HESI CAT EXAM TEST BANK ( LATEST UPDATE ) ACTUAL QUESTIONS AND ANSWERS 100% CORRECT

1. A client describes his delusions in minute detail to the nurse. How should
the nurse respond?
1
Changing the topic to reality-based events
2
Continuing to discuss the delusion with the client
3
Getting the client involved in a social project with peers
4
Disputing the perceptions with the use of logical thinking:
Answer:
1
Decreasing time spent on delusions prevents reinforcement of psychotic thinking.
Discussing reality-based events improves contact with reality. Encouraging
discussion will give validity to the delusion. The client will have difficulty getting
involved in a social activity; the activity will not stop the delusion. Challenging the
client may increase anxiety.
2. A nurse working on a mental health unit is caring for several clients who
are at risk for suicide. Which client is at the greatest risk for successful
suicide?
1
Young adult who is acutely psychotic
2
Adolescent who was recently sexually abused
3
Older single man just found to have pancreatic cancer
4
Middle-age woman experiencing dysfunctional grieving:
Answer:
3
Older single men with chronic health problems are at the highest risk of suicide.
This is because men have fewer social supports than women do. (Men are less
social then women in general.) Less social support at times of stress can increase
the risk of suicide. Also, chronic health problems can lead to learned helplessness,
which can lead to depression. People who are acutely psychotic as a group are
at higher risk for suicide, but they do not have the suicide rate of older single
adult men with chronic health problems. An adolescent who was recently sexually
abused, although severely traumatized, does not have the risk of suicide of an
older single man with chronic health problems. Dysfunctional grieving is
prolonged grieving that is characterized by greater disability and dysfunctional
patterns of behavior. Although people with complicated dysfunctional grieving
may be at risk
for self-directed violence, they do not have the suicide risk of older single men
with chronic health problems.
3. Which stages would the nurse explain that a toddler goes through, according
to Freud's theory? Select all that apply.
1 Oral
2 Anal
3 Phallic
4 Genital
5 Latency: