MENTAL HEALTH HESI REVIEW EXAM QUESTIONS WITH COMPLETE
SOLUTIONS VERIFIED
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.
The informal leader is "testing," which is a behavior indicative of a new group trying to
establish trust. This group is still in the orientation phase of development.
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?
Milieu
The wife of a man killed in a motor vehicle accident has just arrived at the
emergency department and is told of her husband's death. What nursing actions
are appropriate for dealing with this crisis?
Take her to a quiet room, and ask her if there are family members, friends, or clergy you
can call for her. Assess her need for medication and discuss it with the health care
provider. Stay with her, be firm and directive, and assess pervious successful coping
strategies.
A 10-year-old 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.
Assess what activities he enjoys. Set up a token system; when he displays
nonaggressive behavior; he earns a token good toward participating in the activity
selected. He loses tokens when he becomes aggressive.
The 10-year-old, 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?
, The entire family
A 66-year-old 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?
ECT
Describe the nurse's role in preparing clients for ECT.
Give accurate, nonjudgmental information about the treatment. Explore the client's
concerns. Check emergency equipment. Be sure suction equipment and O2 are
available.
Describe the nursing interventions used to care for a client during and after ECT.
Maintain patent airway. Check vital signs every 15 minutes until client is alert. Remain
with client after treatment until client is conscious. Reorient if client is confused.
State five autonomic responses to anxiety.
Shortness of breath, heart palpitations, dizziness, diaphoresis, frequent urination
Identify the coping style used by a person who feels guilty about masturbating as
a child and develops a hand washing compulsion as an adult.
Undoing
Identify anxiety-reducing strategies the nurse can teach.
Deep-breathing techniques, visualization, relaxation techniques, exercise, biofeedback
Which levels of anxiety facilitate learning?
mild, moderate
A veteran of the wars in Afghanistan and Iraq is plagued by nightmares and is
found trying to strangle his roommate one night. List in order of priority the
appropriate nursing interventions.
Protect roommate from harm. Stay with the client. If the client is agitated, administer
anti-anxiety medications. Arrange for private room. Place client on homicidal
precautions at night.
A client displays a phobic response to flying. Describe the desensitization
process that would probably be implemented.
SOLUTIONS VERIFIED
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.
The informal leader is "testing," which is a behavior indicative of a new group trying to
establish trust. This group is still in the orientation phase of development.
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?
Milieu
The wife of a man killed in a motor vehicle accident has just arrived at the
emergency department and is told of her husband's death. What nursing actions
are appropriate for dealing with this crisis?
Take her to a quiet room, and ask her if there are family members, friends, or clergy you
can call for her. Assess her need for medication and discuss it with the health care
provider. Stay with her, be firm and directive, and assess pervious successful coping
strategies.
A 10-year-old 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.
Assess what activities he enjoys. Set up a token system; when he displays
nonaggressive behavior; he earns a token good toward participating in the activity
selected. He loses tokens when he becomes aggressive.
The 10-year-old, 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?
, The entire family
A 66-year-old 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?
ECT
Describe the nurse's role in preparing clients for ECT.
Give accurate, nonjudgmental information about the treatment. Explore the client's
concerns. Check emergency equipment. Be sure suction equipment and O2 are
available.
Describe the nursing interventions used to care for a client during and after ECT.
Maintain patent airway. Check vital signs every 15 minutes until client is alert. Remain
with client after treatment until client is conscious. Reorient if client is confused.
State five autonomic responses to anxiety.
Shortness of breath, heart palpitations, dizziness, diaphoresis, frequent urination
Identify the coping style used by a person who feels guilty about masturbating as
a child and develops a hand washing compulsion as an adult.
Undoing
Identify anxiety-reducing strategies the nurse can teach.
Deep-breathing techniques, visualization, relaxation techniques, exercise, biofeedback
Which levels of anxiety facilitate learning?
mild, moderate
A veteran of the wars in Afghanistan and Iraq is plagued by nightmares and is
found trying to strangle his roommate one night. List in order of priority the
appropriate nursing interventions.
Protect roommate from harm. Stay with the client. If the client is agitated, administer
anti-anxiety medications. Arrange for private room. Place client on homicidal
precautions at night.
A client displays a phobic response to flying. Describe the desensitization
process that would probably be implemented.
