VERSIONS)/ HESI MENTAL HEALTH NGN
QUESTION BANK 2025 COMPLETE ACTUAL
EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS | ALREADY GRADED A+ |
GUARANTEED PASS
Which therapy would the nurse anticipate incorporating into the plan of care for a
patient with borderline personality disorder who has exhibited suicidal ideations?
a. Family therapy
b. Schema-focused therapy
c. Supportive psychotherapy
d. Dialectical behavioral therapy (DBT)
d. Dialectical behavioral therapy (DBT)
Rationale
DBT is used in patients with borderline personality disorder who have chronic
suicidal intentions. The therapy includes cognitive and behavioral techniques
like mindfulness and emotion regulation. It helps to improve interpersonal
effectiveness skills in patients. In family therapy, the family members of the
patient are taught how to assist the patient in handling stress. Schema-focused
therapy helps patients change their view about themselves. It helps in
evaluating the behavior of people in stressful conditions. In supportive
psychotherapy, the nurse encourages the patient to participate in activities. It
helps to enhance the patient's ability to cope with stressors.
,Which behavior would the nurse associate with a patient diagnosed with
borderline personality disorder?
a. Always calm
b. Abuses peers
c. Mood swings
d. Self-isolation
c. Mood swings
Rationale
Patients with borderline personality disorder have unstable moods. Such
patients exhibit rapid emotional shifts. They may be extremely aggressive and
suddenly become extremely calm. They have a history of violence and
impulsivity. They are not always aggressive, but they are emotionally unstable
and may exhibit a range of emotions. The patients have attention-seeking
behavior and may try to attract the attention of the nurse.
A patient admitted to the unit projects hostility toward others and has a history of
unstable relationships. Based on this finding, which nursing diagnosis would the
nurse integrate into the plan of care?
a. Risk for violence
b. Impaired impulse control
c. Impaired social interaction
d. Disturbed personal identity
c. Impaired social interaction
,Rationale
A patient who projects hostility toward others and has a history of unstable
relationships displays impaired social interaction. A patient with a risk for
violence displays characteristics such as a rigid posture, hyperactivity, anger,
and aggression toward others. A patient with impaired impulse control displays
reckless behavior and engages in illegal behavior. A disturbed personal identity
is not characterized by the projection of hostility. A patient with a disturbed
personal identity displays dependency on others and engages in attention-
seeking behavior.
Which behavior does dialectical behavioral therapy target for an antisocial
personality disorder?
a. Passive
b. Suicidal
c. Assertive
d. Dependent
b. Suicidal
Rationale
Dialectical behavioral therapy targets three behaviors, which include the quality
of life behaviors, therapy interfering behaviors, and suicidal behavior. Passive,
dependent, and assertive behaviors are not characteristic of patient with an
antisocial personality disorder.
, Which type of therapy is included in the treatment plan for a patient with an
antisocial personality disorder?
a. Somatic
b. Exposure
c. Expressive arts
d. Dialectical behavioral
d. Dialectical behavioral
Rationale
Dialectical behavior therapy, which is similar to cognitive-behavioral therapy,
focuses on regulating emotions and being mindful; it is also useful in treating
antisocial personality disorder. Somatic, exposure, and expressive arts therapies
are not types of therapy included in the treatment of antisocial personality
disorder.
A nurse caring for a patient with a dependent personality disorder begins avoiding
the patient because of the patient's repeated states of crisis and demand for extra
time. Which term would be used to described what has occurred in the nurse-
patient relationship?
a. Projection
b. Conversion disorder
c. Defense mechanism
d. Countertransference
d. Countertransference
Rationale