HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
A 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?
Correct Answer: A
Rationale: Altruism involves addressing one's own needs through meeting the needs of others, and caring for the husband's aging parents is an example of this coping mechanism.
Question 2 of 5
A college student is admitted to the mental health unit following a drug overdose. The student tells the nurse about the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
Correct Answer: C
Rationale: Returning to the previous level of functioning is the primary goal, focusing on restoring the client's ability to manage daily life and cope with stressors.
Question 3 of 5
A client with obsessive compulsive disorder (OCD) reports feeling 'driven' to check the locks on the front door at least six times every night. Which response is best for the nurse to provide?
Correct Answer: B
Rationale: This response shows empathy and curiosity and invites the client to explore their cognitive processes behind their compulsive behavior, helping identify and challenge irrational thoughts.
Question 4 of 5
A client admitted to the mental health unit starts to shout and scream at the nurse. Which approach is best for the nurse to take?
Correct Answer: B
Rationale: Staying quietly with the client is a calm, non-confrontational approach that allows expression of emotions while conveying support.
Question 5 of 5
A client is discussing feelings related to a recent loss with the nurse. The nurse remains silent when the client says, 'I don't know how I will go on.' What is the reason for the nurse's behavior?
Correct Answer: C
Rationale: Silence is therapeutic, allowing the client time to reflect on and explore their thoughts and feelings, promoting self-discovery and expression.