HESI Psychiatric/Mental Health Practice Exam LATEST VERSION NEWEST
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)TESTBANK
1. At the first meeting of a group of - "Yes, I will be leading this group. What would you
older adults at a daycare center for like to accomplish during this time?"
the elderly, the nurse asks one of
the members what kinds of things Anxiety over participation in a group and testing of
she would like to do with the group. the leader characteristically occur in the initial phase
The older woman shrugs her shoul- of group dynamics. (B) provides information and
ders and says, "You tell me, you're the focuses the group back to defining its function. (A) is
leader." What is the best response for manipulative bargaining. Although (C) provides in-
the nurse to make? formation, it does not focus the group on its purpose
or task. (D) is interpreting the client's feelings and is
- "Yes, I am the leader today. Would almost challenging.
you like to be the leader tomorrow?"
- "Yes, I will be leading this group.
What would you like to accomplish
during this time?"
- "Yes, I have been assigned to be the
leader of this group. I will be here for
the next six weeks."
- "Yes, I am the leader. You seem an-
gry about not being the leader your-
self."
2. Over a period of several weeks, one - Allow the group to handle the problem.
male participant of a socialization
group at a community day care center After several weeks, the group is in the working
for the elderly monopolizes most of phase and the group members should be allowed
the group's time and interrupts oth- to determine the direction of the group. The nurse
ers when they are talking. What is the should ignore the client's comments and allow the
best action for the nurse to take in group to handle the situation (C). A good leader
this situation? should not have separate meetings with group
members (A), as such behavior is manipulative on
- Talk to the client outside the group the part of the leader. (B) is dictatorial and is not in
, HESI Psychiatric/Mental Health Practice Exam LATEST VERSION NEWEST
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)TESTBANK
about his behavior during group keeping with good leadership skills. (D) is avoiding
meetings. the problem. Remember, identify what phase the
- Remind the client to allow others in group is in--initial, working, or termination--this will
the group a chance to talk. help determine communication style.
- Allow the group to handle the prob-
lem.
- Ask the client to join another group.
3. An 86-year-old female client with - "Let's go back to the activity room and see what is
Alzheimer's disease is wandering the going on in there."
busy halls of the extended care facility
and asks the nurse, "Where should It is common for those with Alzheimer's disease to
I stand for the parade?" Which re- use the wrong words. Redirecting the client (using
sponse is best for the nurse to pro- an accepting non-judgmental dialogue) to a safer
vide? place and familiar activities (C) is most helpful be-
cause clients experience short-term memory loss.
- "Anywhere you want to stand as (A) dismisses the client's attempt to find order and
long as you do not get hurt by those does not help her relate to her surroundings. (B)
in the parade." dismisses the client and may increase her anxiety
- "You are confused because of all the level because it merely labels the client's behavior
activity in the hall. There is no pa- and otters no solution. It is very frustrating for those
rade." with Alzheimer's disease to "remember," and scold-
- "Let's go back to the activity room ing them (D) may hurt their feelings.
and see what is going on in there."
- "Remember I told you that this is a
nursing home and I am your nurse."
4. Physical examination of a 6-year-old - "Tell me more specifically about your child's acci-
reveals several bite marks in various dents."
locations on his body. X-ray examina-
tion reveals healed fractures of the (B) seeks more information using an open ended,
ribs. The mother tells the nurse that non-threatening statement. (A) could be appropri-
, HESI Psychiatric/Mental Health Practice Exam LATEST VERSION NEWEST
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)TESTBANK
her child is always having accidents. ate, but it is not the best answer because the nurse
Which initial response by the nurse is is being somewhat sarcastic and is also avoiding the
most appropriate? situation by referring it to the healthcare provider for
resolution. Although it is true that suspected cases of
- "I need to inform the healthcare child abuse must be reported, (C) is virtually an at-
provider about your child's tendency tack and is jumping to conclusions before conclusive
to be accident prone." data has been obtained. (D) is a clich and dismisses
- "Tell me more specifically about your the seriousness of the situation.
child's accidents."
- "I must report these injuries to the
authorities because they do not seem
accidental."
- "Boys this age always seem to re-
quire more supervision and can be
quite accident prone."
