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HESI RN · HESI Mental Health · Behavioral Health Nursing Care Plans

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which of the following statements about hope and symptoms of mental illness are true?Select one that does not apply.

A. Hope is not realistic and therefore is not related to mental well-being.

B. Persons having more hope experienced fewer actual symptoms.

C. Hope is a cause of mental illness.

D. There is not a significant relationship between hopelessness and increased symptoms.

Expert Explanatory Rationale

Correct Answer: Hope is a cause of mental illness.

Question 2 of 5

A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?

A. What are the common elements here?'

B. Tell me again about your experiences.'

C. Am I correct in understanding that.'

D. Tell me everything from the beginning.'

Expert Explanatory Rationale

Correct Answer: Am I correct in understanding that.'

Question 3 of 5

A patient is seen in the clinic for superficial cuts on both wrists. Initially the patient paces and sobs but after a few minutes, the patient is calmer. The nurse attempts to determine the patient's perception of the precipitating event by asking:

A. "Tell me why you were crying."

B. "How did your wrists get injured?"

C. "How can I help you feel more comfortable?"

D. "What was happening when you started feeling this way?"

Expert Explanatory Rationale

Correct Answer: "What was happening when you started feeling this way?"

Question 4 of 5

In Obsessive Compulsive Disorder (OCD) compulsions are generally thought to be which of the following:

A. Repetitive or ritualized behaviour patterns that the individual feels driven to perform in order to prevent some negative outcome happening.

B. Repetitive thoughts about harming or distressing others.

C. Overwhelming desires to behave in an inappropriate fashion.

D. Ritualised worrying about negative outcome of events.

Expert Explanatory Rationale

Correct Answer: Repetitive or ritualized behaviour patterns that the individual feels driven to perform in order to prevent some negative outcome happening.

Question 5 of 5

A nurse is assessing a patient diagnosed with schizophrenia who is exhibiting disorganized speech. The patient states, 'I want to eat a chicken sandwich but the moon is yellow and all the words are backwards.' What is the most appropriate nursing intervention?

A. Encourage the patient to focus on the present and engage in a simple conversation.

B. Redirect the conversation to focus on topics of interest to the patient.

C. Ask the patient to clarify their speech and provide feedback.

D. Acknowledge the patient's speech and allow them to express their feelings.

Expert Explanatory Rationale

Correct Answer: Encourage the patient to focus on the present and engage in a simple conversation.

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