Mental Health/Psych HESI Review
Questions (50 Q study with rationale) with
verified solutions.
At the first meeting of a group at a daycare center for older adults, the
nurse asks one of the members what kinds of things the client would
like to do with the group. The older adult shrugs and says, "You tell me.
You're the leader." What would be 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?"
C."Yes, I have been assigned to lead 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." ANSWER : B
Anxiety over participation in a group and testing of the leader
characteristically occur in the initial phase of group dynamics. (B)
provides information and refocuses the group to defining its function.
,Mental Health/Psych HESI Review
Questions (50 Q study with rationale) with
verified solutions.
(A) is manipulative bargaining. (C) does not focus the group on its
purpose or task. (D) is interpreting the client's feelings and is almost
challenging.
A client who is being treated with lithium carbonate for manic
depression begins to develop diarrhea, vomiting, and drowsiness.
Which action should the nurse take?
A. Notify the health care provider immediately and force fluids.
B. Prior to giving the next dose, notify the health care provider of these
symptoms.
C. Record the symptoms and continue with medication as prescribed.
D. Hold the medication and refuse to administer additional doses.
ANSWER : B
Although these are expected symptoms, the health care provider
should be notified prior to the next administration of the drug (B). Early
,Mental Health/Psych HESI Review
Questions (50 Q study with rationale) with
verified solutions.
side effects of lithium carbonate (occurring with serum lithium levels
below 2 mEq/L) generally follow a progressive pattern, beginning with
diarrhea, vomiting, drowsiness, and muscular weakness (C). At higher
levels, ataxia, tinnitus, blurred vision, and large dilute urine output may
occur. (A) will lower the lithium level. (D) is not warranted.
A woman brings her 48-year-old husband to the outpatient psychiatric
unit and tells the nurse that he has been sleepwalking, cannot
remember who he is, and exhibits multiple personalities. These
behaviors are often associated with which condition?
A. Dissociative disorder
B. Obsessive-compulsive disorder
C. Panic disorder
D. Posttraumatic stress syndrome ANSWER : A
, Mental Health/Psych HESI Review
Questions (50 Q study with rationale) with
verified solutions.
Sleepwalking, amnesia, and multiple personalities are examples of
detaching emotional conflict from one's consciousness (A). (B) is
characterized by persistent, recurrent intrusive thoughts or urges
(obsessions) that are unwilled and cannot be ignored and provoke
impulsive acts (compulsions), such as constant and repeated hand
washing. (C) is an acute attack of anxiety characterized by personality
disorganization. (D) is reexperiencing a psychologically terrifying or
distressing event that is outside the usual range of human experience
such as war or rape.
During a home visit, a client with schizophrenia reports hearing voices
that tell the client to walk in the middle of the street. The nurse records
several statements made by the client. Based on which statement
should the nurse determine that the client needs hospitalization?
A."Sometimes I take an extra one of my pills when I hear the voices."
B."The voices are louder when I forget to take my medication. "
C."No matter what I do, I cannot make the voices go away. "
Questions (50 Q study with rationale) with
verified solutions.
At the first meeting of a group at a daycare center for older adults, the
nurse asks one of the members what kinds of things the client would
like to do with the group. The older adult shrugs and says, "You tell me.
You're the leader." What would be 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?"
C."Yes, I have been assigned to lead 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." ANSWER : B
Anxiety over participation in a group and testing of the leader
characteristically occur in the initial phase of group dynamics. (B)
provides information and refocuses the group to defining its function.
,Mental Health/Psych HESI Review
Questions (50 Q study with rationale) with
verified solutions.
(A) is manipulative bargaining. (C) does not focus the group on its
purpose or task. (D) is interpreting the client's feelings and is almost
challenging.
A client who is being treated with lithium carbonate for manic
depression begins to develop diarrhea, vomiting, and drowsiness.
Which action should the nurse take?
A. Notify the health care provider immediately and force fluids.
B. Prior to giving the next dose, notify the health care provider of these
symptoms.
C. Record the symptoms and continue with medication as prescribed.
D. Hold the medication and refuse to administer additional doses.
ANSWER : B
Although these are expected symptoms, the health care provider
should be notified prior to the next administration of the drug (B). Early
,Mental Health/Psych HESI Review
Questions (50 Q study with rationale) with
verified solutions.
side effects of lithium carbonate (occurring with serum lithium levels
below 2 mEq/L) generally follow a progressive pattern, beginning with
diarrhea, vomiting, drowsiness, and muscular weakness (C). At higher
levels, ataxia, tinnitus, blurred vision, and large dilute urine output may
occur. (A) will lower the lithium level. (D) is not warranted.
A woman brings her 48-year-old husband to the outpatient psychiatric
unit and tells the nurse that he has been sleepwalking, cannot
remember who he is, and exhibits multiple personalities. These
behaviors are often associated with which condition?
A. Dissociative disorder
B. Obsessive-compulsive disorder
C. Panic disorder
D. Posttraumatic stress syndrome ANSWER : A
, Mental Health/Psych HESI Review
Questions (50 Q study with rationale) with
verified solutions.
Sleepwalking, amnesia, and multiple personalities are examples of
detaching emotional conflict from one's consciousness (A). (B) is
characterized by persistent, recurrent intrusive thoughts or urges
(obsessions) that are unwilled and cannot be ignored and provoke
impulsive acts (compulsions), such as constant and repeated hand
washing. (C) is an acute attack of anxiety characterized by personality
disorganization. (D) is reexperiencing a psychologically terrifying or
distressing event that is outside the usual range of human experience
such as war or rape.
During a home visit, a client with schizophrenia reports hearing voices
that tell the client to walk in the middle of the street. The nurse records
several statements made by the client. Based on which statement
should the nurse determine that the client needs hospitalization?
A."Sometimes I take an extra one of my pills when I hear the voices."
B."The voices are louder when I forget to take my medication. "
C."No matter what I do, I cannot make the voices go away. "