5. A child is brought to the emergency - projecting her feelings onto the nurse.
room with a broken arm. Because
of other injuries, the nurse suspects Projection is attributing one's own thoughts, impuls-
the child may be a victim of abuse. es, or behaviors onto another--it is the mother who
When the nurse tries to give the child is probably harming the child and she is attribut-
an injection, the child's mother be- ing her actions to the nurse (C). The mother may
comes very loud and shouts, "I won't be immature, but (A) is not the best description of
leave my son! Don't you touch him! her behavior. (B) is substituting a socially acceptable
You'll hurt my child!" What is the best feeling for an unacceptable one. These are not so-
interpretation of the mother's state- cially acceptable feelings. The mother may be sup-
ments? The mother is pressing her fear (D) by displaying anger, but such
an interpretation cannot be concluded from the data
- regressing to an earlier behavior presented.
pattern.
- sublimating her anger.
- projecting her feelings onto the
, HESI Psychiatric/Mental Health Practice Exam LATEST VERSION NEWEST
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)TESTBANK
nurse.
- suppressing her fear.
6. A 38-year-old female client is ad- - "I'll leave your tray here. I am available if you need
mitted with a diagnosis of para- anything else."
noid schizophrenia. When her tray is
brought to her, she refuses to eat and (A) is the best choice cited. The nurse does not
tells the nurse, "I know you are trying argue with the client nor demand that she eat, but
to poison me with that food." Which otters support by agreeing to "be there if needed",
response would be most appropriate e. g., to warm the food. (B and C) are arguing with
for the nurse to make? the client's delusions, and (B) asks "why" which is
usually not a good question for a psychotic client. (D)
- "I'll leave your tray here. I am avail- has nothing to do with the actual problem; i. e., the
able if you need anything else." problem is not the diet (she thinks any food given to
- "You're not being poisoned. Why do her is poisoned).
you think someone is trying to poison
you?"
- "No one on this unit has ever died
from poisoning. You're safe here."
- "I will talk to your healthcare
provider about the possibility of
changing your diet."
7. A 25-year-old female client has been - "Come with me to your room and I will sit with
particularly restless and the nurse you."
finds her trying to leave the psychi-
atric unit. She tells the nurse, "Please (D) is the best response because it otters support
let me go! I must leave because the without judgment or demands. (A) is arguing with
secret police are after me." Which re- the client's delusion. (B) is ottering false reassur-
sponse is best for the nurse to make? ance. (C) is a violation of therapeutic communica-
tion in that the nurse is telling the client how she
- "No one is after you, you're safe feels (frightened and lonely), rather than allowing
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)TESTBANK
1. At the first meeting of a group of - "Yes, I will be leading this group. What would you
older adults at a daycare center for like to accomplish during this time?"
the elderly, the nurse asks one of
the members what kinds of things Anxiety over participation in a group and testing of
she would like to do with the group. the leader characteristically occur in the initial phase
The older woman shrugs her shoul- of group dynamics. (B) provides information and
ders and says, "You tell me, you're the focuses the group back to defining its function. (A) is
leader." What is the best response for manipulative bargaining. Although (C) provides in-
the nurse to make? formation, it does not focus the group on its purpose
or task. (D) is interpreting the client's feelings and is
- "Yes, I am the leader today. Would almost challenging.
you like to be the leader tomorrow?"
- "Yes, I will be leading this group.
What would you like to accomplish
during this time?"
- "Yes, I have been assigned to be the
leader of this group. I will be here for
the next six weeks."
- "Yes, I am the leader. You seem an-
gry about not being the leader your-
self."
2. Over a period of several weeks, one - Allow the group to handle the problem.
male participant of a socialization
group at a community day care center After several weeks, the group is in the working
for the elderly monopolizes most of phase and the group members should be allowed
the group's time and interrupts oth- to determine the direction of the group. The nurse
ers when they are talking. What is the should ignore the client's comments and allow the
best action for the nurse to take in group to handle the situation (C). A good leader
this situation? should not have separate meetings with group
members (A), as such behavior is manipulative on
- Talk to the client outside the group the part of the leader. (B) is dictatorial and is not in
, HESI Psychiatric/Mental Health Practice Exam LATEST VERSION NEWEST
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)TESTBANK
about his behavior during group keeping with good leadership skills. (D) is avoiding
meetings. the problem. Remember, identify what phase the
- Remind the client to allow others in group is in--initial, working, or termination--this will
the group a chance to talk. help determine communication style.
- Allow the group to handle the prob-
lem.
- Ask the client to join another group.
3. An 86-year-old female client with - "Let's go back to the activity room and see what is
Alzheimer's disease is wandering the going on in there."
busy halls of the extended care facility
and asks the nurse, "Where should It is common for those with Alzheimer's disease to
I stand for the parade?" Which re- use the wrong words. Redirecting the client (using
sponse is best for the nurse to pro- an accepting non-judgmental dialogue) to a safer
vide? place and familiar activities (C) is most helpful be-
cause clients experience short-term memory loss.
