PSYCHIATRIC / MENTAL HEALTH PRACTICE EXAM EVOLVE HESI QUESTIONS / ACTUAL QUESTIONS WITH CERTIFIED SOLUTIONS / 2025.
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PSYCHIATRIC / MENTAL HEALTH
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PSYCHIATRIC / MENTAL HEALTH
PSYCHIATRIC / MENTAL HEALTH PRACTICE EXAM EVOLVE HESI QUESTIONS / ACTUAL QUESTIONS WITH CERTIFIED SOLUTIONS / 2025. At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the members what kinds of things she would like to do with the group. The o...
PSYCHIATRIC / MENTAL HEALTH PRACTICE EXAM EVOLVE HESI
QUESTIONS / ACTUAL QUESTIONS WITH CERTIFIED SOLUTIONS / 2025.
Terms in this set (75)
At the first meeting of a B. "Yes, I will be leading this group. What would you like to
group of older adults at a accomplish during this time?"
daycare center for the
elderly, the nurse asks one of Anxiety over participation in a group and testing of the
the members what kinds of leader characteristically occur in the initial phase of group
things she would like to do dynamics.
with the group. The older (B) provides information and focuses the group back to
woman shrugs her shoulders defining its function.
and says, "You tell me, you're (A) is manipulative bargaining.
the leader." What is the best Although (C) provides information, it does not focus the
response for the nurse to group on its purpose or task.
make? (D) is interpreting the client's feelings and is almost challenging.
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 during this
time?" C. "Yes, I have been
assigned to be the leader of
this group. I will be here for
the next six weeks."
D. "Yes, I am the leader.
You seem angry about not
being the leader yourself."
,Over a period of several C. Allow the group to handle the problem.
weeks, one male participant
of a socialization group at a After several weeks, the group is in the working phase and
community day care center the group members should be allowed to determine the
direction of the group. The nurse should ignore the client's
for the elderly monopolizes comments and allow the group to handle the situation (C). A
most of the group's time and good leader should not have separate meetings with group
interrupts others when they members (A), as such behavior is manipulative on the part
of the leader. (B) is dictatorial and is not in keeping with
are talking. What is the best good leadership skills. (D) is avoiding the problem.
action for the nurse to take in Remember, identify what phase the group is in--initial,
this situation? working, or termination--this will help determine
communication style.
A. Talk to the
clientoutside the group
about his behavior during
group meetings.
B. Remind the client
toallow others in the group a
chance to talk.
C. Allow the group
tohandle the problem.
D. Ask the client to
joinanother group.
,An 86-year-old female client C. "Let's go back to the activity room and see what is going on in
with Alzheimer's disease is there."
wandering the busy halls of
the extended care facility and It is common for those with Alzheimer's disease to use the
asks the nurse, "Where wrong words. Redirecting the client (using an accepting non-
should I stand for the judgmental dialogue) to a safer place and familiar activities
parade?" Which response is (C) is most helpful because clients experience short-term
best for the nurse to memory loss. (A) dismisses the client's attempt to find order
provide? and does not help her relate to her surroundings. (B)
A. "Anywhere you want dismisses the client and may increase her anxiety level
tostand as long as you do not because it merely labels the client's behavior and offers no
get hurt by those in the solution. It is very frustrating for those with
parade." Alzheimer's disease to "remember," and scolding them (D) may
B. "You are hurt their feelings.
confusedbecause of all the
activity in the hall. There is
no parade."
C. "Let's go back to
theactivity room and see
what is going on in there." D.
"Remember I told you that
this is a nursing home and I
am your nurse."
, Physical examination of a 6- B. "Tell me more specifically about your child's accidents."
year-old reveals several bite
marks in various locations on (B) seeks more information using an open ended, non-
his body. Xray examination threatening statement. (A) could be appropriate, but it is
not the best answer because the nurse is being somewhat
reveals healed fractures of sarcastic and is also avoiding the situation by referring it to
the ribs. The mother tells the the healthcare provider for resolution. Although it is true
nurse that her child is always that suspected cases of child abuse must be reported, (C) is
virtually an attack and is jumping to conclusions before
having accidents. Which conclusive data has been obtained. (D) is a cliché and
initial response by the nurse dismisses the seriousness of the situation.
is most appropriate?
A. "I need to inform the
healthcare provider about
your child's tendency to be
accident prone." B. "Tell me
more specifically about your
child's accidents."
C. "I must report
theseinjuries to the
authorities because they do
not seem accidental."
D. "Boys this age
alwaysseem to require more
supervision and can be quite
accident prone."
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