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HESI RN · HESI Mental Health · Age Specific Considerations in Patient Care

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The client tells the nurse, 'My husband left to go bowling with his buddies, so I had to cut myself.' The nurse using the SET method of communication will use as the initial response:

A. Tell me what made you think of that action.'
B. It concerns me to hear that you took that action.'
C. You should have called your psychiatrist.'
D. What can I do to help you now that you're here?'

Expert Explanatory Rationale

Correct Answer: It concerns me to hear that you took that action.'

Question 2 of 5

A client with obsessive-compulsive personality disorder seeks treatment for depression after the recent breakup of a relationship. The client constantly procrastinated about proposing marriage and said his girlfriend complained that he did not show her affection and that he was too controlling. Now he describes inability to sleep, poor concentration, and loss of energy since the breakup. Which outcome is a priority for the client? The client will:

A. Demonstrate assertive behavior
B. Express hope for developing a new relationship in the future
C. Identify feelings of sadness related to the failed relationship
D. List three new ways to reduce stress

Expert Explanatory Rationale

Correct Answer: Identify feelings of sadness related to the failed relationship

Question 3 of 5

A person diagnosed with a serious mental illness (SMI) living in the community was punched, pushed to the ground, and robbed of 7 during the day on a public street. Which statements about violence and serious mental illness in general are accurate? Select one tha does not apply.

A. Persons with SMI are more likely to be violent
B. SMI persons experience higher rates of sexual assault and victimization than others
C. Impaired judgment and social skills can provoke hostile or assaultive behavior
D. Lower incomes force SMI persons to live in high-crime areas, increasing risk

Expert Explanatory Rationale

Correct Answer: Persons with SMI are more likely to be violent

Question 4 of 5

A patient being treated for major depression is the CEO of her own business. She has shown significant improvement and is about to be discharged after completing a course of 15 electroconvulsive therapy sessions. She will continue on SSRI medications. The patient has been counseled not to make a major business decision for a month. The rationale for this is that:

A. SSRIs may cause confusion in susceptible persons.
B. ECT often causes temporary memory impairment.
C. Lingering depression makes the patient incompetent.
D. The patient needs months to readjust to work pressures.

Expert Explanatory Rationale

Correct Answer: ECT often causes temporary memory impairment.

Question 5 of 5

The nurse wants to enroll a patient with poor social skills in a training program for patients diagnosed with schizophrenia. Which description accurately describes social skills training?

A. Patients learn to improve their attention and concentration
B. Group leaders provide support without challenging patients to change
C. Complex interpersonal skills are taught by breaking them into simpler behaviors
D. Patients learn social skills by practicing them in a supported employment setting

Expert Explanatory Rationale

Correct Answer: Complex interpersonal skills are taught by breaking them into simpler behaviors

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