Exam (elaborations)
Mental Health/Psych HESI Review Questions (50 Q study with rationale)
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Mental Health/Psych HESI Review Questions (50 Q study with rationale)
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Mental Health/Psych HESI Review Questions (50 Q study with rationale) At IIthe IIfirst IImeeting IIof IIa IIgroup IIat IIa IIdaycare IIcenter IIfor IIolder IIadults, IIthe IInurse IIasks IIone IIof IIthe IImembers IIwhat IIkinds IIof IIthings IIthe IIclient IIwould IIlike IIto IIdo IIwith IIthe IIgroup. IIThe IIolder IIadult IIshrugs IIand IIsays, II"You IItell IIme. IIYou're IIthe IIleader." IIWhat IIwould IIbe IIthe IIbest IIresponse IIfor IIthe IInurse IIto IImake? A."Yes, III IIam IIthe IIleader IItoday. IIWould IIyou IIlike IIto IIbe IIthe IIleader IItomorrow?" B."Yes, III IIwill IIbe IIleading IIthis IIgroup. IIWhat IIwould IIyou IIlike IIto IIaccomplish?" C."Yes, III IIhave IIbeen IIassigned IIto IIlead IIthis IIgroup. III IIwill IIbe IIhere IIfor IIthe IInext II6 IIweeks." IID. II"Yes, III IIam IIthe IIleader. IIYou IIseem IIangry IIabout IInot IIbeing IIthe IIleader IIyourself." II- II II IIANS: IIB Anxiety IIover IIparticipation IIin IIa IIgroup IIand IItesting IIof IIthe IIleader IIcharacteristically IIoccur IIin IIthe IIinitial IIphase IIof IIgroup IIdynamics. II(B) IIprovides IIinforma tion IIand IIrefocuses IIthe IIgroup IIto IIdefining IIits IIfunction. II(A) IIis IImanipulative IIbargaining. II(C) IIdoes IInot IIfocus IIthe IIgroup IIon IIits IIpurpose IIor IItask. II(D) IIis IIinterpreting IIthe IIclient's IIfeelings IIand IIis IIalmost IIchallenging. A IIclient IIwho IIis IIbeing IItreated IIwith IIlithium IIcarbonate IIfor IImanic IIdepression IIbegins IIto IIdevelop IIdiarrhea, IIvomiting, IIand IIdrowsiness. IIWhich IIaction IIshould IIthe IInurse IItake? A. IINotify IIthe IIhealth IIcare IIprovider IIimmediately IIand IIforce IIfluids. B. IIPrior IIto IIgiving IIthe IInext IIdose, IInotify IIthe IIhealth IIcare IIprovider IIof IIthese IIsymptoms. C. IIRecord IIthe IIsymptoms IIand IIcontinue IIwith IImedication IIas IIprescribed. D. IIHold IIthe IImedication IIand IIrefuse IIto IIadminister IIadditional IIdoses. II- II II IIANS: IIB Although IIthese IIare IIexpected IIsymptoms, IIthe IIhealth IIcare IIprovider IIshould IIbe IInotified IIprior IIto IIthe IInext IIadministration IIof IIthe IIdrug II(B). IIEarly IIside IIeffects IIof IIlithium IIcarbonate II(occurring IIwith IIserum IIlithium IIlevels IIbelow II2 IImEq/L) IIgenerally IIfollow IIa IIprogressive IIpattern, IIbeginning IIwith IIdiarrhea, IIvomiting, IIdrowsiness, IIand IImuscular IIweakness II(C). IIAt IIhigher IIlevels , IIataxia, IItinnitus, IIblurred IIvision, IIand IIlarge IIdilute IIurine IIoutput IImay IIoccur. II(A) IIwill IIlower IIthe IIlithium IIlevel. II(D) IIis IInot IIwarranted. A IIwoman IIbrings IIher II48-year-old IIhusband IIto IIthe IIoutpatient IIpsychiatric IIunit IIand IItells IIthe IInurse IIthat IIhe IIhas IIbeen IIsleepwalkin g, IIcannot IIremember IIwho IIhe IIis, IIand IIexhibits IImultiple IIpersonalities. IIThese IIbehaviors IIare IIoften IIassociated IIwith IIwhich