HESI Mental Health Exam 3 2024
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.
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.
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 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
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.
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.
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 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
