RN Hesi Mental Health | Nurselytic

Questions 37

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RN Hesi Mental Health Questions

Extract:

History and Physical
The client is in the hospital after her house collapsed during a hurricane. She has been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue monitoring her respiratory function and to complete intravenous antibiotic administration. Nurses' Notes
0900
Pain assessment completed. The client's pain is 2/10. The client requests sleeping medication for the night. She states that she has horrible thoughts and memories about the house collapsing all the time and that it is keeping her from falling asleep. She states, "I used to be so happy before all of this happened. Now I can't seem to get out of this funk I am in." The client would also prefer to be in a quieter area of the unit as she is currently by the nurses' station and hears talking and alarms constantly.


Question 1 of 5

The client is in the hospital after her house collapsed during a hurricane. She has been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue monitoring her respiratory function and to complete intravenous antibiotic administration. The nurse engages the client in conversation about her feelings and some of her coping mechanisms. Click to specify which client statement or behavior is most likely associated with each of the listed defense mechanisms.

OptionsSuppressionFantasyIsolationDenial
The client discusses moving to Hawaii instead of returning to rebuild her house. (Fantasy)
The client seems unemotional when talking about needing to rebuild her house. (Isolation)
The client states that she sometimes forgets why she is in the hospital. (Suppression)
The client is frightened that the hospital will burn down. (Denial)

Correct Answer: A,B,C,D

Rationale: Fantasy (Hawaii move) escapes reality, isolation (unemotional) separates emotions, suppression (forgetting hospitalization) avoids distress, and denial (hospital fire fear) projects trauma.

Extract:


Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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For each client statement, click to highlight the statement(s) below that require follow-up teaching by the nurse.

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