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HESI RN · HESI Mental Health · Behavioral Health Certification for Nurses

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Joy has just experienced her fifth spontaneous abortion. She is unable to understand why this is happening to her. Joy voices her anger toward her physician and the nurses, accusing them of incompetence. Assessing the situation, the nurse recognizes that the client may be using the coping mechanism of:

A. Conversion reaction.

B. Displacement.

C. Denial.

D. Regression.

Expert Explanatory Rationale

Correct Answer: Displacement.

Question 2 of 5

Knowing that relationships with others are significant to mental health, the nurse effectively assesses a patient's family relationships through which of the following?

A. Do you feel your family helps you?'

B. How many people are in your family?'

C. Whom are you closest to in your family?'

D. Describe your relationships with your family.'

Expert Explanatory Rationale

Correct Answer: Describe your relationships with your family.'

Question 3 of 5

Which assessment finding for a patient in the community deserves priority intervention by the psychiatric nurse? The patient:

A. receives Social Security disability income plus a small check from a trust fund every month.

B. was absent from two of six planned Alcoholics Anonymous meetings in the past 2 weeks.

C. lives in an apartment with two patients who attend partial hospitalization programs.

D. has a sibling who was recently diagnosed with a mental illness.

Expert Explanatory Rationale

Correct Answer: was absent from two of six planned Alcoholics Anonymous meetings in the past 2 weeks.

Question 4 of 5

A nurse is caring for a patient diagnosed with schizophrenia. Which of the following behaviors would the nurse most likely observe in this patient?

A. Excessive energy and impulsive behavior.

B. Difficulty in maintaining eye contact and speaking in a monotone voice.

C. Inability to distinguish between reality and fantasy.

D. Hyperactivity and racing thoughts.

Expert Explanatory Rationale

Correct Answer: Inability to distinguish between reality and fantasy.

Question 5 of 5

It is considered that successful CBT treatments of social phobia include elements of the following:

A. Exposure therapy.

B. Social skills training.

C. Cognitive restructuring.

D. All of the above.

Expert Explanatory Rationale

Correct Answer: All of the above.

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