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