Psych/Mental Health Exit HESI - Saunders
|Questions with 100% Correct Answers
A client is planning to attend Overeaters Anonymous. Which statement by the client indicates a
need for additional information regarding this self-help group?
1. "The leader is a nurse or psychiatrist."
2. "The members provide support to each other."
3. "People who have a similar problem are able to help others."
4. "It is designed to serve people who have a common problem." - ✔️✔️1. "The leader is a nurse
or psychiatrist."
Rationale:
The sponsor of a self-help group is an experienced member of the group. The nurse or
psychiatrist may be asked by the group to serve as a resource, but would not be the leader of
the group. The remaining options are characteristics of a self-help group.
What is the most appropriate nursing action to help manage a manic client who is monopolizing
a group therapy session?
1. Ask the client to leave the group for this session only.
2. Refer the client to another group that includes other manic clients.
3. Tell the client to stop monopolizing in a firm but compassionate manner.
4. Thank the client for the input, but inform the client that now others need a chance to
contribute. - ✔️✔️4. Thank the client for the input, but inform the client that now others need a
chance to contribute.
Rationale:
If a client is monopolizing the group, the nurse must be direct and decisive. The best action is to
thank the client and suggest that the client stop talking and try listening to others. Although
,telling the client to stop monopolizing in a firm but compassionate manner may be a direct
response, the correct option is more specific and provides direction for the client. The
remaining options are inappropriate since they are not directed towards helping the client in a
therapeutic manner.
Which type of therapeutic approach has the characteristic that all team members are seen as
equally important in helping clients meet their goals?
1. Milieu therapy
2. Interpersonal therapy
3. Behavior modification
4. Rational emotive therapy - ✔️✔️1. Milieu therapy
Rationale:
All treatment team members are viewed as significant and valuable to the client's successful
treatment outcomes in milieu therapy. Interpersonal therapy is based on a one-to-one or group
therapy approach in which the therapist-client relationship is often used as a way for the client
to examine other relationships in his or her life. Behavior modification is based on rewards and
punishment. Rational emotive therapy deals with the correction of distorted thinking.
A client says to the nurse, "The federal guards were sent to kill me." What is the best nursing
response to the client's concern?
1. "I don't believe this is true."
2. "The guards are not out to kill you."
3. "Do you feel afraid that people are trying to hurt you?"
4. "What makes you think the guards were sent to hurt you?" - ✔️✔️3. "Do you feel afraid that
people are trying to hurt you?"
Rationale:
,It is most therapeutic for the nurse to empathize with the client's experience. The remaining
options lack this connection with the client. Disagreeing with delusions may make the client
more defensive, and the client may cling to the delusions even more. Encouraging discussion
regarding the delusion is inappropriate.
A client diagnosed with delirium becomes disoriented and confused at night. Which
intervention should the nurse implement initially?
1. Move the client next to the nurse's station.
2. Use an indirect light source and turn off the television.
3. Keep the television and a soft light on during the night.
4. Play soft music during the night, and maintain a well-lit room. - ✔️✔️2. Use an indirect light
source and turn off the television.
Rationale:
Provision of a consistent daily routine and a low stimulating environment is important when a
client is disoriented. Noise, including radio and television, may add to the confusion and
disorientation. Moving the client next to the nurses' station may become necessary but is not
the initial action.
A client is admitted to the mental health unit with a diagnosis of depression. The nurse should
develop a plan of care for the client that includes which intervention?
1. Encouraging quiet reading and writing for the first few days
2. Identification of physical activities that will provide exercise
3. No socializing activities, until the client asks to participate in milieu
4. A structured program of activities in which the client can participate - ✔️✔️4. A structured
program of activities in which the client can participate
Rationale:
, A client with depression often is withdrawn while experiencing difficulty concentrating, loss of
interest or pleasure, low energy, fatigue, and feelings of worthlessness and poor self-esteem.
The plan of care needs to provide successful experiences in a stimulating yet structured
environment. The remaining options are either too "restrictive" or offer little or no structure
and stimulation.
When planning the discharge of a client with chronic anxiety, the nurse directs the goals at
promoting a safe environment at home. Which is the most appropriate maintenance goal?
1. Suppressing feelings of anxiety
2. Identifying anxiety-producing situations
3. Continued contact with a crisis counselor
4. Eliminating all anxiety from daily situations - ✔️✔️2. Identifying anxiety-producing situations
Rationale:
Recognizing situations that produce anxiety allows the client to prepare to cope with anxiety or
avoid a specific stimulus. Counselors will not be available for all anxiety-producing situations,
and this option does not encourage the development of internal strengths. Suppressing feelings
will not resolve anxiety. Elimination of all anxiety from life is impossible.
A client is unwilling to go out of the house for fear of "making a fool of myself in public."
Because of this fear, the client remains homebound. Based on these data, which mental health
disorder is the client experiencing?
