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HESI RN · HESI Mental Health · Behavioral Health Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A woman said, "I can't take anymore! Last year my husband had an affair and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What is the nurse's priority assessment?

A. Identify measures useful to help improve the couple's communication.

B. The patient's feelings about the possibility of having a mastectomy

C. Whether the husband is still engaged in an extramarital affair

D. Clarify what the patient means by "I can't take anymore."

Expert Explanatory Rationale

Correct Answer: Clarify what the patient means by "I can't take anymore."

Question 2 of 5

A cruel and abusive person often uses rationalization to explain the behavior. Which comment demonstrates use of this defense mechanism?

A. I don't know why I do mean things.'

B. I have always had poor impulse control.'

C. That person should not have provoked me.'

D. I'm really a coward who is afraid of being hurt.'

Expert Explanatory Rationale

Correct Answer: That person should not have provoked me.'

Question 3 of 5

The nurse on an addictive disorders unit receives a phone call inquiring about the status of a client. The caller is not on the client's allowed contact list. Which of the following is the appropriate response by the nurse to the caller?

A. I cannot confirm or deny the existence of any client here.'

B. You will need to be placed on the client's contact list before I can discuss any information with you.'

C. The person you are asking for is not a client here.'

D. Hold 1 minute while I get the client for you.'

Expert Explanatory Rationale

Correct Answer: I cannot confirm or deny the existence of any client here.'

Question 4 of 5

A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?

A. My parents fought a lot when I was a child. Now, when I hear people yelling or fighting, I feel like I left my body.'

B. I was in a car crash 2 weeks ago and I have nightmares when I sleep.'

C. I was physically abused when I was a child and have frequent flashbacks since then.'

D. I was in a terrible car crash 2 years ago and I have been unable to drive a car since then.'

Expert Explanatory Rationale

Correct Answer: I was in a car crash 2 weeks ago and I have nightmares when I sleep.'

Question 5 of 5

Which questions should the nurse ask to determine an individuals worldview? Select one that does not aplly.

A. What is more important: the needs of an individual or the needs of a community?

B. How would you describe an ideal relationship between individuals?

C. How long have you lived at your present residence?

D. Of what importance are possessions in your life?

Expert Explanatory Rationale

Correct Answer: How long have you lived at your present residence?

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