HESI Case Study - Psychiatric/Mental Health Practice Exam With Correct Answers

At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the members what kinds of things she would like to do with the group. The older woman shrugs her shoulders and says, "You tell me, you're the leader." What is the best response for the nurse to make? A) "Yes, I am the leader today. Would you like to be the leader tomorrow?" B) "Yes, I will be leading this group. What would you like to accomplish during this time?" C) "Yes, I have been assigned to be the leader of this group. I will be here for the next six weeks." D) "Yes, I am the leader. You seem angry about not being the leader yourself." -Answer B. "Yes, I will be leading this group. What would you like to accomplish during this time?" Over a period of several weeks, one male participant of a socialization group at a community day care center for the elderly monopolizes most of the group's time and interrupts others when they are talking. What is the best action for the nurse to take in this situation? A) Talk to the client outside the group about his behavior during group meetings. B) Remind the client to allow others in the group a chance to talk. C) Allow the group to handle the problem. D) Ask the client to join another group. -Answer C. Allow the group to handle the problem. An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care facility and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse to provide? A) "Anywhere you want to stand as long as you do not get hurt by those in the parade." B) "You are confused because of all the activity in the hall. There is no parade." C) "Let us go back to the activity room and see what is going on in there." D) "Remember I told you that this is a nursing home and I am your nurse." -Answer C. "Let's go back to the activity room and 1see what is going on there." Physical examination of a 6-year-old reveals several bite marks in various locations on his body. X-ray examination reveals healed fractures of the ribs. The mother tells the nurse that her child is always having accidents. Which initial response by the nurse would be most appropriate? A) "I need to inform the healthcare provider about your child's tendency to be accident prone." B) "Tell me more specifically about your child's accidents." C) "I must report these injuries to the authorities because they do not seem accidental." D) "Boys this age always seem to require more s