Mental Health HESI FORTIS exam with
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correct detailed answers
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Milieu |therapy |- | |correct |answers |1.The |planned |use |of |people, |resources, |and |activities |in |the |
environment |to |assist |in |improving |interpersonal |skills, |social |functioning, |and |performing |
ADLS, |as |well |as |safety |and |protection. |2. |focus |is |here |and |now. |3. |Uses |limit |setting. |4. |Client
|makes |decisions |about |their |care. |5. |Support |group |sharing, |cooperation, |and |compromise. |6. |
Support |client |privacy |and |autonomy |and |provide |clear |expectations.
Behavior |modification |- | |correct |answers |1. |Changes |ineffective |behavior |patterns; |it |focuses |
on |the |consequences |of |actions |rather |than |on |peer |pressure. |2. |Positive |reinforcement |
strengthens |desired |behavior. |3. |Negative |reinforcement |decreases/eliminated |inappropriate |
behavior. |4. |Role |modeling |and |teaching
Family |therapy |- | |correct |answers |1. |Entire |family |is |the |client. |2. |Family |as |a |system |of |
interrelated |parts |forming |a |whole. |3. |Focus |on |patterns |of |interaction |within |the |family, |not |
on |individual. |4. |Therapist |assists |the |family |in |identifying |the |roles |assigned |to |each |member |
based |on |family |rules. |5. |Life |scripts |and |self-fulfilling |prophecies |are |identified. |6. |Congruent |
and |incongruent |communication |patterns |and |behaviors |are |identified. |7. |Goal |to |decrease |
family |conflict |and |anxiety |and |to |develop |appropriate |role |relationship.
Crisis |Intervention |- | |correct |answers |1. |Directed |at |the |resolution |of |an |immediate |crisis, |
which |the |individual |is |unable |to |handle |alone. |2. |Crisis |may |develop |when |previously |learned |
coping |mechanisms |are |ineffective |in |dealing |w/ |current |problem. |3. |In |state |of |disequilibrium.
|4. |If |in |panic |state |as |a |result |of |disorganization |be |very |directive. |5. |Focus |on |problem, |not |
cause. |6. |Identify |support |systems. |7. |Identify |fast |coping |patterns |from |other |stressful |
situations. |8. |Goal |to |return |to |pre-crisis |level |of |functioning. |9. |Intervention |limited |to |6 |
weeks.
Cognitive |therapy |- | |correct |answers |1. |Directed |at |replacing |a |client's |irrational |beliefs |and |
distorted |attitudes. |2. |Is |focused, |problem-solving |therapy. |3. |Therapist |and |client |work |
,together |to |identify |and |solve |problems |and |overcome |difficulties. |4. |Short-term |therapy |of |2-
3 |months |duration. |5. |Involves |cognitive |restructuring.
Electroconvulsive |therapy |(ECT) |- | |correct |answers |1. |Involves |the |use |of |electrically |induced |
seizures |for |psychiatric |purposes. |It |is |used |with |severely |depressed |clients |who |fail |to |
respond |to |antidepressant |meds |and |therapy. |May |be |used |with |extremely |suicidal |clients |
because |2 |weeks |are |needed |for |antidepressants |to |take |effect.
Nursing |care |prior |to |ECT |- | |correct |answers |1. |Prepare |client |by |teaching |what |treatment |
involves. |2. |Avoid |using |word |"shock." |3. |Anticholinergic |(atropine |sulfate) |usually |given |30 |
min |before |treatment |to |dry |oral |secretions. |4. |Quick-acting |muscle |relaxant |(succinylcholine |
[Anectine]) |or |general |anesthetic |is |given |before |to |precent |bone |or |muscle |damage. |5. |Have |
an |emergency |cart, |suction |equipment, |and |O2 |available |in |the |room.
