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Mental Health/Psych HESI Review Questions & Answers (50 Q study with rationale)
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Mental Health/Psych HESI ReviewQuestions & Answers (50 Q study with
rationale) 2024-2025
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." - correct answer ☑️☑️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.
,Mental Health/Psych HESI Review
Questions & Answers (50 Q study with
rationale) 2024-2025
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. - correct answer ☑️☑️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.
,Mental Health/Psych HESI Review
Questions & Answers (50 Q study with
rationale) 2024-2025
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 - correct answer
☑️☑️ANS: A
Sleepwalking, amnesia, and multiple personalities are
examples of detaching emotional 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 disorganization. (D) is
reexperiencing a psychologically terrifying or distressing
event that is outside the usual range of human
experience such as war or rape.
, Mental Health/Psych HESI Review
Questions & Answers (50 Q study with
rationale) 2024-2025
During a home visit, a client with schizophrenia reports
hearing voices that tell the client to walk in the middle of
the street. The nurse records several statements made by
the client. Based on which statement 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. " - correct answer ☑️☑️ANS: C
Hospitalization is needed if the client continues to hear
voices telling the client to do things that can cause self-
harm (C). (A or B) do not require hospitalization unless
symptoms become severe. The client should continue
symptom management strategies (D) to prevent
hospitalization.
An adult client who lives in a residential facility is
mentally retarded and has a history of bipolar disorder.
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