Question

A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?

Answer 1

Correct Answers:

Altruism.

Rationale :

😊Altruism is a mature defense mechanism in which an individual copes with emotional conflict by meeting the needs of others.

😊The client, despite her divorce, derives satisfaction from caring for her former in-laws, showing selfless concern.

😊This is seen as adaptive behavior in stressful or painful situations.

It contrasts with mechanisms like regression or compartmentalization, which are less constructive.

Distractor Analysis :

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Answer 2

Correct Answers:

A sense of loss.

Rationale :

✅Multiple losses such as divorce, job loss, and breakup contribute to grieving and sadness, leading to depression.

✅These events represent a cumulative loss of significant life roles and relationships.

✅Loss is a well-documented trigger for depressive symptoms in many individuals.

✅The client’s history reflects a pattern of relational and role loss within a short period.

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Answer 3

Correct Answers:

Wait for the client to respond.

Rationale :

💎Depressed clients often experience psychomotor retardation, making their responses slow or delayed.

💎The nurse should demonstrate patience and provide nonverbal support, allowing time for the client to respond.

💎Silence conveys acceptance and encourages expression without pressure.

Interrupting or changing the topic may discourage communication.

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Answer 4

Correct Answers:

Call for transportation to the hospital.

Rationale :

🎀In a crisis situation, especially one involving a child in the hospital, the nurse should focus on immediate action and basic needs.

🎀Calling for transportation addresses the urgent need for the parent to be reunited with the child quickly.

🎀This approach demonstrates supportive, decisive behavior in a time of acute distress.

🎀Open-ended questions can be useful later, but crisis demands action first.

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Answer 5

Correct Answers:

Educate the client about the purpose and side effects of the medication.

Rationale :

💎Client education is essential for medication adherence, especially with new prescriptions.

💎Understanding the purpose helps motivate clients to take the medication, while knowledge of side effects allows for early identification and reporting.

💎This is key in preventing relapse and supporting long-term recovery.

💎The nurse's role involves ensuring the client is well-informed and empowered to manage their health.

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Answer 6

Correct Answers:

Thiamine.

Rationale :

🎀Wernicke-Korsakoff syndrome is associated with thiamine (vitamin B1) deficiency, often due to chronic alcohol abuse.

🎀Thiamine supplementation helps prevent or reduce neurologic complications like confusion and memory loss.

🎀This intervention is time-sensitive, and delays can lead to irreversible damage.

It's the first-line treatment in these cases

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Answer 7

Correct Answers:

Give concise and firm directions for hygiene and dressing
Assign the client to a single room.
Invite the client for a walk when client's energy is high.

Rationale :

🔹 A. Clear, firm directions help maintain structure and safety during manic episodes.

🔹 C. A single room helps limit stimulation and supports focus and calmness.

🔹 D. Walking helps channel excess energy in a controlled, safe way, reducing agitation.

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Answer 8

Correct Answers:

Remain calm and use a matter-of-fact approach.

Rationale :

💎In cases of severe anxiety, clients benefit from calm and direct communication.

💎A matter-of-fact tone reduces emotional overload and helps ground the client in reality.

💎This promotes a sense of security during admission, a time of heightened vulnerability.

💎Teaching or questioning may not be effective until the anxiety decreases.

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Answer 9

Correct Answers:

Assess and report the client's electrolyte status to the healthcare provider.

Rationale :

💎Electrolyte imbalance, especially hypokalemia, can result from purging behavior like vomiting or laxative use.

💎This poses life-threatening risks, including cardiac arrhythmias.

💎Immediate assessment and reporting ensures timely intervention and stabilization.

💎This takes priority over therapy or peer support until the physical risk is addressed.

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Answer 10

Correct Answers:

Tiredness.

Rationale :

✅Fatigue or tiredness is a somatic symptom frequently seen in clients with depression.

✅Depression often manifests physically, especially in those who may not express emotional distress.

✅Symptoms like low energy, sleep disturbances, and fatigue are hallmark features.

✅It’s important for the nurse to identify and relate these physical symptoms to the underlying mental health issue.

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RN HESI Mental Health Exam 2

No.

1 :
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?

3 :
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?

4 :
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the nurse to provide in this crisis

5 :
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?

6 :
A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?

8 :
During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?

9 :
A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?

10 :
The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?

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RN HESI Mental Health Exam 2

No.

1 : A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?

3 : The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?

4 : The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the nurse to provide in this crisis

5 : The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?

6 : A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?

8 : During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?

9 : A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?

10 : The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?

1 :
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?

3 :
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?

4 :
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the nurse to provide in this crisis

5 :
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?

6 :
A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?

8 :
During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?

9 :
A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?

10 :
The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?