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Rn Hesi Mental Health Exam 1
Rn Hesi Mental Health Exam 1
Total Questions : 53
Showing 10 questions Sign up for moreA woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?
Explanation
A) Altruism refers to the selfless concern for the well-being of others. In this scenario, the woman is caring for her husband's aging parents despite her recent divorce, demonstrating a selfless act of caring for others.
B) Regression involves reverting to an earlier stage of development in response to stress or conflict. This does not appear to be the primary psychological mechanism at play in this scenario.
C) Compartmentalization involves separating conflicting thoughts or emotions into different compartments of the mind to manage stress. While this may be relevant to some extent, it does not fully capture the woman's selfless caregiving behavior.
D) Egocentrism refers to a self-centered perspective where one is focused primarily on their own needs and desires. This does not align with the woman's behavior of caring for her husband's aging parents despite her own challenges.
A client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting self injury by shooting. The client reports going through a divorce one year ago, job loss four months ago, and suffering from a breakup of a current relationship last week. Which is the most likely source of this client's current feelings of depression?
Explanation
A) While frustration may contribute to the client's distress, it's not the primary source described in the scenario.
B) The client has experienced multiple losses, including divorce, job loss, and breakup, which are significant sources of grief and depression.
C) Poor self-esteem could be a contributing factor, but it's not directly mentioned as the primary source of depression in the scenario.
D) Lack of intimate relationships may exacerbate feelings of loneliness but may not be the primary source of depression compared to the losses experienced.
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?
Explanation
A) Allowing time for the client to process and respond respects their pace and encourages expression.
B) Asking if the client heard the question may be premature as the client may need more time to formulate a response.
C) Changing the question might not address the client's current feelings and could disrupt the therapeutic process.
D) While returning later could be an option, giving the client time to respond in the moment is appropriate before considering this step.
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the nurse to provide in this crisis?
Explanation
A) This response does not provide immediate assistance or guidance to the employee in crisis. It redirects the focus onto the employee's thoughts rather than addressing the urgent need for action.
B) This response shifts the focus onto the employee's thoughts rather than providing immediate assistance or guidance.
C) While gathering information about the situation may be important, in this crisis moment, the priority is to provide assistance and guidance to the employee in taking appropriate action.
D) This is the best response as it provides clear, actionable guidance to the employee on what steps to take in the immediate situation. It addresses the urgent need to get to the hospital to be with their child.
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?
Explanation
A) While assessing for cocaine withdrawal is important, educating the client about the medication takes precedence to ensure understanding and compliance.
B) Educating the client about the purpose and potential side effects of the medication enhances medication adherence and informed decision-making.
C) Encouraging medication adherence is important, but ensuring the client understands why they are taking the medication is crucial for long-term management.
D) Determining the last use of cocaine is relevant for monitoring progress but is not as immediately important as educating the client about the prescribed medication.
A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?
Explanation
A) Thiamine supplementation is essential in the treatment of Wernicke-Korsakoff syndrome, as thiamine deficiency is a primary cause of the condition.
B) Chlordiazepoxide is a benzodiazepine used to manage alcohol withdrawal symptoms but does not directly address the symptoms of Wernicke-Korsakoff syndrome.
C) Clonidine is not typically used in the treatment of Wernicke-Korsakoff syndrome.
D) Carbamazepine is an anticonvulsant and mood stabilizer used in conditions like epilepsy and bipolar disorder but is not indicated for Wernicke-Korsakoff syndrome.
The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.
Explanation
A) Clients with bipolar disorder may benefit from clear, concise instructions to help maintain structure and routine. This intervention can help the client focus on tasks and reduce impulsivity.
B) Competitive activities may exacerbate symptoms in clients with bipolar disorder, as they can intensify feelings of agitation or impulsivity.
C) Clients with bipolar disorder may struggle with boundaries and may benefit from a quieter, more controlled environment to reduce stimulation and promote rest.
D) Physical activity can help channel excess energy and reduce restlessness in clients with bipolar disorder. However, it's important to invite the client for a walk rather than engage in competitive activities to avoid exacerbating symptoms.
E) Television programs with suspense may further stimulate the client and exacerbate symptoms such as impulsivity and distractibility. It's generally more beneficial to provide calming and soothing activities.
During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?
Explanation
A. Remain calm and use a matter-of-fact approach: A calm, consistent, and matter-of-fact approach helps to reduce the client's anxiety by providing reassurance and stability. This strategy focuses on building trust and establishing a therapeutic relationship, which is crucial during admission.
B. Assist the client in developing alternative coping skills: While this is an important intervention, it is not the priority during admission. Clients experiencing extreme anxiety are often unable to learn or apply new coping strategies until their immediate anxiety is reduced.
C. Administer an as needed (PRN) sedative to help relieve anxiety: Medications may be helpful but should not be the first-line intervention unless the anxiety is severely debilitating. Addressing the client's concerns and building rapport are higher priorities initially.
D. Ask the client why she is so anxious: Clients in an extremely anxious state may not be able to articulate their feelings clearly. Asking "why" can also feel accusatory or overwhelming and may escalate the client’s anxiety.
A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?
Explanation
A) While monitoring for binging activities is important, assessing and addressing potential electrolyte imbalances take precedence due to the significant medical risks associated with bulimia nervosa.
B) Assessing and reporting the client's electrolyte status is crucial as individuals with bulimia nervosa are at risk of electrolyte imbalances, which can lead to severe medical complications.
C) Assigning care based on age is not a priority intervention and does not directly address the medical and psychological needs of the client.
D) Group therapy may be beneficial for long-term treatment but is not the highest priority during the initial admission phase when medical stabilization is paramount.
The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?
Explanation
A) While headaches can be associated with depression, the symptom of excessive tiredness is more closely linked to depression.
B) Back pain can be related to depression in some cases, but excessive tiredness is a more common symptom associated with depression.
C) Dizziness may occur in depression, but excessive tiredness is a more specific symptom.
D) Excessive tiredness, or fatigue, is a common symptom of depression and is often reported by individuals experiencing depressive episodes.
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