mAssumingmt
hatm shemismhavingmdifficultymacceptingmhermimpendingmdeathmismamconclusionmwithoutmeno
ugh minformation.
Which mofmthesemaremsymptomsmof mdepressionmcommonlymobservedminmoldermadults?mS
electmall mthatmapply.
1. Fatigue
2. Sadness
3. Agitation
4. Increasedm sleep
5. Increasedm appetitem - 1.m Fatigue
2. Sadness
3. Agitation
m m m m m
Questions & Knowledge Review | 100% V
m m m m m m
ERIFIED CORRECT m
Ammarriedmmalemclientmwith mthreemchildrenmhasmlostmhismjobmandmstatesmthatmhemfeelsmus
eless.mHemismtearful,mupset,mandmembarrassed.mWhatmismanmappropriatemobjectivemof mca
remformthismclient?
1. Limitingm tearfulness
2. Increasingmself-esteem
3. Controllingmfeelingsmof msadness
4. Promotingm acceptancem bym othersm - 2.m Increasingm self-esteem
Themlossmof mamjobmcanmprecipitatemnegativemfeelingsmaboutmthemselfmandmdecreasemself
-
mesteem.mFeelingsmshouldmbemexpressed,mnotmlimited;mattemptingmtomdecrease mamclient
'smcryingmoftenmendsmupmworseningmit.mCryingmismnotmnecessarilymanmexpressionmofm sad
ness;mothermfeelingsmareminvolved.mThemfocusmshouldmbemon mthemclient'smself-
macceptance,mnotmacceptance mbymothers.
Am44-year-
oldmclientmhasmbeenmunablemtomfunctionmsincemhermhusbandmaskedmformamdivorcem2mwe
eksmago.mShemismbroughtmtomthemcrisisminterventionmcentermbymamfriend.mWhatmtypemofmc
risismismthismsituation?
1. Social
2. Situational
3. Maturational
4. Developmental m- 2.m Situational
Situational mcrisesminvolvemanmunanticipatedmloss,msuchmasmamdivorce,mthatmismthreateni
ngmtomthemclient.mSocial mcrisesminvolvemmultiplemlossesmsuchmasmthosemoccurringmdurin
gm majormdisasters.mMaturational mcrisesmoccurminmresponsemtomstressmexperiencedmasm
onemstrugglesmwithmdevelopmental mtasks.mDevelopmental m(maturational)mcrisesmarema
ssociatedmwith mdevelopmental mtasks;mdivorcemismnotmamdevelopmental mtask.
AmresidentminmamnursingmhomemrecentlymimmigratedmtomthemUnitedmStatesmfrommItaly.mHo
wmdoesmthemnursemplan mtomprovidememotional msupport?
1. Bym offeringm choicesm consistentm with m them client'sm heritage
2. Bym ensuringm thatm them clientm understandsm American m beliefs
3. Bym assistingm them clientm in m adjustingm tom them American m culture
4. Bymcorrectingmthemclient'smmisconceptionsmaboutmappropriatemhealth mpracticesm-
1.mBymofferingmchoicesmconsistentmwith mthemclient'smheritage
,Adherencemtomamplanmof mcaremismenhancedmbymthemnurse'smprovidingmchoicesmconsistent
mwith mthemclient'smcultural mbeliefsmandmpractices.mThemnurse'smcultural mormpersonal mbelief
smandmbiasesmshouldmnotminfluencemorminterferemwithmthemimplementationmofmappropriate
mcare.mHelping mthemclientmadjustmtomthemAmericanmculture mismnotmthemprioritymatmthismtime
;mcaremshouldmbemadaptedmtomthemclient'smneedsmandmculture.mThemperson'smcultural mpra
cticesmshouldmnotmbemaddressedmunlessmtheymaremdetrimental mtomthemperson'smhealth.
Amnursemshouldmreassessmanmoldermadultmclient'smneedsmandmcurrentmplanmof mcaremwhe
n mthemclient'smbehaviormindicatesmthemdevelopmentmof mwhatmsymptom?
