HESI RN
Quizlet HESI Mental Health Questions
Question 1 of 5
A male hospital employee is pushed out of the way by a female employee because of an oncoming gurney. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric nurse. Which factor in the pushed employee's history is most related to the reaction that occurred?
Correct Answer: C
Rationale: The correct answer is 'C: Was physically abused by his mother.' The pushed employee's aggressive reaction can be attributed to his history of physical abuse. Research suggests that individuals who have experienced physical abuse may exhibit heightened aggressive responses due to trauma and learned behavior. Choices A, B, and D are incorrect: A is a stereotype-based assumption that does not have a direct correlation with the aggressive behavior observed; B, torturing animals, is concerning behavior but not directly linked to the aggressive response in this scenario; D, hating to be touched, is not the most relevant factor considering the situation described.
Question 2 of 5
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the mental health worker warrants immediate intervention by the RN?
Correct Answer: A
Rationale: Attempting to physically restrain the client without proper protocol and preparation can escalate the situation.
Question 3 of 5
After receiving treatment for anorexia, a student asks the school nurse for permission to work in the school cafeteria as part of the school's work-study program. What action should the nurse take?
Correct Answer: A
Rationale: Clients with anorexia are often fixated on food and exercise, which can exacerbate their condition. By recommending assignment to the receptionist's office, the nurse provides an environment that minimizes exposure to food-related triggers. Working in the cafeteria may intensify the student's preoccupation with food, making it an unsuitable choice. Referring the student to a psychiatrist without exploring less triggering work options first may not be necessary. Determining the parents' opinion is important, but in this context, the focus should be on selecting a work environment that supports the student's recovery.
Question 4 of 5
A male client approaches the RN with an angry expression on his face and raises his voice, saying, "My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his temper one more time with me, I am going to punch him out!" The RN recognizes that the client is using which defense mechanism?
Correct Answer: B
Rationale: The correct answer is B: Projection. Projection involves attributing one's own unacceptable feelings or thoughts to others, as seen in the client's accusations of his roommate's behavior. In this scenario, the client is projecting his own anger and potential for violence onto his roommate. Choice A, Denial, involves refusing to acknowledge some aspect of reality. Choice C, Rationalization, is a defense mechanism where logical reasons are given to justify behaviors that are actually based on unacceptable motives. Choice D, Splitting, is a defense mechanism where a person sees others as all good or all bad, not applicable in this case.
Question 5 of 5
The RN is providing education about strategies for a safety plan for a female client who is a victim of intimate partner violence. Which strategies should be included in the safety plan? (SOA)
Correct Answer: B
Rationale: B: Establishing a code with family and friends is important as it helps discreetly communicate the need for help without alerting the abuser. D: Having a bag prepared with essentials ensures the victim can swiftly leave if required. A: Purchasing a gun can escalate violence and is not a recommended safety strategy. C: Taking a self-defense course focused on protecting oneself is beneficial, but courses that involve retaliation are not recommended as they can increase risk and escalate violence.
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