Mental Health HESI 2023

Mental Health HESI 2023 Related

Review Mental Health HESI 2023 related questions and content

A woman arrives in the Emergency Center and tells the nurse she thinks she has been raped. The client is sobbing and expresses disbelief that a rape could happen because the man is her best friend. After acknowledging the client's fear and anxiety, how should the nurse respond?

  • A. I would be very upset and mad if my best friend did that to me.
  • B. You must feel betrayed, but maybe you might have led him on?
  • C. Rape is not limited to strangers and frequently occurs by someone who is known to the victim.
  • D. This does not sound like rape. Did you change your mind about having sex after the fact?
Correct Answer: C

Rationale: A victim of date rape or acquaintance rape is less prone to recognize what is happening because the incident usually involves persons who know each other and the dynamics are different than rape by a stranger. Choice (C) provides confrontation for the client's denial because the victim frequently knows and trusts the perpetrator. Nurses should not express personal feelings (Choice A) when dealing with victims. Choice B, suggesting that the client led on the rapist, indicates that the sexual assault was somehow the victim's fault. Choice D is judgmental and does not display compassion or establish trust between the nurse and the client.

You may also like to solve these questions

A female client with schizophrenia is experiencing auditory hallucinations. What is the most therapeutic response by the nurse?

  • A. I don't hear any voices. They must be in your head.
  • B. What are the voices telling you to do?
  • C. You need to ignore the voices and focus on reality.
  • D. I know the voices are real to you, but I don't hear them.
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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

  • A. Engaging in immoral acts
  • B. Always reinforcing self-approval
  • C. Observing rigid rules and regulations
  • D. Having the need always to make the right decision
Correct Answer: C

Rationale: Clients with anorexia nervosa often manage anxiety by adhering strictly to rules and regulations as a way to maintain control. Choice A is incorrect because engaging in immoral acts is not a common coping mechanism for clients with anorexia nervosa. Choice B is incorrect as self-approval is not typically the primary way clients with anorexia nervosa manage anxiety. Choice D is incorrect because while clients with anorexia nervosa may have a need to make the right decision, it is not the primary way they manage their anxiety.

A woman brings her 48-year-old husband to the outpatient psychiatric unit and describes his behavior to the admitting nurse. She states that he has been sleepwalking, cannot remember who he is, and exhibits multiple personalities. The nurse knows that these behaviors are often associated with

  • A. dissociative disorder.
  • B. obsessive-compulsive disorder.
  • C. panic disorder.
  • D. post-traumatic stress disorder.
Correct Answer: A

Rationale: The correct answer is A: dissociative disorder. Sleepwalking, amnesia, and multiple personalities are examples of detaching emotional conflict from one's consciousness, which is the definition of a dissociative disorder. Obsessive-compulsive disorder (B) is characterized by persistent, recurrent intrusive thoughts or urges (obsessions) and compulsions. Panic disorder (C) is characterized by acute attacks of anxiety. Post-traumatic stress disorder (D) involves re-experiencing psychologically distressing events.

A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this behavior as indicating which defense mechanism?

  • A. Denial
  • B. Projection
  • C. Rationalization
  • D. Intellectualization
Correct Answer: A

Rationale: The correct answer is A: Denial. In this situation, the client's calm and quiet demeanor after a traumatic event like sexual assault may indicate denial, a defense mechanism where the individual refuses to acknowledge the reality of the distressing event. Choice B, Projection, involves attributing one's thoughts or feelings to others. Choice C, Rationalization, is a defense mechanism where logical reasoning is used to justify behaviors or feelings. Choice D, Intellectualization, is a defense mechanism where excessive reasoning or logic is used to avoid uncomfortable emotions.

A client with post-traumatic stress disorder (PTSD) is experiencing a flashback. What is the nurse's priority action?

  • A. Encourage the client to talk about the trauma.
  • B. Help the client to focus on the present.
  • C. Administer prescribed anti-anxiety medication.
  • D. Leave the client alone to work through the flashback.
Correct Answer: B

Rationale: The priority action is to help the client focus on the present (B), which can reduce the intensity of the flashback. Encouraging discussion of the trauma (A) should be done when the client is not actively experiencing a flashback. While medication (C) may be necessary, it is not the first priority in this situation. Leaving the client alone (D) is not appropriate as they need support to manage the flashback.

Copyright © 2025 Nokea. All rights reserved.