Nursing |care |after |ECT |- | |correct |answers |1. |Maintain |patent |airway. |2. |Check |vitals |every |15 |
min |until |client |is |alert. |3. |Reorient |client |after |ECT. |4. |Headache, |Muscle |soreness, |Nausea, |
Retrograde |amnesia
Group |intervention |- | |correct |answers |1. |Process |is |used |with |2 |or |more |clients.
Types |of |groups |- | |correct |answers |1. |Closed |(set |group) |or |open |(new |members |can |join). |2. |
Small |or |large |(>10 |members). |3. |Psychoeducation, |supportive |therapy, |psychotherapy, |self-
help. |4. |Common |nurse-led |intervention |groups |include |those |that |focus |on |meds, |symptoms |
management, |anger |management, |and |self-care
Initial |(Orientation) |phase |- | |correct |answers |High |anxiety, |superficial |interactions, |testing |the |
therapist |to |see |if |he |or |she |can |be |trusted.
Middle |(Working) |phase |- | |correct |answers |Problem |identification, |beginning |of |problem-
solving, |beginning |of |the |group |sense |of |"we"
,Termination |phase |- | |correct |answers |Evaluation |of |experience, |expression |of |feelings |ranging |
from |anger |to |joy
Advantages |of |groups |- | |correct |answers |1. |Development |of |socializing |techniques. |2. |
Opportunity |to |try |new |behaviors. |3. |Promotion |of |a |feeling |of |universality. |4. |Opportunity |for |
feedback |from |the |group, |which |may |correct |distorted |perceptions. |5. |Opportunity |for |clients |
to |look |at |alternative |ways |of |analyzing |and |dealign |with |problems
Acknowledgement |- | |correct |answers |Recognizing |the |client's |opinions |and |statements |w/o |
imposing |your |own |values |and |judgement
Clarifying |- | |correct |answers |The |process |of |making |sure |you |have |understood |the |meaning |of |
what |was |said
Confrontation |- | |correct |answers |Calling |attention |to |inconsistent |behavior, |information |shared
|or |not |shared
Focusing |- | |correct |answers |Assisting |the |client |to |explore |a |specific |topic, |which |may |include |
sharing |perceptions |and |theme |identification
Information |giving |- | |correct |answers |Feedback |about |client's |observed |behavior
Open-ended |questions |- | |correct |answers |Questions |that |require |more |than |a |yes |or |no |
response
Reflecting/restating |- | |correct |answers |Paraphrasing |or |repeating |what |the |client |has |said |(Be |
careful |not |to |overuse; |client |will |feel |as |though |you |are |not |listening).
, Silence |- | |correct |answers |Can |be |therapeutic |or |can |be |used |to |control |interaction; |use |
carefully |with |paranoid |client; |may |be |misinterpreted |or |could |be |used |to |support |paranoid |
ideation
Suggesting |- | |correct |answers |Offering |alternatives
Denial |- | |correct |answers |Unconscious |failure |to |acknowledge |an |event, |thought, |or |feeling |
that |is |too |painful |for |conscious |awareness
Displacement |- | |correct |answers |Transference |of |feelings |to |another |person |or |object
Identification |- | |correct |answers |Attempt |to |be |like |someone |or |emulate |the |personality, |traits,
|or |behaviors |of |another |person
Intellectualization |- | |correct |answers |Using |reason |to |avoid |emotional |conflicts
Introjection |- | |correct |answers |Incorporation |of |values |or |qualities |of |an |admired |person |or |
group |into |one's |own |ego |structure
Isolation |- | |correct |answers |Separation |of |an |unacceptable |feeling, |idea, |or |impulse |from |one's
|though |process
Passive-aggression |- | |correct |answers |Indirectly |expressing |aggression |toward |other; |a |facade |
of |overt |compliance |masks |covert |resentment
Projection |- | |correct |answers |Attributing |one's |own |thoughts |or |impulses |to |another |person
Rationalization |- | |correct |answers |Offering |an |acceptable, |logical |explanation |to |make |
unacceptable |feelings |and |behavior |acceptable
| | | | | |
correct detailed answers
| |
Milieu |therapy |- | |correct |answers |1.The |planned |use |of |people, |resources, |and |activities |in |the |
environment |to |assist |in |improving |interpersonal |skills, |social |functioning, |and |performing |
ADLS, |as |well |as |safety |and |protection. |2. |focus |is |here |and |now. |3. |Uses |limit |setting. |4. |Client
|makes |decisions |about |their |care. |5. |Support |group |sharing, |cooperation, |and |compromise. |6. |
Support |client |privacy |and |autonomy |and |provide |clear |expectations.
