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Mental Health_Psych HESI Review Questions (50 Q study with rationale) ALREADY GRADED A

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Mental Health_Psych HESI Review Questions (50 Q study with rationale) ALREADY GRADED A Mental Health_Psych HESI Review Questions (50 Q study with rationale) ALREADY GRADED A

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Mental Health/Psych HESI Review Q... Mental Health (PSYCH) HESI - PRAC... FTCE NavaED MIDD


50 terms 86 terms Teacher 51 terms




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At the first meeting of a group at ANS: B

a daycare center for older

adults, the nurse asks one of the Anxiety over participation in a group and testing of the leader

members what kinds of things characteristically occur in the initial phase of group dynamics. (B)

the client would like to do with provides information and refocuses the group to defining its

the group. The older adult function. (A) is manipulative bargaining. (C) does not focus the

shrugs and says, "You tell me. group on its purpose or task. (D) is interpreting the client's

You're the leader." What would feelings and is almost challenging.

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."

,A client who is being treated ANS: B

with lithium carbonate for manic

depression begins to develop Although these are expected symptoms, the health care

diarrhea, vomiting, and provider should be notified prior to the next administration of the

drowsiness. Which action should drug (B). Early side effects of lithium carbonate (occurring with

the nurse take? serum lithium levels below 2 mEq/L) generally follow a

progressive pattern, beginning with diarrhea, vomiting,

A. Notify the health care drowsiness, and muscular weakness (C). At higher levels, ataxia,

provider immediately and force tinnitus, blurred vision, and large dilute urine output may occur.

fluids. (A) will lower the lithium level. (D) is not warranted.

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.

See an expert-written answer




A woman brings her 48-year-old ANS: A

husband to the outpatient

psychiatric unit and tells the Sleepwalking, amnesia, and multiple personalities are examples

nurse that he has been of detaching emotional conflict from one's consciousness (A). (B)

sleepwalking, cannot remember is characterized by persistent, recurrent intrusive thoughts or

who he is, and exhibits multiple urges (obsessions) that are unwilled and cannot be ignored and

personalities. These behaviors provoke impulsive acts (compulsions), such as constant and

are often associated with which repeated hand washing. (C) is an acute attack of anxiety

condition? characterized by personality disorganization. (D) is

reexperiencing a psychologically terrifying or distressing event

A. Dissociative disorder that is outside the usual range of human experience such as war

B. Obsessive-compulsive or rape.

disorder

C. Panic disorder

D. Posttraumatic stress

syndrome

See an expert-written answer

, During a home visit, a client with ANS: C

schizophrenia reports hearing

voices that tell the client to walk Hospitalization is needed if the client continues to hear voices

in the middle of the street. The telling the client to do things that can cause self-harm (C). (A or

nurse records several B) do not require hospitalization unless symptoms become

statements made by the client. severe. The client should continue symptom management

Based on which statement strategies (D) to prevent hospitalization.

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. "

D."I just try to tell the voices to

stop when they bother me. "


An adult client who lives in a ANS: B

residential facility is mentally

retarded and has a history of The client is exhibiting manic behavior related to bipolar

bipolar disorder. During the past disorder, and the nurse should redirect the client to activities that

week, the client has refused to are physically demanding (B) so that energy can be expended in

wear clothes and frequently a socially acceptable manner. Psychotic clients are not capable

exposes their body to other of (A). When exhibiting acting-out behavior, the client is

residents. Which intervention distracted and (C) is difficult. (D) is likely to increase manic

should the nurse implement? behaviors, such as mood swings and acting-out behaviors.



A. Establish a one-to-one

relationship to discuss the

behavior.

B. Redirect the client to

physically demanding activities.

C. Encourage the client to

verbalize thoughts when acting

out.

D. Restrict social interactions

with other residents in the

facility.

See an expert-written answer




A client on the psychiatric unit ANS: B

seeks out a particular nurse and

imitates her mannerisms. Which Identification (B) is an attempt to be like someone or emulate the

defense mechanism does the personality traits of another. (A) is substituting an unacceptable

nurse recognize in this client? feeling for one that is more socially acceptable. (C) is

incorporating the values or qualities of an admired person or

A.Sublimation group into one's own ego structure. (D) is the involuntary

B.Identification exclusion of painful thoughts or memories from one's awareness.

C.Introjection

D.Repression

See an expert-written answer

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