PSYCH HESI Practice Exam with correct || || || || || ||
answers
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 older woman shrugs her shoulders and says,
|| || || || || || || || || || || || ||
"You tell me, you're the leader." What is 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
|| || || || || || || || || || || || || ||
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."
|| || || || || || || || || || || || || ||
- CORRECT ANSWERS ✔✔B. "Yes, I will be leading this group. What would
|| || || || || || || || || || || || || ||
you like to accomplish during this time?"
|| || || || || ||
Rationale: Anxiety over participation in a group and testing of the leader
|| || || || || || || || || || || ||
characteristically occur in the initial phase of group dynamics. (B) provides || || || || || || || || || || ||
information and focuses the group back to defining its function. (A) is || || || || || || || || || || || ||
manipulative bargaining. Although (C) provides information, it does not focus || || || || || || || || ||
the group on its purpose or task. (D) is interpreting the client's feelings and is
|| || || || || || || || || || || || || || ||
almost challenging.
|| ||
Over a period of several weeks, one male participant of a socialization group
|| || || || || || || || || || || || ||
at a community day care center for the elderly monopolizes most of the
|| || || || || || || || || || || || ||
,group's time and interrupts others when they are talking. What is the best
|| || || || || || || || || || || || ||
action for the nurse to take in this situation?
|| || || || || || || ||
A. Talk to the client outside the group about his behavior during group
|| || || || || || || || || || || || ||
meetings.
B. Remind the client to allow others in the group a chance to talk.
|| || || || || || || || || || || || ||
C. Allow the group to handle the problem.
|| || || || || || ||
D. Ask the client to join another group. - CORRECT ANSWERS ✔✔C. Allow
|| || || || || || || || || || || || ||
the group to handle the problem.
|| || || || ||
Rationale: After several weeks, the group is in the working phase and the
|| || || || || || || || || || || || ||
group members should be allowed to determine the direction of the group.
|| || || || || || || || || || || ||
The nurse should ignore the client's comments and allow the group to handle
|| || || || || || || || || || || || ||
the situation (C). A good leader should not have separate meetings with group
|| || || || || || || || || || || ||
members (A), as such behavior is manipulative on the part of the leader. (B)
|| || || || || || || || || || || || || || ||
is dictatorial and is not in keeping with good leadership skills. (D) is avoiding
|| || || || || || || || || || || || || ||
the problem. Remember, identify what phase the group is in--initial, working,
|| || || || || || || || || || ||
or termination--this will help determine communication style.
|| || || || || ||
An 86-year-old female client with Alzheimer's disease is wandering the busy
|| || || || || || || || || || ||
halls of the extended care facility and asks the nurse, "Where should I stand
|| || || || || || || || || || || || || ||
for the parade?" Which response is best for the nurse to provide?
|| || || || || || || || || || ||
A. "Anywhere you want to stand as long as you do not get hurt by those in the
|| || || || || || || || || || || || || || || || ||
parade."
||
B. "You are confused because of all the activity in the hall. There is no
|| || || || || || || || || || || || || || ||
parade."
C. "Let's go back to the activity 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." -
|| || || || || || || || || || || || || || || || ||
CORRECT ANSWERS ✔✔C. "Let's go back to the activity room and see what
|| || || || || || || || || || || || ||
is going on in there."
|| || || ||
Rationale: It is common for those with Alzheimer's disease to use the wrong
|| || || || || || || || || || || || ||
words. Redirecting the client (using an accepting non-judgmental dialogue) to
|| || || || || || || || ||
a safer place and familiar activities (C) is most helpful because clients
|| || || || || || || || || || || || ||
experience short-term memory loss. (A) dismisses the client's attempt to find
|| || || || || || || || || || ||
order and does not help her relate to her surroundings. (B) dismisses the
|| || || || || || || || || || || || ||
client and may increase her anxiety level because it merely labels the client's
|| || || || || || || || || || || || ||
behavior and offers no solution. It is very frustrating for those with
|| || || || || || || || || || || ||
Alzheimer's disease to "remember," and scolding them (D) may hurt their || || || || || || || || || || ||
feelings.
Physical examination of a 6-year-old reveals several bite marks in various
|| || || || || || || || || || ||
locations on his body. X-ray examination reveals healed fractures of the ribs.
|| || || || || || || || || || || ||
The mother tells the nurse that her child is always having accidents. Which
|| || || || || || || || || || || || ||
initial response by the nurse 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 these injuries to the authorities because they do not seem
|| || || || || || || || || || || || || ||
accidental."