1. Confusion
2. Hypochondriasis
3. Additional m complaints
4. Increasedm socialization m - 1.m Confusion
Themdevelopmentmof mconfusionmindicatesmthatmthemclient'smabilitymtommaintain mequilibriu
mmhasmnotmbeenmachievedmandmthatmfurthermdisequilibriummismoccurring.mHypochondrias
ismandmadditional mcomplaintsmdomnotmindicatemthatmthemplanmneedsmtombemchangedmunle
ssm themclient'smhistorymdemonstratesmnompriormusemof mthesemdefenses.mIncreasedmsocia
lization mismampositivemresponsemtomthemplanmofmcaremthatmdoesmnotmrequiremreassessmen
t.
An minjuredmchildmismbroughtmtomthememergencymdepartmentmbymthemparents.mWhileminte
rviewingmthemparents,mthemnursembeginsmtomsuspectmchildmabuse.mWhichmparental mbeh
aviorsmmightmsupportmthismconclusion?mSelectmall mthatmapply.
1. Demonstratingm concern m form them injuredm child
2. Focusingm on m them child'sm rolem in m sustainingm them injury
3. Changingm them storymof m how m them childm sustainedm theminjury
4. Askingm questionsm aboutm them injurym andm them child'sm prognosis
5. Givingman mexplanationmofmhow mtheminjurymoccurredmthatmismnotmconsistentmwithmthe
minjurym- 2.mFocusingmon mthemchild'smrolemin msustainingmtheminjury
3.m Changingm them storymof m how m them childm sustainedm them injury
5.mGivingman mexplanationmofmhowmtheminjurymoccurredmthatmismnotmconsistentmwith mthemi
njury
Themchildmismoftenmmademthemscapegoatminmthemsituation;mthemparentsmblamemthemchildmb
ecausemtheymhavemunrealisticmexpectationsmof mthemchild.mDiscrepanciesmorminconsisten
ciesmin mthemhistorymresultmfrommattemptsmtompresentmamstorymthatmismnotmbasedm in mfact.m
Discrepanciesmbetweenmthemparental mexplanationmformthemchild'sminjuriesmandmthemphysi
calmfindingsmormdiscrepanciesminmthemhistorymthatmeachmparentmgivesmaremcommon mbeca
usemtheminformationmthatmismbeingmprovidedmismnotmbasedminmfact.mAbusivemparentsmusu
allym dom notm askm questionsm aboutm them injurym orm prognosism andm demonstratem littlem orm
nominterestmin mtheirmchild'smwell-being.
,Amnursemismplanningmtomteach mamclientmaboutmself-
care.mWhatmlevel mof manxietymwill mbestmenhancemthemclient'smlearningmabilities?
1. Mild
2. Panic
3. Severe
4. Moderatem - 1.m Mild
Mildmanxietymmotivatesmonemtomaction,msuchmasmlearningmormmakingmchanges.mHigherml
evelsmof manxietymtendmtomblurmthemindividual'smperceptionsmandminterferemwithmfunctioni
ng.mAttention mismseverelymreducedmbympanic.mThemperceptual mfieldmismgreatlymreducedm
with mseveremanxietymandmnarrowedmwith mmoderatemanxiety.
Amnursemismcaringmformdepressedmoldermadults.mWhatmprecipitatingmfactorsmformdepression
marem mostm common m in mthem olderm adultm withoutm cognitive m problems?m Selectm allm thatm app
ly.
1. Dementia
2. Multiplem losses
3. Declinesm in m health
4. Am milestonem birthday
5. An m injurym requiringm hospitalization m - 2.m Multiplem losses
3.m Declinesm in m health
Depression minmthemoldermadultmismmostmoften massociatedmwith mthemlossmof mfamilymmembe
rsmandmfriendsm(e.g.,mdeath,mrelocation)mandmdeclinesminmmobility,mhealth,mandmincome.m
Amdeclineminmhealth,mparticularlymwhenmassociatedmwithmamchronicmillness,mfrequentlympr
ecipitatesmdepression minmoldermadults.mDementiamismamcognitivemproblem.mResearch m do
esmnotmcorrelatemthemonsetmofmdepressionmwithmammilestonembirthdayminmoldermadults.mAm
traumaticm injurym doesm notm precipitatem them onsetm ofm depressionm inm them olderm adultm as
moften masmdoesmamchronicmillness.
