MENTAL HEALTH HESI REVIEW EXAM QUESTIONS WITH COMPLETE SOLUTIONS VERIFIED

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. Talk about planes. Look at pictures of planes. Make plans to accompany the client during a visit to the airport. Accompany client onto a plane. Allow the client to board a plane alone. Accompany the client on a short flight while listening to a relaxation tape. A client is in the middle of an extensive ritual that focuses on food during lunch. However, the client is scheduled for group therapy, which is about to start. What action should the nurse take? Allow client to complete the ritual. Discuss with the group leader the possibility of allowing the client to enter the group late. Arrange for client to begin lunch earlier so that the ritual can be completed before scheduled activities. Describe the difference between primary and secondary gains. The primary gain is a decrease in anxiety that results from some effort made to deal with stress. The secondary gain is the advantage, other than reduced anxiety, that occurs as a result of the sick role. An air traffic controller suddenly develops blindness. All physical findings are negative. The client's history reveals increased anxiety about job performance and fear about job security. What type of disorder is this? What purpose is the blindness serving? What nursing interventions are indicated? Conversion reaction; decreases the anxiety about job; assist with ADLs, encourage expression of anger, teach relaxation techniques, and assist with identification of anxiety related to job security and performance. A 29-year-old secretary, who is obese, has visited seven different doctors in the past year with a complaint of chest pain and shortness of breath. This individual is certain she is having a heart attack in spite of the health care provider's reassurance that all tests are normal. What type of disorder is this? What nursing actions are indicated? Functional neurologic symptom disorder where clients display psychological stress in physical ways. That is, an emotional crisis, a very stressful incident, converts to a physical problem. Five years ago, a man was involved in a motor vehicle accident that killed the friend who was a passenger in the car he was driving. Since that time, he has been unable to work because of severe back pain. The pain is unrelieved b