D. "Boys this age always seem to require more supervision and can be quite
|| || || || || || || || || || || || || ||
accident prone." - CORRECT ANSWERS ✔✔B. "Tell me more specifically
|| || || || || || || || || ||
about your child's accidents."
|| || ||
Rationale: (B) seeks more information using an open ended, non-threatening
|| || || || || || || || || ||
statement. (A) could be appropriate, but it is not the best answer because the
|| || || || || || || || || || || || || ||
nurse is being somewhat sarcastic and is also avoiding the situation by
|| || || || || || || || || || || ||
referring it to the healthcare provider for resolution. Although it is true that
|| || || || || || || || || || || || ||
, suspected cases of child abuse must be reported, (C) is virtually an attack and
|| || || || || || || || || || || || || ||
is jumping to conclusions before conclusive data has been obtained. (D) is a
|| || || || || || || || || || || || ||
clich and dismisses the seriousness of the situation.
|| || || || || || ||
A child is brought to the emergency room with a broken arm. Because of
|| || || || || || || || || || || || || ||
other injuries, the nurse suspects the child may be a victim of abuse. When
|| || || || || || || || || || || || || ||
the nurse tries to give the child an injection, the child's mother becomes very
|| || || || || || || || || || || || || ||
loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt my
|| || || || || || || || || || || || || || ||
child!" What is the best interpretation of the mother's statements? The mother
|| || || || || || || || || || ||
is
||
A. Regressing to an earlier behavior pattern.
|| || || || || ||
B. Sublimating her anger.
|| || ||
C. Projecting her feelings onto the nurse.
|| || || || || ||
D. Suppressing her fear. - CORRECT ANSWERS ✔✔C. Projecting her feelings
|| || || || || || || || || ||
onto the nurse.
|| || ||
Rationale: Projection is attributing one's own thoughts, impulses, or behaviors
|| || || || || || || || ||
onto another--it is the mother who is probably harming the child and she is
|| || || || || || || || || || || || || || ||
attributing her actions to the nurse (C). The mother may be immature, but
|| || || || || || || || || || || || ||
(A) is not the best description of her behavior. (B) is substituting a socially
|| || || || || || || || || || || || || ||
acceptable feeling for an unacceptable one. These are not socially acceptable
|| || || || || || || || || || ||
feelings. The mother may be suppressing her fear (D) by displaying anger, but
|| || || || || || || || || || || || ||
such an interpretation cannot be concluded from the data presented.
|| || || || || || || || ||
A 38-year-old female client is admitted with a diagnosis of paranoid
|| || || || || || || || || || ||
schizophrenia. When her tray is brought to her, she refuses to eat and tells the || || || || || || || || || || || || || ||
nurse, "I know you are trying to poison me with that food." Which response
|| || || || || || || || || || || || || || ||
would be most appropriate for the nurse to make?
|| || || || || || || ||
A. "I'll leave your tray here. I am available if you need anything else."
|| || || || || || || || || || || || ||
answers
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 older woman shrugs her shoulders and says,
|| || || || || || || || || || || || ||
"You tell me, you're the leader." What is 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
|| || || || || || || || || || || || || ||
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."
|| || || || || || || || || || || || || ||
- CORRECT ANSWERS ✔✔B. "Yes, I will be leading this group. What would
|| || || || || || || || || || || || || ||
you like to accomplish during this time?"
|| || || || || ||
Rationale: Anxiety over participation in a group and testing of the leader
|| || || || || || || || || || || ||
characteristically occur in the initial phase of group dynamics. (B) provides || || || || || || || || || || ||
information and focuses the group back to defining its function. (A) is || || || || || || || || || || || ||
manipulative bargaining. Although (C) provides information, it does not focus || || || || || || || || ||
the group on its purpose or task. (D) is interpreting the client's feelings and is
|| || || || || || || || || || || || || || ||
almost challenging.
|| ||
Over a period of several weeks, one male participant of a socialization group
|| || || || || || || || || || || || ||
at a community day care center for the elderly monopolizes most of the
|| || || || || || || || || || || || ||
,group's time and interrupts others when they are talking. What is the best
|| || || || || || || || || || || || ||
action for the nurse to take in this situation?
|| || || || || || || ||
A. Talk to the client outside the group about his behavior during group
|| || || || || || || || || || || || ||
meetings.
B. Remind the client to allow others in the group a chance to talk.
|| || || || || || || || || || || || ||
C. Allow the group to handle the problem.
|| || || || || || ||
D. Ask the client to join another group. - CORRECT ANSWERS ✔✔C. Allow
|| || || || || || || || || || || || ||
the group to handle the problem.
|| || || || ||
Rationale: After several weeks, the group is in the working phase and the
|| || || || || || || || || || || || ||
group members should be allowed to determine the direction of the group.
|| || || || || || || || || || || ||
The nurse should ignore the client's comments and allow the group to handle
|| || || || || || || || || || || || ||
the situation (C). A good leader should not have separate meetings with group
|| || || || || || || || || || || ||
members (A), as such behavior is manipulative on the part of the leader. (B)
|| || || || || || || || || || || || || || ||
is dictatorial and is not in keeping with good leadership skills. (D) is avoiding
|| || || || || || || || || || || || || ||
the problem. Remember, identify what phase the group is in--initial, working,
|| || || || || || || || || || ||
or termination--this will help determine communication style.
|| || || || || ||
An 86-year-old female client with Alzheimer's disease is wandering the busy
|| || || || || || || || || || ||
halls of the extended care facility and asks the nurse, "Where should I stand
|| || || || || || || || || || || || || ||
for the parade?" Which response is best for the nurse to provide?
|| || || || || || || || || || ||
A. "Anywhere you want to stand as long as you do not get hurt by those in the
|| || || || || || || || || || || || || || || || ||
parade."
||
B. "You are confused because of all the activity in the hall. There is no
|| || || || || || || || || || || || || || ||
parade."
