ATI RN
Mental Health HESI Practice Questions Questions
Question 1 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 2 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 3 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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse is assessing 15-year-old identical twins who respond very differently to stress. One twin becomes anxious and irritable, while the other withdraws and cries. How should the nurse explain these different responses to stress to the parents?
Correct Answer: A
Rationale: Identical twins may share the same genetic makeup, but they are still unique individuals with their own personalities and experiences. Reactions to stress are not solely determined by genetics; they are also influenced by individual differences, environmental factors, and personal coping strategies. Thus, it is normal for identical twins to respond differently to stressors. Stress responses are relative rather than absolute, meaning that each person may react in their own way based on their temperament, past experiences, and current circumstances. It is essential for the parents to understand that variation in stress responses is a natural aspect of human behavior, even among identical twins.
Question 5 of 5
Which statement reflects a student nurses accurate understanding of the concepts of mental health and mental illness?
Correct Answer: B
Rationale: The statement that reflects a student nurse's accurate understanding of the concepts of mental health and mental illness is that they are multidimensional and culturally defined. Mental health and mental illness are complex concepts that are influenced by various factors such as biological, psychological, social, and cultural aspects. Different cultures may have varying beliefs, norms, and attitudes towards mental health and mental illness, leading to diverse understandings and expressions of these concepts. Therefore, it is crucial for student nurses to recognize and respect the multidimensional and culturally defined nature of mental health and mental illness in order to provide effective and culturally sensitive care to individuals experiencing mental health challenges.