Themnursemobservesmbiting,mrocking,msucking,mandmlagsminmintellectualmdevelopmentmin m
amchild.mShemalsomconcludesmthemchildmismsufferingmfrommsleepmdisorders.mWhatmcouldmb
emthemreason mformthemchild'smcondition?
1. Physical m neglect
2. Sexual m abuse
3. Physical m abuse
4. Emotional m abusem - 4.m Emotional m abuse
Themchildmmaymbemneglectedmif mthemparentmismhavingmammentalmillnessmsuchmasmpsychosi
s.mSleepmdisorders,mfeedingmdisorders,mbiting,mrocking,msucking,mandmlagsminmintellectua
lmdevelopmentmarembehavioral mfindingsmassociatedmwith memotional mabuse.mPhysical mne
glect,msexual mabuse,mandmphysicalmabusemmanifestminmdifferentmsetsmof msignsmandmsymp
toms.
, Which m emotional m condition m maym bem apparentm in m am clientm with m an m addiction?
1. Insomnia
2. Social m isolation
3. Acutem confusion
4. Functional murinarym incontinencem - 2.m Social m isolation
Social misolationmismanmemotionalmconditionmthatmmaymbemapparentminmamclientmwith manmadd
iction.mInsomnia,macutemconfusion,mandmfunctionalmurinarymincontinencemaremphysical,mno
tmemotional,mconditionsmthatmmaymbemapparentmin mclientsmwith maddiction.
Amclientmwhomhasmbeenmbattlingmcancermof mthemovarymform7myearsmismadmittedmtomthem h
ospital min mamdebilitatedmstate.mThemhealthcaremprovidermtellsmthemclientmthatmshemismtoom
frail mformsurgerymormfurthermchemotherapy.mWhenmmakingmroundsmduringmthemnight,mth
emnursementersmthemclient'smroommandmfindsmhermcrying.mWhichmismthemmostmappropriat
emintervention mbymthemnurse?
1. Sitm down m quietlym nextm tom them bedm andm allow m herm tom cry.
2. Pull m them curtain m andm leavem them roomm tom providem privacym form them client.
3. Explain m tom them clientm thatm herm feelingsm arem expectedm andm theym will m passm with m time.
4. Observemthemlengthmofmtimemthemclientmcriesmandmdocumentmhermdifficultymacceptingmher
mimpending mdeath.m- 1.mSitmdown mquietlymnextm tomthembedmandmallow mhermtomcry.
Sittingm down m quietlym nextm tom them bedm andm allowingm hermtom crymdemonstratesm acceptan
cemof mthemclient'smbehaviormandmprovidesmanmopportunitymformthemclientmtomverballymexpre
ssmfeelingsmifmdesired.mPullingmthemcurtainmandmleavingmthemroommtomprovidemprivacymformt
hemclientm maym makem them clientm feel m thatm them behaviorm ism wrongm orm ismannoyingm others.
m Also,mitm abandonsm them clientm whenm supportm ism needed.m Explaining m tom them clientm thatm
hermfeelingsmaremexpectedmandmtheymwill mpassmwithmtimemclosesmoffmcommunicationmandm
doesmnotmprovidemanmopportunitymformthemclientmtomtalkmaboutmfeelings.mAlso,mitmprovidesmf
alsemreassurance.mThemlength mof mtimemshemcriesmismunimportantmatmthismtime.mAssumingmt
hatm shemismhavingmdifficultymacceptingmhermimpendingmdeathmismamconclusionmwithoutmeno
ugh minformation.
Which mofmthesemaremsymptomsmof mdepressionmcommonlymobservedminmoldermadults?mS
electmall mthatmapply.
1. Fatigue
2. Sadness
3. Agitation
4. Increasedm sleep
5. Increasedm appetitem - 1.m Fatigue
2. Sadness
3. Agitation