C. "Let's go back to the activity 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." -
|| || || || || || || || || || || || || || || || ||
CORRECT ANSWERS ✔✔C. "Let's go back to the activity room and see what
|| || || || || || || || || || || || ||
is going on in there."
|| || || ||
Rationale: It is common for those with Alzheimer's disease to use the wrong
|| || || || || || || || || || || || ||
words. Redirecting the client (using an accepting non-judgmental dialogue) to
|| || || || || || || || ||
a safer place and familiar activities (C) is most helpful because clients
|| || || || || || || || || || || || ||
experience short-term memory loss. (A) dismisses the client's attempt to find
|| || || || || || || || || || ||
order and does not help her relate to her surroundings. (B) dismisses the
|| || || || || || || || || || || || ||
client and may increase her anxiety level because it merely labels the client's
|| || || || || || || || || || || || ||
behavior and offers no solution. It is very frustrating for those with
|| || || || || || || || || || || ||
Alzheimer's disease to "remember," and scolding them (D) may hurt their || || || || || || || || || || ||
feelings.
Physical examination of a 6-year-old reveals several bite marks in various
|| || || || || || || || || || ||
locations on his body. X-ray examination reveals healed fractures of the ribs.
|| || || || || || || || || || || ||
The mother tells the nurse that her child is always having accidents. Which
|| || || || || || || || || || || || ||
initial response by the nurse 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 these injuries to the authorities because they do not seem
|| || || || || || || || || || || || || ||
accidental."
D. "Boys this age always seem to require more supervision and can be quite
|| || || || || || || || || || || || || ||
accident prone." - CORRECT ANSWERS ✔✔B. "Tell me more specifically
|| || || || || || || || || ||
about your child's accidents."
|| || ||
Rationale: (B) seeks more information using an open ended, non-threatening
|| || || || || || || || || ||
statement. (A) could be appropriate, but it is not the best answer because the
|| || || || || || || || || || || || || ||
nurse is being somewhat sarcastic and is also avoiding the situation by
|| || || || || || || || || || || ||
referring it to the healthcare provider for resolution. Although it is true that
|| || || || || || || || || || || || ||
, suspected cases of child abuse must be reported, (C) is virtually an attack and
|| || || || || || || || || || || || || ||
is jumping to conclusions before conclusive data has been obtained. (D) is a
|| || || || || || || || || || || || ||
clich and dismisses the seriousness of the situation.
|| || || || || || ||
A child is brought to the emergency room with a broken arm. Because of
|| || || || || || || || || || || || || ||
other injuries, the nurse suspects the child may be a victim of abuse. When
|| || || || || || || || || || || || || ||
the nurse tries to give the child an injection, the child's mother becomes very
|| || || || || || || || || || || || || ||
loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt my
|| || || || || || || || || || || || || || ||
child!" What is the best interpretation of the mother's statements? The mother
|| || || || || || || || || || ||
is
||
A. Regressing to an earlier behavior pattern.
|| || || || || ||
B. Sublimating her anger.
|| || ||
C. Projecting her feelings onto the nurse.
|| || || || || ||
D. Suppressing her fear. - CORRECT ANSWERS ✔✔C. Projecting her feelings
|| || || || || || || || || ||
onto the nurse.
|| || ||
Rationale: Projection is attributing one's own thoughts, impulses, or behaviors
|| || || || || || || || ||
onto another--it is the mother who is probably harming the child and she is
|| || || || || || || || || || || || || || ||
attributing her actions to the nurse (C). The mother may be immature, but
|| || || || || || || || || || || || ||
(A) is not the best description of her behavior. (B) is substituting a socially
|| || || || || || || || || || || || || ||
acceptable feeling for an unacceptable one. These are not socially acceptable
|| || || || || || || || || || ||
feelings. The mother may be suppressing her fear (D) by displaying anger, but
|| || || || || || || || || || || || ||
such an interpretation cannot be concluded from the data presented.
|| || || || || || || || ||
A 38-year-old female client is admitted with a diagnosis of paranoid
|| || || || || || || || || || ||
schizophrenia. When her tray is brought to her, she refuses to eat and tells the || || || || || || || || || || || || || ||
nurse, "I know you are trying to poison me with that food." Which response
|| || || || || || || || || || || || || || ||
would be most appropriate for the nurse to make?
|| || || || || || || ||
A. "I'll leave your tray here. I am available if you need anything else."
|| || || || || || || || || || || || ||