1. Agoraphobia
2. Social phobia
3. Claustrophobia
4. Hypochondriasis - ✔️✔️2. Social phobia
|Questions with 100% Correct Answers
A client is planning to attend Overeaters Anonymous. Which statement by the client indicates a
need for additional information regarding this self-help group?
1. "The leader is a nurse or psychiatrist."
2. "The members provide support to each other."
3. "People who have a similar problem are able to help others."
4. "It is designed to serve people who have a common problem." - ✔️✔️1. "The leader is a nurse
or psychiatrist."
Rationale:
The sponsor of a self-help group is an experienced member of the group. The nurse or
psychiatrist may be asked by the group to serve as a resource, but would not be the leader of
the group. The remaining options are characteristics of a self-help group.
What is the most appropriate nursing action to help manage a manic client who is monopolizing
a group therapy session?
1. Ask the client to leave the group for this session only.
2. Refer the client to another group that includes other manic clients.
3. Tell the client to stop monopolizing in a firm but compassionate manner.
4. Thank the client for the input, but inform the client that now others need a chance to
contribute. - ✔️✔️4. Thank the client for the input, but inform the client that now others need a
chance to contribute.
Rationale:
If a client is monopolizing the group, the nurse must be direct and decisive. The best action is to
thank the client and suggest that the client stop talking and try listening to others. Although
,telling the client to stop monopolizing in a firm but compassionate manner may be a direct
response, the correct option is more specific and provides direction for the client. The
remaining options are inappropriate since they are not directed towards helping the client in a
therapeutic manner.
Which type of therapeutic approach has the characteristic that all team members are seen as
equally important in helping clients meet their goals?
1. Milieu therapy
2. Interpersonal therapy
3. Behavior modification
4. Rational emotive therapy - ✔️✔️1. Milieu therapy
Rationale:
All treatment team members are viewed as significant and valuable to the client's successful
treatment outcomes in milieu therapy. Interpersonal therapy is based on a one-to-one or group
therapy approach in which the therapist-client relationship is often used as a way for the client
to examine other relationships in his or her life. Behavior modification is based on rewards and
punishment. Rational emotive therapy deals with the correction of distorted thinking.
A client says to the nurse, "The federal guards were sent to kill me." What is the best nursing
response to the client's concern?
1. "I don't believe this is true."
2. "The guards are not out to kill you."
3. "Do you feel afraid that people are trying to hurt you?"
4. "What makes you think the guards were sent to hurt you?" - ✔️✔️3. "Do you feel afraid that
people are trying to hurt you?"
Rationale:
,It is most therapeutic for the nurse to empathize with the client's experience. The remaining
options lack this connection with the client. Disagreeing with delusions may make the client
more defensive, and the client may cling to the delusions even more. Encouraging discussion
regarding the delusion is inappropriate.
A client diagnosed with delirium becomes disoriented and confused at night. Which
intervention should the nurse implement initially?
1. Move the client next to the nurse's station.
2. Use an indirect light source and turn off the television.
3. Keep the television and a soft light on during the night.
4. Play soft music during the night, and maintain a well-lit room. - ✔️✔️2. Use an indirect light
source and turn off the television.
Rationale:
Provision of a consistent daily routine and a low stimulating environment is important when a
client is disoriented. Noise, including radio and television, may add to the confusion and
disorientation. Moving the client next to the nurses' station may become necessary but is not
the initial action.
A client is admitted to the mental health unit with a diagnosis of depression. The nurse should
develop a plan of care for the client that includes which intervention?
1. Encouraging quiet reading and writing for the first few days
2. Identification of physical activities that will provide exercise
3. No socializing activities, until the client asks to participate in milieu
4. A structured program of activities in which the client can participate - ✔️✔️4. A structured
program of activities in which the client can participate
Rationale:
, A client with depression often is withdrawn while experiencing difficulty concentrating, loss of
interest or pleasure, low energy, fatigue, and feelings of worthlessness and poor self-esteem.
The plan of care needs to provide successful experiences in a stimulating yet structured
environment. The remaining options are either too "restrictive" or offer little or no structure
and stimulation.
When planning the discharge of a client with chronic anxiety, the nurse directs the goals at
promoting a safe environment at home. Which is the most appropriate maintenance goal?
1. Suppressing feelings of anxiety
2. Identifying anxiety-producing situations
3. Continued contact with a crisis counselor
4. Eliminating all anxiety from daily situations - ✔️✔️2. Identifying anxiety-producing situations
Rationale:
Recognizing situations that produce anxiety allows the client to prepare to cope with anxiety or
avoid a specific stimulus. Counselors will not be available for all anxiety-producing situations,
and this option does not encourage the development of internal strengths. Suppressing feelings
will not resolve anxiety. Elimination of all anxiety from life is impossible.
A client is unwilling to go out of the house for fear of "making a fool of myself in public."
Because of this fear, the client remains homebound. Based on these data, which mental health
disorder is the client experiencing?
1. Agoraphobia
2. Social phobia
3. Claustrophobia
4. Hypochondriasis - ✔️✔️2. Social phobia
