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 REVIEWQUESTIONS (50 Q STUDY WITH
RATIONALE)
Atoitheoifirstoimeetingoiofoiaoigroupoiatoiaoidaycareoicenteroiforoiolderoiadults,oitheoinurseoias
ksoioneoiofoitheoimembersoiwhatoikindsoiofoithingsoitheoiclientoiwouldoilikeoitooidooiwithoitheoi
group.oiTheoiolderoiadultoishrugsoiandoisays,oi"Youoitelloime.oiYou'reoitheoileader."oiWhatoi
wouldoibeoitheoibestoiresponseoiforoitheoinurseoitooimake?
A."Yes,oiIoiamoitheoileaderoitoday.oiWouldoiyouoilikeoitooibeoitheoileaderoitomorrow?"
B."Yes,oiIoiwilloibeoileadingoithisoigroup.oiWhatoiwouldoiyouoilikeoitooiaccomplish?"
C."Yes,oiIoihaveoibeenoiassignedoitooileadoithisoigroup.oiIoiwilloibeoihereoiforoitheoinextoi6oiw
eeks."
oiD.oi"Yes,oiIoiamoitheoileader.oiYouoiseemoiangryoiaboutoinotoibeingoitheoileaderoiyourself."
oi-oians--✔✔ANS:oiB
Anxietyoioveroiparticipationoiinoiaoigroupoiandoitestingoiofoitheoileaderoicharacteristicallyoioc
curoiinoitheoiinitialoiphaseoiofoigroupoidynamics.oi(B)oiprovidesoiinformationoiandoirefocuses
oitheoigroupoitooidefiningoiitsoifunction.oi(A)oiisoimanipulativeoibargaining.oi(C)oidoesoinotoifo
cusoitheoigroupoionoiitsoipurposeoioroitask.oi(D)oiisoiinterpretingoitheoiclient'soifeelingsoiandoii
soialmostoichallenging.
Aoiclientoiwhooiisoibeingoitreatedoiwithoilithiumoicarbonateoiforoimanicoidepressionoibeginsoit
ooidevelopoidiarrhea,oivomiting,oiandoidrowsiness.oiWhichoiactionoishouldoitheoinurseoitake
?
A.oiNotifyoitheoihealthoicareoiprovideroiimmediatelyoiandoiforceoifluids.
B.oiPrioroitooigivingoitheoinextoidose,oinotifyoitheoihealthoicareoiprovideroiofoitheseoisymptom
s.
C.oiRecordoitheoisymptomsoiandoicontinueoiwithoimedicationoiasoiprescribed.
D.oiHoldoitheoimedicationoiandoirefuseoitooiadministeroiadditionaloidoses.oi-oians--
✔✔ANS:oiB
Althoughoitheseoiareoiexpectedoisymptoms,oitheoihealthoicareoiprovideroishouldoibeoinotifie
doiprioroitooitheoinextoiadministrationoiofoitheoidrugoi(B).oiEarlyoisideoieffectsoiofoilithiumoicar
bonateoi(occurringoiwithoiserumoilithiumoilevelsoibelowoi2oimEq/
L)oigenerallyoifollowoiaoiprogressiveoipattern,oibeginningoiwithoidiarrhea,oivomiting,oidrowsi
ness,oiandoimuscularoiweaknessoi(C).oiAtoihigheroilevels,oiataxia,oitinnitus,oiblurredoivision,
oiandoilargeoidiluteoiurineoioutputoimayoioccur.oi(A)oiwilloiloweroitheoilithiumoilevel.oi(D)oiisoin
otoiwarranted.
,Aoiwomanoibringsoiheroi48-year-
oldoihusbandoitooitheoioutpatientoipsychiatricoiunitoiandoitellsoitheoinurseoithatoiheoihasoibee
noisleepwalking,oicannotoirememberoiwhooiheoiis,oiandoiexhibitsoimultipleoipersonalities.oiT
heseoibehaviorsoiareoioftenoiassociatedoiwithoiwhichoicondition?
A.oiDissociativeoidisorder
B.oiObsessive-compulsiveoidisorder
C.oiPanicoidisorder
D.oiPosttraumaticoistressoisyndromeoi-oians--✔✔ANS:oiA
Sleepwalking,oiamnesia,oiandoimultipleoipersonalitiesoiareoiexamplesoiofoidetachingoiemoti
onaloiconflictoifromoione'soiconsciousnessoi(A).oi(B)oiisoicharacterizedoibyoipersistent,oirecu
rrentoiintrusiveoithoughtsoioroiurgesoi(obsessions)oithatoiareoiunwilledoiandoicannotoibeoiign
oredoiandoiprovokeoiimpulsiveoiactsoi(compulsions),oisuchoiasoiconstantoiandoirepeatedoih
andoiwashing.oi(C)oiisoianoiacuteoiattackoiofoianxietyoicharacterizedoibyoipersonalityoidisorg
anization.oi(D)oiisoireexperiencingoiaoipsychologicallyoiterrifyingoioroidistressingoieventoitha
toiisoioutsideoitheoiusualoirangeoiofoihumanoiexperienceoisuchoiasoiwaroioroirape.
Duringoiaoihomeoivisit,oiaoiclientoiwithoischizophreniaoireportsoihearingoivoicesoithatoitelloith
eoiclientoitooiwalkoiinoitheoimiddleoiofoitheoistreet.oiTheoinurseoirecordsoiseveraloistatements
oimadeoibyoitheoiclient.oiBasedoionoiwhichoistatementoishouldoitheoinurseoidetermineoithatoit
heoiclientoineedsoihospitalization?
