PSYCH / MENTAL HEALTH HESI UPDATED ACTUAL
Questions and CORRECT Answers
A client says to a nurse, "I'm going to die, and I wish my 3) "You're feeling angry that your family continues to hope for you to be cured."
family would stop hoping for a cure! I get so angry
when they carry on like this. After all, I'm the one who's
dying." The therapeutic response by the nurse is:
1) "Have you shared your feelings with your family?"
2) "I think we should talk more about your anger with
your family."
3) "You're feeling angry that your family continues to
hope for you to be cured."
4) "Well, it sounds like you're being pretty pessimistic.
After all, years ago, people died of pneumonia."
On review of the client's record, the nurse notes that 4) A willingness to participate in the planning the care and treatment plan.
the admission was voluntary. Based on this information,
the nurse anticipates which client behavior:
1) Fearfulness regarding treatment measures
2) Anger and aggressiveness directed towards others
3) An understanding of the pathology and symptoms of
the diagnosis.
4) A willingness to participate in the planning the care
and treatment plan.
A nurse is preparing a client for the termination phase 2) Making appropriate referrals
of the nurse-client relationship. The nurse prepares to
implement which nursing task appropriate for this
phase?
1) Planning short-term goals
2) Making appropriate referrals
3) Developing realistic solutions
4) Identifying expected outcomes
, The nurse calls security and has physical restrains 2) Battery
applied when a client who was admitted voluntarily 3) Assault
becomes both physically and verbally abusive while 5) False Imprisonment
demanding to be discharged from the hospital. Which
represents the possible legal ramifications for the nurse
associated with these interventions? Select all that
apply.
1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment
A nurse is working with a client who has sought 4) Inquiring about and examine the client's feelings that may block adaptive
counseling after trying to rescue a neighbor involved in coping
a house fire. Despite the client's efforts, the neighbor
died. Which action does the nurse engage in with the
client during the working phase of the nurse-client
relationship?
1) Exploring the client's ability to function
2) Exploring the client's potential for self-harm
3) Inquiring about the client's perception of appraisal of
the neighbor's death
4) Inquiring about and examine the client's feelings that
may block adaptive coping
A client who has just been sexually assaulted is calm 1) Denial
and quiet. The nurse analyzes this behavior as indicating
which defense mechanism?
1) Denial
2) Projection
3) Rationalization
4) Intellectualization
Unresolved feelings related to loss most likely may be 4) Termination
recognized during which phase of the therapeutic
nurse-client relationship?
1) Working
2) Trusting
3) Orientation
4) Termination
Which statement demonstrates the best understanding 3) "Being respectful and concerned will ensure that I'm attentive to my clients'
of the nurse's role regarding ensuring that each client's rights."
rights are respected?
1) "Autonomy is the fundamental right of each and every
client."
2) "A client's rights are guaranteed by both state and
federal laws."
3) "Being respectful and concerned will ensure that I'm
attentive to my clients' rights."
4) "Regardless of the client's condition, all nurses have
the duty to respect client rights."
Questions and CORRECT Answers
A client says to a nurse, "I'm going to die, and I wish my 3) "You're feeling angry that your family continues to hope for you to be cured."
family would stop hoping for a cure! I get so angry
when they carry on like this. After all, I'm the one who's
dying." The therapeutic response by the nurse is:
1) "Have you shared your feelings with your family?"
2) "I think we should talk more about your anger with
your family."
3) "You're feeling angry that your family continues to
hope for you to be cured."
4) "Well, it sounds like you're being pretty pessimistic.
After all, years ago, people died of pneumonia."
On review of the client's record, the nurse notes that 4) A willingness to participate in the planning the care and treatment plan.
the admission was voluntary. Based on this information,
the nurse anticipates which client behavior:
1) Fearfulness regarding treatment measures
2) Anger and aggressiveness directed towards others
3) An understanding of the pathology and symptoms of
the diagnosis.
4) A willingness to participate in the planning the care
and treatment plan.
A nurse is preparing a client for the termination phase 2) Making appropriate referrals
of the nurse-client relationship. The nurse prepares to
implement which nursing task appropriate for this
phase?
1) Planning short-term goals
2) Making appropriate referrals
3) Developing realistic solutions
4) Identifying expected outcomes
, The nurse calls security and has physical restrains 2) Battery
applied when a client who was admitted voluntarily 3) Assault
becomes both physically and verbally abusive while 5) False Imprisonment
demanding to be discharged from the hospital. Which
represents the possible legal ramifications for the nurse
associated with these interventions? Select all that
apply.
1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment
A nurse is working with a client who has sought 4) Inquiring about and examine the client's feelings that may block adaptive
counseling after trying to rescue a neighbor involved in coping
a house fire. Despite the client's efforts, the neighbor
died. Which action does the nurse engage in with the
client during the working phase of the nurse-client
relationship?
1) Exploring the client's ability to function
2) Exploring the client's potential for self-harm
3) Inquiring about the client's perception of appraisal of
the neighbor's death
4) Inquiring about and examine the client's feelings that
may block adaptive coping
A client who has just been sexually assaulted is calm 1) Denial
and quiet. The nurse analyzes this behavior as indicating
which defense mechanism?
1) Denial
2) Projection
3) Rationalization
4) Intellectualization
Unresolved feelings related to loss most likely may be 4) Termination
recognized during which phase of the therapeutic
nurse-client relationship?
1) Working
2) Trusting
3) Orientation
4) Termination
Which statement demonstrates the best understanding 3) "Being respectful and concerned will ensure that I'm attentive to my clients'
of the nurse's role regarding ensuring that each client's rights."
rights are respected?
1) "Autonomy is the fundamental right of each and every
client."
2) "A client's rights are guaranteed by both state and
federal laws."
3) "Being respectful and concerned will ensure that I'm
attentive to my clients' rights."
4) "Regardless of the client's condition, all nurses have
the duty to respect client rights."
