HESI PSYCH MENTAL HEALTH EXIT EXAM V2 BRAND NEW QUESTIONS 2023-2024 GUARANTEE PASS (A+)

HESI PSYCH MENTAL HEALTH EXIT EXAM V2 BRAND NEW QUESTIONS 2023-2024

GUARANTEE PASS (A+)

A female victim of sexual assault is being seen in the crisis centre. The client states that she still feels "as though the rape just happened yesterday," even though it has been a few months since the incident. The appropriate nursing response is which of the following?

1) "You need to try and be realistic. The rape did not just occur."

2) "It will take some time to get over these feelings about your rape."

3) "Tell me more about the incident that causes you to feel like the rape just occurred."

4) "What do you think that you can do to alleviate some of your fears about being raped again?"

A nurse is preparing to care for a dying client, and several family members are at the client' bedside. Select the therapeutic techniques that the nurse would use when communicating with the family. Select all that apply.

1) Discourage reminiscing

2) Make decisions for the family

3) Encourage expression of feelings, concerns, and fears

4) Explain everything that is happening to all family members

5) Touch and hold the client's or family member's hands if appropriate

6) Be honest and let the client and family know that they will not be abandoned by the nurse

A client's medication sheet contains a prescription for sertraline (Zoloft). To ensure safe administration of the medication, a nurse would administer the dose:

1) On an empty stomach

2) At the same time each evening

3) Evenly spaced around the clock

4) As needed when the client complains of depression

A nurse is preforming a follow-up teaching session with a client discharged 1 month ago. The client is taking fluoxetine (Prozac). What information would be important for the nurse to obtain during this client visit regarding the side effects of the medication?

1) Cardiovascular symptoms

2) Gastrointestinal dysfunctions

3) Problems with mouth dryness

4) Problems with excessive sweating

A nurse is caring for a client with anorexia nervosa. The nurse is monitoring the behaviour of the client and understands that a client with anorexia nervosa manages anxiety by:

1) Engaging in immoral acts

2) Always reinforcing self-approval

3) Observing rigid rules and regulations

4) Having the need always to make the right decision

A nurse is caring for a suicidal client. The appropriate nursing intervention in dealing with this client is to:

1) Demonstrate confidence in the client's ability to deal with stressors

2) Provide hope and reassurance that the problems will resolve themselves

3) Display an attitude of detachment, confrontation, and efficiency

4) Provide authority, action, and participation

A client in a long-term care facility who has multiple sclerosis is embarrassed about the need to use a wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in assisting the client to cope?

1) Keep the client in her room as much as possible

2) Assist the client with all activities of daily living

3) Tell the client that many of the people in the facility have these same sorts of problems

4) Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily

On admission assessment, the nurse is obtaining subjective data about a client's sexual and reproductive status. The client states, "I don't want to discuss this; it's private and personal." Which response by the nurse is the most therapeutic?

1) "I'd hate being asked these sorts of questions too, but it's a necessary part of providing you with the best care."

2) "This is difficult for you to speak about, but I need this information from you in order to perform a complete assessment."

3) "I am a professional registered nurse, and, as such, I'll have you know that all your information is certainly kept confidential."

4) "I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated to respect your confidentiality."

The nurse should include which information in the nursing plan of care for a client with obsessive-compulsive disorder (OCD)? Select all that apply.

1) The medical diagnosis of the client

2) Individualized goals and objectives

3) Attendance at group therapy sessions

4) Self-care measures to improve hygiene

5) Interruption of all compulsive behaviours