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    Rn Hesi Mental Health Proctored Exam
    Select All That Apply

    Exhibits For each client statement, select the statement(s) below that require follow-up teaching by the nurse. "This diagnosis means that I am crazy." "I can learn to manage my thoughts better through therapy." "I can use holistic approaches like meditation to help my symptoms." "Many people have the same response to a stressful situation as I am having right” "I am at high risk for post-traumatic-stress disorder because I have acute stress disorder” "I will probably need to be on medication for the rest of my life."

    Explanation & Rationale

    Choice A rationale: This reflects a potential misunderstanding about the diagnosis and may contribute to stigma. The nurse should provide education and clarify that having acute stress disorder or similar responses to trauma does not mean the client is "crazy." Choice B rationale: This statement reflects a positive attitude toward therapy and self-improvement. There is no immediate need for follow-up teaching in this statement, as it aligns with the potential benefits of therapy for coping with trauma. Choice C rationale: This indicates the client's interest in holistic approaches, which is positive. However, the nurse should provide information and guidance on the use of such approaches in conjunction with other treatments. Choice D rationale: This suggests that the client may believe her response is typical. The nurse should provide education about the variability in individual responses to stress and trauma. Choice E rationale: This statement shows an understanding of the relationship between acute stress disorder (ASD) and post-traumatic stress disorder (PTSD). While it's true that having ASD can increase the risk of developing PTSD, this statement does not require immediate follow-up teaching. However, the client should receive ongoing education about managing and preventing PTSD Choice F rationale: This raises concerns about the client's expectations regarding the duration of medication. The nurse should provide information about the intended duration of medication and the importance of ongoing assessment and follow-up with healthcare providers.

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