ATI RN
Mental Health HESI Practice Questions Questions
Question 1 of 5
A client diagnosed with dissociative identity disorder (DID) switches personalities when confronted with destructive behavior. The nurse recognizes that this dissociation serves which function?
Correct Answer: C
Rationale: The nurse recognizes that dissociation in a client with dissociative identity disorder (DID) serves to isolate painful events so that the primary self is protected. Dissociation in DID involves a disruption of identity, memory, or consciousness that can serve as a coping mechanism to protect the individual from overwhelming experiences or emotions. When a client switches personalities in the face of destructive behavior, it is often a way for the primary self to distance itself from the distressing situation and maintain a sense of self-preservation. By dissociating and allowing other personalities to emerge, the primary self can avoid direct confrontation with the destructive behavior or memories associated with it. This function of dissociation helps to limit the impact of painful events on the primary self and maintain a sense of psychological safety.
Question 2 of 5
Which client statement should alert a nurse that a client may be responding maladaptively to stress?
Correct Answer: A
Rationale: The client statement "I've found that avoiding contact with others helps me cope" should alert a nurse that the client may be responding maladaptively to stress. Avoiding contact with others for coping can be a sign of isolation, which can often exacerbate stress and lead to negative mental health outcomes. It is important for individuals to seek social support and healthy coping mechanisms when dealing with stress rather than isolating themselves. Clients should be encouraged to engage in activities that promote social connection, self-care, and positive interactions with others.
Question 3 of 5
A school nurse is assessing a distraught female high school student who is overly concerned because her parents cant afford horseback riding lessons. How should the nurse interpret the students reaction to her perceived problem?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) The problem is personally relevant to her. This is the most appropriate interpretation because the student's distress over not being able to afford horseback riding lessons indicates that this issue holds significance to her on a personal level. This response shows empathy and understanding towards the student's feelings, acknowledging the emotional impact of the situation. Option A) The problem is endangering her well-being, is incorrect as the situation does not pose a direct threat to the student's physical health or safety. Option C) The problem is based on immaturity, is invalid as it dismisses the student's feelings as simply immature, failing to recognize the genuine emotions she is experiencing. Option D) The problem is exceeding her capacity to cope, is also incorrect as the student's reaction is a normal response to a disappointment or unmet desire, rather than a sign of overwhelming stress. From an educational perspective, it is crucial for healthcare professionals, including school nurses, to understand the importance of validating and acknowledging individuals' feelings and concerns. By recognizing the personal relevance of a problem to a student, professionals can provide appropriate support and guidance to help them navigate their emotions effectively. This approach fosters a trusting and supportive relationship between the student and the healthcare provider, ultimately promoting positive mental health outcomes.
Question 4 of 5
Which symptom should a nurse identify as typical of the fight-or-flight response?
Correct Answer: B
Rationale: The fight-or-flight response is a physiological reaction that occurs when an individual faces a perceived threat or stressor. One of the primary characteristics of this response is the activation of the sympathetic nervous system, which leads to an increase in heart rate. This increase in heart rate helps to pump more blood to the muscles, providing them with oxygen and nutrients to either fight the threat or flee from it. Therefore, identifying an increased heart rate as a symptom typical of the fight-or-flight response is crucial for understanding the body's physiological response to stress. Pupil constriction, increased salivation, and increased peristalsis are not typically associated with the fight-or-flight response.
Question 5 of 5
A nurse is working with a client who has recently been under a great deal of stress. Which nursing recommendations would be most helpful when assisting the client in coping with stress? Select all that apply.
Correct Answer: A
Rationale: In the context of pharmacology and mental health, it is essential to understand the impact of stress on overall well-being and the importance of coping strategies. Option A, "Enjoy a pet," is the correct answer because interacting with pets has been shown to reduce stress, lower blood pressure, and increase levels of serotonin and dopamine, which are neurotransmitters associated with calmness and well-being. This recommendation aligns with the concept of animal-assisted therapy and the positive effects of human-animal interactions on mental health. Options B and C, "Spend time with a loved one" and "Listen to music," are also commonly recommended coping strategies for stress. Spending time with loved ones can provide emotional support and a sense of connection, while listening to music can have a calming effect and help distract from stressors. These options are beneficial but may not always be accessible or effective for every individual. Option D, "Focus on the stressors," is the incorrect answer. Encouraging a client to solely focus on stressors can increase anxiety and exacerbate the negative impact of stress on mental health. It is important to shift the focus towards healthy coping mechanisms, like the ones mentioned above, to promote resilience and well-being. In pharmacology, understanding non-pharmacological interventions like these is crucial for holistic patient care. Nurses play a vital role in educating clients about effective stress management strategies to improve mental health outcomes and reduce the need for pharmacological interventions.