N481 HESI Quizzes 1&2

Which client statement indicates that the client is experiencing a maturational crisis? A. "I just moved out of my parents' house; I should be happy, but I feel overwhelmed" B. "I felt very tense and irritable after my husband suggested that we get a divorce" C. "I want to do well in nursing school, but I don't think my instructor likes me very much" D. "I have these vague feelings of uneasiness when I am in a crowded place"

A. "I just moved out of my parents' house; I should be happy, but I feel overwhelmed"

Which statement demonstrates that a psychiatric nurse has successfully fostered a therapeutic nurse-client relationship? A. "My clients and I are partners in the planning that helps meet their physical and mental health needs" B. "Nurses and clients must develop a therapeutic relationship if appropriate mental and physical care is to be provided" C. "Mental health is achieved and maintained when the nurses and the clients exhibit respect and caring for each other" D. "Without a mutually satisfying relationship between nurse and client, achieving mental and physical wellness is very difficult"

A. "My clients and I are partners in the planning that helps meet their physical and mental health needs"

A client who often contributes to the group therapy discussion is interrupted by a less talkative group member. Afterward, the talkative client sits rigidly and looks angry and says, "I'm so glad that you feel like talking today". Which response is best? A. "You seem angry, but your words are very pleasant" B. "It appears that members of the group are not getting along" C. "It is nice to hear from members who don't usually say anything" D. "Let's go on as a group and I can talk to individuals later on"

A. "You seem angry, but your words are very pleasant"

Which reaction is most likely to occur when the performance of a ritual is interrupted for a client with obsessive-compulsive disorder? A. Anxiety B. Hostility C. Aggression D. Withdrawal

A. Anxiety

Which nursing actions best promote communication when obtaining a nursing history? SATA A. Establishing eye contact B. Paraphrasing the client's message C. Asking "why" and "how" questions D. Using broad, open-ended statements E. Reassuring the client that there is no cause for alarm F. Asking questions that can be answered with a "yes" or "no"

A. Establishing eye contact B. Paraphrasing the client's message D. Using broad, open-ended statements

Which nursing intervention would be appropriate for this client in light of the information shown? A. Remaining with the client until crisis is over B. Reinforcing for the client that a panic attack is rarely fatal C. Communicating with the client using detailed sentences D. Introducing soft, soothing music into the environment to distract the client

A. Remaining with the client until crisis is over

A client reports to the nurse, "I'm afraid of every little thing and I have a fear of dying. My heart races all the time, and I break out in sweats". Which first-line medications would the nurse anticipate developing a teaching plan for? SATA A. Sertraline B. Fluoxetine C. Phenelzine D. Alprazolam E. Imipramine

A. Sertraline B. Fluoxetine

Based on the given table, which post-traumatic client is in need of counseling after a traumatic event? A. Client A - Having difficulty recalling the event B. Client B - Having difficulty sleeping one month after the event C. Client C - Reporting "feeling numb" 1 week after the event D. Client D - Feeling exhausted due to a heavy workload

B. Client B - Having difficulty sleeping one month after the event

The client reports screaming hysterically whenever a spider comes close to her. Which defense mechanism is the client using? A. Sublimation B. Displacement C. Repression D. Introjection

B. Displacement Release of pent-up feelings onto something or someone else that is less threatening than the original source of the feelings

Which term would be used to document the client's affect, which was observed during the mental status assessment? A. Depressed B. Flat C. Cooperative D. Resistive

B. Flat

Which primary anxiolytic medication would the nurse anticipate developing a teaching plan for when a client with social anxiety disorder has a history of exhibiting an intense, irrational fear of being scrutinized by others? SATA A. Sertraline B. Paroxetine C. Alprazolam D. Venlafaxine E. Clonazepam

C. Alprazolam E. Clonazepam

Which behavior is most commonly used by an individual with a phobic disorder? A. Rumination B. Desensitization C. Avoidance D. Confrontation

C. Avoidance

Which factor is related to safety when discussing standards for involuntary admission to a mental health facility? A. Mental illness B. Severe disability C. Currently cutting D. Needs treatment

C. Currently cutting

Which additional clinical manifestation would the nurse monitor for in a client with generalized anxiety disorder who presents with restlessness and fatigue? A. Hoarding B. Panic attacks C. Excessive worry D. Feat of leaving the house

C. Excessive worry

A client monopolizes the group therapy discussion and the other group members become inattentive. Which intervention is best? A. Gently telling the client that they are taking up too much of the group's time B. Saying nothing and waiting for one of the group members to interrupt the monopolizer C. Thanking the client for sharing and asking other group members to contribute D. Confronting the client by stating that the group is not really interested in their topic

C. Thanking the client for sharing and asking other group members to contribute

Which consideration is the most accurate when applying the principles of mental health? A. Emotionally ill people will initially reject psychological support from family or others B. People with emotional illnesses lack the cognitive ability to perform problem-solving C. Mental illness is characterized by signs and symptoms of socially inappropriate behavior D. Emotional health is promoted when there is a sense of mastery of self and the environment

D. Emotional health is promoted when there is a sense of mastery of self and the environment

Which benefit is provided by milieu therapy? A. Availability of individual and family therapy B. Positive reinforcement to reduce guilt C. Revelation of unconscious conflicts and fantasies D. Environment provides structure, routine and security

D. Environment provides structure, routine and security

Which primary purpose does the diagnostic and statistical manual of mental disorders, fifth edition (DSM-5) serve? A. Facilitates communication between researchers and clinicians B. Aids in teaching psychopathology to mental health professionals C. Increases accuracy in public health statistics through use of diagnostic codes D. Facilitates classification of mental disorders and guides the determination of diagnosis

D. Facilitates classification of mental disorders and guides the determination of diagnosis

An obviously upset client pushes ahead of the other clients and states, "I had an argument with my daughter, and now I'm tense, and anxious, and angry". Which level of anxiety is the client experiencing? A. Mild B. Panic C. Severe D. Moderate

D. Moderate

Which purpose is the focus of milieu therapy? A. To provide opportunities to role play life events to meet individual needs B. To use natural remedies rather than medications to control behavior C. To allow the client freedom to determine involvement in activities D. To manipulate the surroundings to facilitate positive changes in behavior

D. To manipulate the surroundings to facilitate positive changes in behavior