IIcondition? A. IIDissociative IIdisorder B. IIObsessive -compulsive IIdisorder C. IIPanic IIdisorder D. IIPosttraumatic IIstress IIsyndrome II- II II IIANS: IIA Sleepwal king, IIamnesia, IIand IImultiple IIpersonalities IIare IIexamples IIof IIdetaching IIemotional IIconflict IIfrom IIone's IIconsciousness II(A). II(B) IIis IIcharacterized IIby IIpersistent, IIrecurrent IIintrusive IIthoughts IIor IIurges II(obsessions) IIthat IIare IIunwilled IIand IIcannot IIbe IIignored IIand IIprovoke IIimpulsive IIacts II(compulsions), IIsuch IIas IIconstant IIand IIrepeated IIhand IIwashing. II(C) IIis IIan IIacute IIattack IIof IIanxiety IIcharacterized IIby IIpersonality IIdisorganization. II(D) IIis IIreexperiencing IIa IIpsychologically IIterrifying IIor IIdistressing IIevent IIthat IIis IIoutside IIthe IIusual IIrange IIof IIhuman IIexperience IIsuch IIas IIwar IIor IIrape. During IIa IIhome IIvisit, IIa IIclient IIwith IIschizophrenia IIreports IIhearing IIvoices IIthat IItell IIthe IIclient IIto IIwalk IIin IIthe IImiddle IIof IIthe IIstreet. IIThe IInurse IIrecords IIseveral IIstatements IImade IIby IIthe IIclient. IIBased IIon IIwhich IIstatement IIshould IIthe IInurse IIdetermine IIthat IIthe IIclient IIneeds IIhospitalization? A."Sometimes III IItake IIan IIextra IIone IIof IImy IIpills IIwhen III IIhear IIthe IIvoices." B."The IIvoices IIare IIlouder IIwhen III IIforget IIto IItake IImy IImedication. II" C."No IImatter IIwhat III IIdo, III IIcannot IImake IIthe IIvoices IIgo IIaway. II" D."I IIjust IItry IIto IItell IIthe IIvoices IIto IIstop IIwhen IIthey IIbother IIme. II" II- II II IIANS: IIC Hospitalization IIis IIneeded IIif IIthe IIclient IIcontinues IIto IIhear IIvoices IItelling IIthe IIclient IIto IIdo IIthings IIthat IIcan IIcause IIself-harm II(C). II(A IIor IIB) IIdo IInot IIrequire IIhospitalization IIunless IIsymptoms IIbecome IIsevere. IIThe IIclient IIshould IIcontinue IIsymptom IImanagement IIstrategies II(D) IIto IIprevent IIhospitalization. An IIadult IIclient IIwho IIlives IIin IIa IIresidential IIfacility IIis IImentally IIretarded IIand IIhas IIa IIhisto ry IIof IIbipolar IIdisorder. IIDuring IIthe IIpast IIweek, IIthe IIclient IIhas IIrefused IIto IIwear IIclothes IIand IIfrequently IIexposes IItheir IIbody IIto IIother IIresidents. IIWhich IIintervention IIshould IIthe IInurse IIimplement? A. IIEstablish IIa IIone-to-one IIrelationship IIto IIdiscuss IIthe IIbehavior. B. IIRedirect IIthe IIclient IIto IIphysically IIdemanding IIactivities. C. IIEncourage IIthe IIclient IIto IIverbalize IIthoughts IIwhen IIacting IIout. D. IIRestrict IIsocial IIinteractions IIwith IIother IIresidents IIin IIthe IIfacility. II- II II IIANS: IIB The IIclient IIis IIexhibiting IImanic IIbehavior IIrelated IIto IIbipola r IIdisorder, IIand IIthe IInurse IIshould IIredirect IIthe IIclient IIto IIactivities IIthat IIare IIphysically IIdemanding II(B) IIso IIthat IIenergy IIcan IIbe IIexpended IIin IIa IIsocially IIacceptable IImanner. IIPsychotic IIclients IIare IInot IIcapable IIof II(A). IIWhen IIexhibiting IIacting -out IIbehavior, IIthe IIclient IIis IIdistracted IIand II(C) IIis IIdifficult. II(D) IIis IIlikely IIto IIincrease