Hesi Mental Health Practice Exam

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 kind of things she would like to do with the group. The older women 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 6 weeks. D. "Yes, I am the leader. You seem angry about not being the leader yourself." - B. "Yes, I will be leading this group. What would you like to accomplish during this time." Rationale: Anxiety over participation in a group and testing of the leader characteristically occur in the initial phase of group dynamics. (B) provides information and focuses the group back to defining its function. Over a period of several weeks. one male participant of a socialization group at a community daycare center for the elderly monopolizes most of the groups 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 - C. Allow the group to handle the problem Rationale: After several weeks, the group is in the working phase and the group members should be allowed to determine the direction of the group. The nurse should ignore the client's comments and allow the group to handle the situation. 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 don't 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's go back to the activity room and see whats going on in there D. Remember I told you that this is a nursing home and I am your nurse - C. Let's go back to the activity room and see whats going on in there Rationale: It is common for those with Alzheimer's disease to use the wrong words. Redirecting the client (using an accepting non-judgmental dialogue) to a softer place and familiar activities (C) is most helpful because clients experience short-term memory loss. Physical examination of a 6 year old reveals several bite marks in various locations on his body. X-ray examination revealed healed fractures of the ribs. The mother tells the nurse that her child is always having accidents. Which initial response by the nurse is most important. A. I need to inform the health care provider about your child's tendency to be accident prone. C. I must report these injuries to the authorities because they do not seem accidental. D. Boys this age always to require more supervision and can be quite accident prone. - B. Tell me more specifically about your child's accidents Rationale: (B) seeks more information using an open ended, non-threatening statement. A child is brought to the emergency room with a broken arm. Because of these injuries, the nurse suspects the child may be a victim of abuse. When the nurse tries to give the child an injection, the child mother becomes very loud and shouts."I won't leave my son! Don't you touch him! You'll hurt my child." What is the best interpretation of the mother's statement? The mother is A. Regressing to an earlier behavior pattern