HESI PSYCH MENTAL HEALTH EXIT EXAM STUDY GUIDE
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QUESTIONS AND CORRECT DETAILED ANSWERS
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Which are characteristics of 1 and 6
the termination stage of
group development? Rationale:
Select all The stages of group development include the initial
that apply. stage, the working stage, and the termination stage.
During the initial stage, the group members become
1. The group evaluates the acquainted with each other, and some structuring of
experience.
group norms, roles, and responsibilities takes place.
2. The real work of
During the initial stage, group interaction involves
the group is superficial conversation. During the working stage, the real work
accomplished. of the group is
accomplished. During the termination stage, the group
3. Group interaction
evaluates the experience and explores members'
involves superficial
feelings about the group and the impending
conversation.
separation.
4. Group members become
acquainted with each
other.
5. Some structuring of group
norms, roles, and
responsibilities takes
place.
6. The group explores
members' feelings about
the group and the
impending
separation.
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When a client is admitted to 4. Helping the client to examine dysfunctional thoughts and
an inpatient mental health beliefs
unit with the diagnosis of
Rationale:
anorexia nervosa, a
Cognitive behavioral therapy is used to help the client identify
cognitive behavioral and examine
approach is used as part of dysfunctional thoughts and to identify and examine
the treatment plan. The values and beliefs that maintain these thoughts. The
nurse understands that remaining options, while therapeutic in certain situations,
which is the purpose of are not the focus of cognitive behavioral therapy.
this approach?
1. Providing a supportive
environment
2. Examining intrapsychic
conflicts and past issues
3. Emphasizing social
interaction with clients
who withdraw
4. Helping the client
to examine
dysfunctional thoughts
and beliefs
The nurse understands 1. It emphasizes self-expression, self-exploration, and self-
that which best awareness in the present.
describes Gestalt
Rationale:
therapy?
Gestalt therapy emphasizes self-expression, self-
exploration, and self-awareness in the present. The
1. It emphasizes self-
client and therapist focus on everyday problems and
expression, self-
try to solve them. Interpersonal group therapy
exploration, and self-
promotes the individual's comfort in the group, which
awareness in the
then transfers to other relationships. In rational emotive
present.
therapy, the therapist focuses on how irrational beliefs
2. It promotes the
and thoughts contribute to psychological distress. In
individual's comfort in the
Rogerian therapy, the therapist's goal is to help others
group, which then
express their feelings toward one another during
transfers to other
group sessions.
relationships.
3. The therapist focuses on
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how irrational beliefs and
thoughts contribute to
psychological distress.
4. The therapist's goal is to
help others
express their feelings
toward one another during
group sessions.
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A client is preparing to 1. Admitting to having a problem
attend a Gamblers
Anonymous meeting for the Rationale:
first time. The nurse should The first step in the 12-step program is to admit that a
tell the client that which is problem exists. Substituting other activities for gambling
the first step in this 12- may be a strategy but it is not the first step. The
remaining options are not realistic strategies for the initial step in a
step program? 12-step program.
1. Admitting to having a
problem
2. Substituting other activities
for gambling
3. Stating that the
gambling will be
stopped
4. Discontinuing
relationships with people
who gamble
Which describes the primary 3. A living, learning, or working environment
focus of milieu therapy?
Rationale:
1. Aform of behavior Milieu therapy, or "therapeutic community," has as its
modification therapy focus a living, learning, or working environment. Such
2. A cognitive approach therapy may be based on numerous therapeutic
to changing behavior modalities ranging from structured behavioral
3. A living, learning, therapy to spontaneous,
or working humanistically oriented approaches. Although milieu
environment therapy may include behavioral approaches, the
4. A behavioral approach correct option describes its primary focus.
to changing behavior
While being treated, a 4. Systematic desensitization
client is introduced to short
periods of exposure to the Rationale:
phobic object while in a Systematic desensitization is a form of therapy used
relaxed state. What term is when the client is introduced to short periods of
used to describe this form exposure to the phobic object while in a relaxed state.
of behavior modification? Exposure is gradually increased until the anxiety
about or fear of the object or situation has ceased.
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