RN Hesi Mental Health

Extract:

Question 1 of 5

The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?

Correct Answer: D

Rationale: Role-playing helps adolescents practice social skills and coping strategies for peer rejection, making it most effective for this group.

Extract:

History and Physical
Nurse's Notes
Orders
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.

Question 2 of 5

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

This diagnosis means that I am crazy.'

I can learn to manage my thoughts better through therapy.'

I can use holistic approaches like meditation to help my symptoms.'

Many people have the same response to a stressful situation as I am having right'

I am at high risk for post-traumatic-stress disorder because I have acute stress disorder'

I will probably need to be on medication for the rest of my life.'

Correct Answer: A,C,D,F

Rationale: Statements about being 'crazy,' typical stress responses, holistic approaches, and lifelong medication need clarification to address stigma, variability in trauma responses, and treatment plans.

Extract:

Question 3 of 5

A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?

A. Compromised family coping. B. Ineffective sexual patterns. C. Impaired environmental interpretation. D. Disturbed sensory perception.

Correct Answer: D

Rationale: Delusional beliefs indicate disturbed sensory perception, the priority problem requiring psychiatric evaluation.

Question 4 of 5

The nurse notes that a client with a history of self-mutilation has increased body tension and is pacing in the hallway. Which nursing intervention is most important at this time?

A. Complete a thorough room search to ensure the client does not have access to objects that can be used for self-harm. B. Provide the client time alone in the client's room to reduce external stimulation and promote relaxation. C. Alert the assigned staff to closely monitor the client and intervene as needed to reduce the risk of self-mutilation. D. Give the client firm, consistent expectations that self-mutilating behaviors are unacceptable and will not be allowed.

Correct Answer: C

Rationale: Close monitoring and intervention are critical to prevent self-harm in a client showing signs of distress, prioritizing safety.

Question 5 of 5

A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?

A. Assist the client with relaxation techniques in the group. B. Escort the client from the group to reduce stimuli. C. Provide education about ways to cope with anxiety. D. Ask the client to describe and identify the source of the feelings.

Correct Answer: A

Rationale: Assisting with relaxation techniques in the group provides immediate anxiety relief and support, suitable for acute anxiety.

RN Hesi Mental Health | Nurselytic

Nurselytic

HESI RN

HESI RN