Behavior |modification |- | |correct |answers |1. |Changes |ineffective |behavior |patterns; |it |focuses |
on |the |consequences |of |actions |rather |than |on |peer |pressure. |2. |Positive |reinforcement |
strengthens |desired |behavior. |3. |Negative |reinforcement |decreases/eliminated |inappropriate |
behavior. |4. |Role |modeling |and |teaching
Family |therapy |- | |correct |answers |1. |Entire |family |is |the |client. |2. |Family |as |a |system |of |
interrelated |parts |forming |a |whole. |3. |Focus |on |patterns |of |interaction |within |the |family, |not |
on |individual. |4. |Therapist |assists |the |family |in |identifying |the |roles |assigned |to |each |member |
based |on |family |rules. |5. |Life |scripts |and |self-fulfilling |prophecies |are |identified. |6. |Congruent |
and |incongruent |communication |patterns |and |behaviors |are |identified. |7. |Goal |to |decrease |
family |conflict |and |anxiety |and |to |develop |appropriate |role |relationship.
Crisis |Intervention |- | |correct |answers |1. |Directed |at |the |resolution |of |an |immediate |crisis, |
which |the |individual |is |unable |to |handle |alone. |2. |Crisis |may |develop |when |previously |learned |
coping |mechanisms |are |ineffective |in |dealing |w/ |current |problem. |3. |In |state |of |disequilibrium.
|4. |If |in |panic |state |as |a |result |of |disorganization |be |very |directive. |5. |Focus |on |problem, |not |
cause. |6. |Identify |support |systems. |7. |Identify |fast |coping |patterns |from |other |stressful |
situations. |8. |Goal |to |return |to |pre-crisis |level |of |functioning. |9. |Intervention |limited |to |6 |
weeks.
Cognitive |therapy |- | |correct |answers |1. |Directed |at |replacing |a |client's |irrational |beliefs |and |
distorted |attitudes. |2. |Is |focused, |problem-solving |therapy. |3. |Therapist |and |client |work |
,together |to |identify |and |solve |problems |and |overcome |difficulties. |4. |Short-term |therapy |of |2-
3 |months |duration. |5. |Involves |cognitive |restructuring.
Electroconvulsive |therapy |(ECT) |- | |correct |answers |1. |Involves |the |use |of |electrically |induced |
seizures |for |psychiatric |purposes. |It |is |used |with |severely |depressed |clients |who |fail |to |
respond |to |antidepressant |meds |and |therapy. |May |be |used |with |extremely |suicidal |clients |
because |2 |weeks |are |needed |for |antidepressants |to |take |effect.
Nursing |care |prior |to |ECT |- | |correct |answers |1. |Prepare |client |by |teaching |what |treatment |
involves. |2. |Avoid |using |word |"shock." |3. |Anticholinergic |(atropine |sulfate) |usually |given |30 |
min |before |treatment |to |dry |oral |secretions. |4. |Quick-acting |muscle |relaxant |(succinylcholine |
[Anectine]) |or |general |anesthetic |is |given |before |to |precent |bone |or |muscle |damage. |5. |Have |
an |emergency |cart, |suction |equipment, |and |O2 |available |in |the |room.
