Questions&Answers(Psychology HESI
Practice questions with all the correct
answers)
After the fourth group meeting, the informal leader makes the statement that she
believes she can help the group more than the assigned facilitator and has better
credentials. identify the group dynamics and stage of development. Answer- The
informal leader is "testing", which is a behavior indicative of a new group trying to
establish trust.
Orientation phase
On an inpatient psychiatric unit, clients are expected to get up at a certain time, attend
breakfast at a certain time, and arrive for their medications at the correct time. What
form of therapy is incorporated into this unit? Answer- Milieu
The wife of a man killed in a MVA has just arrived to the ED and is told of her husband's
death. What nursing actions are appropriate for dealing with this crisis? Answer- Take
her to a quiet room and ask if there is anyone you can call for her
Ass her need for medication and discuss with HCP.
Stay with her, be firm, and directive
Assess previous successful coping strategies
A 10yo is admitted to the children's unit of the psychiatric facility after stabbing his
sister. His behavior is extremely aggressive with the other children on the unit. Using a
behavior-modification approach with positive reinforcement, design a treatment plan for
this child. Answer- Assess what activities he enjoys
Set up a token system (nonaggresive behavior gains a token; aggressive behavior loses
a token)
*tokens are good for participation in an activity of patient's choosing*
, The 10yo, his sister, his mother, and the mother's live in boyfriend are asked to attend a
therapy meeting. Who is the "client" who will be treated during this session? Answer-
Entire family
A 66yo woman is admitted to the psychiatric unit with agitated depression. She has not
responded to antidepressants in the past. What would be the medical treatment of
choice for this client? Answer- ECT
Describe the nurse's role in preparing clients for ECT. Answer- Give accurate, non-
judgement information about treatment
explore client's concerns
Check emergency equipment
Have suction equipment and O2 readily available
Describe nursing interventions used to care for a client during and after ECT. Answer-
Maintain patent airway
check vitals q15m until client is alert
Remain with client until conscious after treatment
Reorient (if confused)
State 5 autonomic responses to anxiety Answer- Shortness of breath
heart palpitations
dizziness
diaphoresis
frequent urinaroin
Identify the coping style used by a person who feels guilty about masturbating as a child
and develops a handwashing compulsion as an adult. Answer- undoing
Identify anxiety-reducing strategies the nurse can teach. Answer- deep breathing
techniques
visualization
relaxation techniques