IImanic IIbehaviors, IIsuch IIas IImood IIswings IIand IIacting -out IIbehaviors. A IIclient IIon IIthe IIpsychiatric IIunit IIseeks IIout IIa IIparticular IInurse IIand IIimitates IIher IImannerisms. IIWhich IIdefense IImechanism IIdoes IIthe IInurse IIrecognize IIin IIthis IIclient? A.Sublimation B.Identification C.Introjection D.Repression II- II II IIANS: IIB Identification II(B) IIis IIan IIattempt IIto IIbe IIlike IIsomeone IIor IIemulate IIthe IIpersonality IItraits IIof IIanother. II(A) IIis IIsubstituting IIan IIunacceptable IIfeeling IIfor IIone IIthat IIis IImore IIsocially IIacceptable. II(C) IIis IIincorporating IIthe IIvalues IIor IIqualities IIof IIan IIadmired IIperson IIor IIgroup IIinto IIone's IIown IIego IIstructure. II(D) IIis IIthe IIinvoluntary IIexclusion IIof IIpainful IIthoughts IIor IImemories IIfrom IIone's IIawareness. A IIclient IIbegins IItaking IIan IIatypical IIantipsychotic IImedication. IIThe IInurse IImust IIprovide IIinformed IIconsent IIand IIeducation IIabout IIcommon IImedication IIside IIeffects. IIWhich IIclient IIeducation IIwill IIbe IImost IIimportant? A.Maintain IIa IIbalanced IIdiet IIand IIadequate IIexercise. B.Be IIsure IIthat IIthe IIdiet IIis IIadequate IIin IIsalt IIintake. C.Monitor IIfor IIany IIchanges IIin IIsleep IIpattern. D.Report IIany IIunusual IIfacial IImovements. II- II II IIANS: IIA Several IIatypical IIantipsychotic IImedications IIcan IIcause IIsignificant IIweight IIgain, IIso IIthe IIclient IIshould IIbe IIadvised IIto IImaintain IIa IIbalanced IIdiet IIand IIadequate IIexercise II(A). II(B) IIis IIimportant IIwith IIlithium, IIa IImood IIstabilizer. II(C IIand IID) IIare IIless IIcommon IIthan IIweight IIgain. A II35-year-old IIclient IIadmitted IIto IIthe IIpsychiatric IIunit IIof IIan IIacute IIcare IIhospital IItells IIthe IInurse IIthat IIsomeone IIis IItrying IIto IIpoison IIher. IIThe IIclient's IIdelusions IIare IImost IIlikely IIrelated IIto IIwhich IIfactor? A.Authority IIissues IIin IIchildhood B.Anger IIabout IIbeing IIhospitalized C.Low IIself-esteem D.Phobia IIof IIfood II- II II IIANS: IIC Delusional IIclients IIhave IIdifficulty IIwith IItrust IIand IIhave IIlow IIself-esteem II(C). IINursing IIcare IIshould IIbe IIdirected IIat IIbuilding IItrust IIand IIpromoting IIpositive IIself-esteem. IIActivities IIwith IIlimited IIconcentrati on IIand IIno IIcompetition IIshould IIbe IIencouraged IIto IIbuild IIself-esteem. II(A, IIB, IIand IID) IIare IInot IIspecifically IIrelated IIto IIthe IIdevelopment IIof IIdelusions. Clients IIare IIpreparing IIto IIleave IIthe IImental IIhealth IIunit IIfor IIan IIoutdoor IIsmoke IIbreak. IIA IIclient IIon IIconstant IIobservation IIcannot IIleave IIand IIbecomes IIagitated IIand IIdemands IIto IIsmoke IIa IIcigarette. IIWhich IIaction IIshould IIthe IInurse IItake IIfirst? A.Remind IIthe IIclient IIto IIwear IIthe IInicotine II(NicoDerm) IIpatch. B.Determine IIif IIthe IIclient IIstill IIneeds IIconstant IIobservation. C.Encourage IIthe IIclient IIto IIattend IIthe IIsmoking IIcessation IIgroup. D.Explain IIthat IIclients IIon IIconstant IIobservation IIcannot IIsmoke. 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