- "Anywhere you want to stand as (A) dismisses the client's attempt to find order and
long as you do not get hurt by those does not help her relate to her surroundings. (B)
in the parade." dismisses the client and may increase her anxiety
- "You are confused because of all the level because it merely labels the client's behavior
activity in the hall. There is no pa- and otters no solution. It is very frustrating for those
rade." with Alzheimer's disease to "remember," and scold-
- "Let's go back to the activity room ing them (D) may hurt their feelings.
and see what is going on in there."
- "Remember I told you that this is a
nursing home and I am your nurse."
4. Physical examination of a 6-year-old - "Tell me more specifically about your child's acci-
reveals several bite marks in various dents."
locations on his body. X-ray examina-
tion reveals healed fractures of the (B) seeks more information using an open ended,
ribs. The mother tells the nurse that non-threatening statement. (A) could be appropri-
, HESI Psychiatric/Mental Health Practice Exam LATEST VERSION NEWEST
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)TESTBANK
her child is always having accidents. ate, but it is not the best answer because the nurse
Which initial response by the nurse is is being somewhat sarcastic and is also avoiding the
most appropriate? situation by referring it to the healthcare provider for
resolution. Although it is true that suspected cases of
- "I need to inform the healthcare child abuse must be reported, (C) is virtually an at-
provider about your child's tendency tack and is jumping to conclusions before conclusive
to be accident prone." data has been obtained. (D) is a clich and dismisses
- "Tell me more specifically about your the seriousness of the situation.
child's accidents."
- "I must report these injuries to the
authorities because they do not seem
accidental."
- "Boys this age always seem to re-
quire more supervision and can be
quite accident prone."
5. A child is brought to the emergency - projecting her feelings onto the nurse.
room with a broken arm. Because
of other injuries, the nurse suspects Projection is attributing one's own thoughts, impuls-
the child may be a victim of abuse. es, or behaviors onto another--it is the mother who
When the nurse tries to give the child is probably harming the child and she is attribut-
an injection, the child's mother be- ing her actions to the nurse (C). The mother may
comes very loud and shouts, "I won't be immature, but (A) is not the best description of
leave my son! Don't you touch him! her behavior. (B) is substituting a socially acceptable
You'll hurt my child!" What is the best feeling for an unacceptable one. These are not so-
interpretation of the mother's state- cially acceptable feelings. The mother may be sup-
ments? The mother is pressing her fear (D) by displaying anger, but such
an interpretation cannot be concluded from the data
- regressing to an earlier behavior presented.
pattern.
- sublimating her anger.
- projecting her feelings onto the
, HESI Psychiatric/Mental Health Practice Exam LATEST VERSION NEWEST
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)TESTBANK
nurse.
- suppressing her fear.
6. A 38-year-old female client is ad- - "I'll leave your tray here. I am available if you need
mitted with a diagnosis of para- anything else."
noid schizophrenia. When her tray is
brought to her, she refuses to eat and (A) is the best choice cited. The nurse does not
tells the nurse, "I know you are trying argue with the client nor demand that she eat, but
to poison me with that food." Which otters support by agreeing to "be there if needed",
response would be most appropriate e. g., to warm the food. (B and C) are arguing with
for the nurse to make? the client's delusions, and (B) asks "why" which is
usually not a good question for a psychotic client. (D)
- "I'll leave your tray here. I am avail- has nothing to do with the actual problem; i. e., the
able if you need anything else." problem is not the diet (she thinks any food given to
- "You're not being poisoned. Why do her is poisoned).
you think someone is trying to poison
you?"
- "No one on this unit has ever died
from poisoning. You're safe here."
- "I will talk to your healthcare
provider about the possibility of
changing your diet."
7. A 25-year-old female client has been - "Come with me to your room and I will sit with
particularly restless and the nurse you."
finds her trying to leave the psychi-
atric unit. She tells the nurse, "Please (D) is the best response because it otters support
let me go! I must leave because the without judgment or demands. (A) is arguing with
secret police are after me." Which re- the client's delusion. (B) is ottering false reassur-
sponse is best for the nurse to make? ance. (C) is a violation of therapeutic communica-
tion in that the nurse is telling the client how she
- "No one is after you, you're safe feels (frightened and lonely), rather than allowing
