ATI RN
Mental Health HESI Practice Questions Questions
Question 1 of 5
A 10-week, prenuptial counseling group composed of five couples is terminating. At the last group meeting, a nurse notices that the two most faithful and participative couples are absent. When considering concepts of group development, what might explain this behavior?
Correct Answer: A
Rationale: The most likely explanation for the absence of the two most faithful and participative couples at the last group meeting is that they are experiencing problems with termination, leading to feelings of abandonment. In the context of group development, as a group nears its termination phase, members may experience a range of emotions including sadness, anxiety, and a sense of loss. This can be particularly acute for members who have been highly engaged in the group process and formed strong connections with other group members. The absence of these couples at the last meeting suggests that they may be struggling with the impending ending of the group and the potential loss of the supportive environment it provided. Their absence can be seen as a manifestation of their difficulty with the termination process and feeling abandoned as the group comes to an end.
Question 2 of 5
A nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group. What should the nurse identify as an appropriate group topic?
Correct Answer: D
Rationale: The nurse working on an inpatient psychiatric unit should aim to choose a group topic that is relevant and beneficial to the patients in that setting. Stress management is a highly appropriate topic for individuals in a psychiatric unit, as many patients may be experiencing heightened levels of stress and anxiety. Teaching patients about stress management techniques can empower them with coping skills to better manage their emotions and improve their overall well-being. Dream analysis, creative cooking, and paint by number are not as directly applicable to the needs of patients in a psychiatric unit and may not address their immediate concerns effectively.
Question 3 of 5
A nurse attends an interdisciplinary team meeting on an inpatient unit. Which of the following individuals are typically included as members of the interdisciplinary treatment team in psychiatry? Select all that apply.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A high school student has learned that she cannot graduate. Her boyfriend will be attending a college out of state that she planned to also attend. She is admitted to a psychiatric unit after overdosing on Tylenol. Which is the correctly written priority nursing diagnosis for this client?
Correct Answer: C
Rationale: In this scenario, the client's overdose on Tylenol indicates a serious risk for self-directed violence. The client's feelings of hopelessness, as evidenced by the overdose and inability to graduate, also support the nursing diagnosis of "Risk for self-directed violence." This diagnosis takes priority over other potential diagnoses because the client's physical safety is at immediate risk. Addressing and managing the risk for self-directed violence should be the primary focus of care for this client in the psychiatric unit.
Question 5 of 5
An inpatient client with a known history of violence suddenly begins to pace. Which client behavior should alert a nurse to escalating anger and aggression?
Correct Answer: B
Rationale: In this scenario, the client's pacing behavior, along with the tense facial expression and body language, are indicative of escalating anger and aggression. Pacing is often a sign of restlessness and agitation, while tense facial expressions and body language can signal underlying feelings of anger. It is important for the nurse to recognize these nonverbal cues as potential precursors to aggressive behavior in order to intervene effectively and prevent any escalation of violence. The other options do not directly suggest escalating anger and aggression as clearly as the tense facial expression and body language exhibited by the client.