Scottsdale Community College HESI - Psych Hesi Book
Questions With Complete Solutions
1. After the 4th group meeting, the informal leader makes the
statement that she believes she can help the group more than the
assigned facilitator & has better credentials. Identify the group
dynamics & stage of development. Correct Answer The
informal leader is "testing," which is a behavior indicative of a
new group trying to establish trust. This group is still in the
orientation phase of development.
2. On an inpatient psych unit, pts are expected to get up at a
certain time, attend breakfast at a certain time, & arrive for their
meds at the correct time. What form of therapy is incorporated
into this unit? Correct Answer Milieu
3. The wife of a man killed in a MVA has just arrived at the ED
& is told of her husband's death. What nursing actions are
appropriate for dealing with this crisis? Correct Answer Take
her to a quiet room, & ask her if there are family members,
friends, or clergy you can call for her.
Assess her need for medication & discuss it with HCP.
Stay with her, be firm & directive, & asses previous successful
coping strategies.
4. A 10 y/o is admitted to the children's unit of the psych facility
after stabbing his sister. His behavior is extremely aggressive
with the other children on the unit. Using a behavior
modification approach with positive reinforcement, design a TX
plan for this child. Correct Answer Assess what activities he
enjoys.
,Set up a token system:
- When he displays nonaggressive behavior, he earns a token
good
toward participating in the activity selected.
- When he becomes aggressive he loses a token.
5. The 10 y/o, his sister, his mother, and the mother's live-in
boyfriend are asked to attend a therapy meeting. Who is the
"client" who will be treated during this session? Correct
Answer The entire family
6. A 66 y/o woman is admitted to the psych unit with agitated
depression. She has not responded to antidepressants in the past.
What would be the medical TX of choice for this client?
Correct Answer ECT
7 useful phrases in therapeutic interaction? Correct Answer
Tell me about...
Go on...
I'd like to discuss what you're thinking...
What are your thoughts...?
Are you saying that...?
What are you feeling...?
It seems as if...
7. Describe the nurse's role in preparing pts for ECT. Correct
Answer Give accurate, nonjudgmental info about the TX.
Explore pt's concerns.
Check emergency equipment.
Be sure suction equipment & O2 are available.
, 8. Describe the nursing interventions used to care for a pt during
and after ECT. Correct Answer Maintain patent airway.
VS Q15min until alert.
Remain with pt following TX until pt is conscious.
Reorient if pt is confused.
A nurse working in the ER is able to care for the seriously
injured by separating her feelings and emotions r/t the pts' pain,
injuries, or death. This is an example of? Correct Answer
Isolation
A person who dislikes animals does volunteer work for the
Humane Society. This is an example of? Correct Answer
Reaction formation
A student who did not do well in a course says it was poorly
taught and the course content was not important anyway. This is
an example of? Correct Answer Rationalization
A student who feels too small to play football becomes a
champion marathon swimmer. This is an example of? Correct
Answer Sublimation
A student who has sexual feelings toward her teacher tells her
friends the teacher is "coming on to her." This is an example of?
Correct Answer Projection
A teenage boy dresses and behaves like his favorite singer. This
is an example of? Correct Answer Identification
Questions With Complete Solutions
1. After the 4th group meeting, the informal leader makes the
statement that she believes she can help the group more than the
assigned facilitator & has better credentials. Identify the group
dynamics & stage of development. Correct Answer The
informal leader is "testing," which is a behavior indicative of a
new group trying to establish trust. This group is still in the
orientation phase of development.
2. On an inpatient psych unit, pts are expected to get up at a
certain time, attend breakfast at a certain time, & arrive for their
meds at the correct time. What form of therapy is incorporated
into this unit? Correct Answer Milieu
3. The wife of a man killed in a MVA has just arrived at the ED
& is told of her husband's death. What nursing actions are
appropriate for dealing with this crisis? Correct Answer Take
her to a quiet room, & ask her if there are family members,
friends, or clergy you can call for her.
Assess her need for medication & discuss it with HCP.
Stay with her, be firm & directive, & asses previous successful
coping strategies.
4. A 10 y/o is admitted to the children's unit of the psych facility
after stabbing his sister. His behavior is extremely aggressive
with the other children on the unit. Using a behavior
modification approach with positive reinforcement, design a TX
plan for this child. Correct Answer Assess what activities he
enjoys.
,Set up a token system:
- When he displays nonaggressive behavior, he earns a token
good
toward participating in the activity selected.
- When he becomes aggressive he loses a token.
5. The 10 y/o, his sister, his mother, and the mother's live-in
boyfriend are asked to attend a therapy meeting. Who is the
"client" who will be treated during this session? Correct
Answer The entire family
6. A 66 y/o woman is admitted to the psych unit with agitated
depression. She has not responded to antidepressants in the past.
What would be the medical TX of choice for this client?
Correct Answer ECT
7 useful phrases in therapeutic interaction? Correct Answer
Tell me about...
Go on...
I'd like to discuss what you're thinking...
What are your thoughts...?
Are you saying that...?
What are you feeling...?
It seems as if...
7. Describe the nurse's role in preparing pts for ECT. Correct
Answer Give accurate, nonjudgmental info about the TX.
Explore pt's concerns.
Check emergency equipment.
Be sure suction equipment & O2 are available.
, 8. Describe the nursing interventions used to care for a pt during
and after ECT. Correct Answer Maintain patent airway.
VS Q15min until alert.
Remain with pt following TX until pt is conscious.
Reorient if pt is confused.
A nurse working in the ER is able to care for the seriously
injured by separating her feelings and emotions r/t the pts' pain,
injuries, or death. This is an example of? Correct Answer
Isolation
A person who dislikes animals does volunteer work for the
Humane Society. This is an example of? Correct Answer
Reaction formation
A student who did not do well in a course says it was poorly
taught and the course content was not important anyway. This is
an example of? Correct Answer Rationalization
A student who feels too small to play football becomes a
champion marathon swimmer. This is an example of? Correct
Answer Sublimation
A student who has sexual feelings toward her teacher tells her
friends the teacher is "coming on to her." This is an example of?
Correct Answer Projection
A teenage boy dresses and behaves like his favorite singer. This
is an example of? Correct Answer Identification
