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HESI RN · HESI Mental Health · Mental Health HESI

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The client's plan of care should include what priority problem?

A. Acute confusion.
B. Ineffective community coping.
C. Disturbed sensory perception.
D. Self-care deficit.

Expert Explanatory Rationale

Correct Answer: Acute confusion.

Question 2 of 5

During the admission assessment, a female client requests that her husband be allowed to stay in the room. When the RN notes a discrepancy between the client's verbal and nonverbal communication, what action should the RN take?

A. Pay close attention to and document the nonverbal messages.
B. Ask the client's husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus solely on the client's verbal messages.
D. Integrate the verbal and nonverbal messages and interpret them together.

Expert Explanatory Rationale

Correct Answer: Pay close attention to and document the nonverbal messages.

Question 3 of 5

Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, 'I don't need to come see you anymore. I have found a therapy app on my phone that I love.' How should Carolina respond to this news?

A. That sounds exciting, would you be willing to visit and show me the app?
B. At this time, there is no real evidence that the app can replace our therapy.
C. I am not sure that is a good idea right now; we are so close to progress.
D. Why would you think that is a better option than meeting with me?

Expert Explanatory Rationale

Correct Answer: That sounds exciting, would you be willing to visit and show me the app?

Question 4 of 5

A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the nurse to implement?

A. Avoid acknowledging the behavior.
B. Isolate the client from other clients.
C. Administer a PRN sedative.
D. Escort the client to his room.

Expert Explanatory Rationale

Correct Answer: Escort the client to his room.

Question 5 of 5

While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client's behaviors. What is the main goal of this therapeutic technique?

A. Initiate a non-threatening conversation with the client.
B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client's feelings when he responds.

Expert Explanatory Rationale

Correct Answer: Allow the client to identify the way he interacts.

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