Nursing |care |after |ECT |- | |correct |answers |1. |Maintain |patent |airway. |2. |Check |vitals |every |15 |
min |until |client |is |alert. |3. |Reorient |client |after |ECT. |4. |Headache, |Muscle |soreness, |Nausea, |
Retrograde |amnesia
Group |intervention |- | |correct |answers |1. |Process |is |used |with |2 |or |more |clients.
Types |of |groups |- | |correct |answers |1. |Closed |(set |group) |or |open |(new |members |can |join). |2. |
Small |or |large |(>10 |members). |3. |Psychoeducation, |supportive |therapy, |psychotherapy, |self-
help. |4. |Common |nurse-led |intervention |groups |include |those |that |focus |on |meds, |symptoms |
management, |anger |management, |and |self-care
Initial |(Orientation) |phase |- | |correct |answers |High |anxiety, |superficial |interactions, |testing |the |
therapist |to |see |if |he |or |she |can |be |trusted.
Middle |(Working) |phase |- | |correct |answers |Problem |identification, |beginning |of |problem-
solving, |beginning |of |the |group |sense |of |"we"
,Termination |phase |- | |correct |answers |Evaluation |of |experience, |expression |of |feelings |ranging |
from |anger |to |joy
Advantages |of |groups |- | |correct |answers |1. |Development |of |socializing |techniques. |2. |
Opportunity |to |try |new |behaviors. |3. |Promotion |of |a |feeling |of |universality. |4. |Opportunity |for |
feedback |from |the |group, |which |may |correct |distorted |perceptions. |5. |Opportunity |for |clients |
to |look |at |alternative |ways |of |analyzing |and |dealign |with |problems
Acknowledgement |- | |correct |answers |Recognizing |the |client's |opinions |and |statements |w/o |
imposing |your |own |values |and |judgement
Clarifying |- | |correct |answers |The |process |of |making |sure |you |have |understood |the |meaning |of |
what |was |said
Confrontation |- | |correct |answers |Calling |attention |to |inconsistent |behavior, |information |shared
|or |not |shared
Focusing |- | |correct |answers |Assisting |the |client |to |explore |a |specific |topic, |which |may |include |
sharing |perceptions |and |theme |identification
Information |giving |- | |correct |answers |Feedback |about |client's |observed |behavior
Open-ended |questions |- | |correct |answers |Questions |that |require |more |than |a |yes |or |no |
response
Reflecting/restating |- | |correct |answers |Paraphrasing |or |repeating |what |the |client |has |said |(Be |
careful |not |to |overuse; |client |will |feel |as |though |you |are |not |listening).
, Silence |- | |correct |answers |Can |be |therapeutic |or |can |be |used |to |control |interaction; |use |
carefully |with |paranoid |client; |may |be |misinterpreted |or |could |be |used |to |support |paranoid |
ideation
Suggesting |- | |correct |answers |Offering |alternatives
Denial |- | |correct |answers |Unconscious |failure |to |acknowledge |an |event, |thought, |or |feeling |
that |is |too |painful |for |conscious |awareness
Displacement |- | |correct |answers |Transference |of |feelings |to |another |person |or |object
Identification |- | |correct |answers |Attempt |to |be |like |someone |or |emulate |the |personality, |traits,
|or |behaviors |of |another |person
Intellectualization |- | |correct |answers |Using |reason |to |avoid |emotional |conflicts
Introjection |- | |correct |answers |Incorporation |of |values |or |qualities |of |an |admired |person |or |
group |into |one's |own |ego |structure
Isolation |- | |correct |answers |Separation |of |an |unacceptable |feeling, |idea, |or |impulse |from |one's
|though |process
Passive-aggression |- | |correct |answers |Indirectly |expressing |aggression |toward |other; |a |facade |
of |overt |compliance |masks |covert |resentment
Projection |- | |correct |answers |Attributing |one's |own |thoughts |or |impulses |to |another |person
Rationalization |- | |correct |answers |Offering |an |acceptable, |logical |explanation |to |make |
unacceptable |feelings |and |behavior |acceptable