A."SometimesoiIoitakeoianoiextraoioneoiofoimyoipillsoiwhenoiIoihearoitheoivoices."
B."TheoivoicesoiareoilouderoiwhenoiIoiforgetoitooitakeoimyoimedication.oi"
C."NooimatteroiwhatoiIoido,oiIoicannotoimakeoitheoivoicesoigooiaway.oi"
D."Ioijustoitryoitooitelloitheoivoicesoitooistopoiwhenoitheyoibotheroime.oi"oi-oians--✔✔ANS:oiC
Hospitalizationoiisoineededoiifoitheoiclientoicontinuesoitooihearoivoicesoitellingoitheoiclientoito
oidooithingsoithatoicanoicauseoiself-
harmoi(C).oi(AoioroiB)oidooinotoirequireoihospitalizationoiunlessoisymptomsoibecomeoisever
e.oiTheoiclientoishouldoicontinueoisymptomoimanagementoistrategiesoi(D)oitooipreventoihos
pitalization.
Anoiadultoiclientoiwhooilivesoiinoiaoiresidentialoifacilityoiisoimentallyoiretardedoiandoihasoiaoihi
storyoiofoibipolaroidisorder.oiDuringoitheoipastoiweek,oitheoiclientoihasoirefusedoitooiwearoiclo
thesoiandoifrequentlyoiexposesoitheiroibodyoitooiotheroiresidents.oiWhichoiinterventionoisho
uldoitheoinurseoiimplement?
A.oiEstablishoiaoione-to-oneoirelationshipoitooidiscussoitheoibehavior.
B.oiRedirectoitheoiclientoitooiphysicallyoidemandingoiactivities.
C.oiEncourageoitheoiclientoitooiverbalizeoithoughtsoiwhenoiactingoiout.
D.oiRestrictoisocialoiinteractionsoiwithoiotheroiresidentsoiinoitheoifacility.oi-oians--✔✔ANS:oiB
, Theoiclientoiisoiexhibitingoimanicoibehavioroirelatedoitooibipolaroidisorder,oiandoitheoinurseoi
shouldoiredirectoitheoiclientoitooiactivitiesoithatoiareoiphysicallyoidemandingoi(B)oisooithatoie
nergyoicanoibeoiexpendedoiinoiaoisociallyoiacceptableoimanner.oiPsychoticoiclientsoiareoinot
oicapableoiofoi(A).oiWhenoiexhibitingoiacting-
outoibehavior,oitheoiclientoiisoidistractedoiandoi(C)oiisoidifficult.oi(D)oiisoilikelyoitooiincreaseoi
manicoibehaviors,oisuchoiasoimoodoiswingsoiandoiacting-outoibehaviors.
Aoiclientoionoitheoipsychiatricoiunitoiseeksoioutoiaoiparticularoinurseoiandoiimitatesoiheroiman
nerisms.oiWhichoidefenseoimechanismoidoesoitheoinurseoirecognizeoiinoithisoiclient?
A.Sublimation
B.Identification
C.Introjection
D.Repressionoi-oians--✔✔ANS:oiB
Identificationoi(B)oiisoianoiattemptoitooibeoilikeoisomeoneoioroiemulateoitheoipersonalityoitrait
soiofoianother.oi(A)oiisoisubstitutingoianoiunacceptableoifeelingoiforoioneoithatoiisoimoreoisoci
allyoiacceptable.oi(C)oiisoiincorporatingoitheoivaluesoioroiqualitiesoiofoianoiadmiredoipersonoi
oroigroupoiintooione'soiownoiegooistructure.oi(D)oiisoitheoiinvoluntaryoiexclusionoiofoipainfuloit
houghtsoioroimemoriesoifromoione'soiawareness.
Aoiclientoibeginsoitakingoianoiatypicaloiantipsychoticoimedication.oiTheoinurseoimustoiprovid
eoiinformedoiconsentoiandoieducationoiaboutoicommonoimedicationoisideoieffects.oiWhichoi
clientoieducationoiwilloibeoimostoiimportant?
A.Maintainoiaoibalancedoidietoiandoiadequateoiexercise.
B.Beoisureoithatoitheoidietoiisoiadequateoiinoisaltoiintake.
C.Monitoroiforoianyoichangesoiinoisleepoipattern.
D.Reportoianyoiunusualoifacialoimovements.oi-oians--✔✔ANS:oiA
Severaloiatypicaloiantipsychoticoimedicationsoicanoicauseoisignificantoiweightoigain,oisooith
eoiclientoishouldoibeoiadvisedoitooimaintainoiaoibalancedoidietoiandoiadequateoiexerciseoi(A)
.oi(B)oiisoiimportantoiwithoilithium,oiaoimoodoistabilizer.oi(CoiandoiD)oiareoilessoicommonoitha
noiweightoigain.
Aoi35-year-
oldoiclientoiadmittedoitooitheoipsychiatricoiunitoiofoianoiacuteoicareoihospitaloitellsoitheoinurse
oithatoisomeoneoiisoitryingoitooipoisonoiher.oiTheoiclient'soidelusionsoiareoimostoilikelyoirelat
edoitooiwhichoifactor?
A.Authorityoiissuesoiinoichildhood
B.Angeroiaboutoibeingoihospitalized
C.Lowoiself-esteem
D.Phobiaoiofoifoodoi-oians--✔✔ANS:oiC
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