Mental Health/Psych HESI Review Questions with rationale

Mental Health/Psych HESI Review Questions with rationale
1. 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."-
: ANS: 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.
(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.
2. 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.: ANS: B
Although these are expected symptoms, the health care provider should be notified prior to the next
administration of the drug (B). Early 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.
3. 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: ANS: A
Sleepwalking, amnesia, and multiple personalities are examples of detaching emo- tional 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
disor- ganization. (D) is reexperiencing a psychologically terrifying or distressing event that is outside
the usual range of human experience such as war or rape.

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