ATI RN
Mental Health HESI Practice Questions Questions
Question 1 of 5
Which group leader activity should a nurse identify as being most important in the final, or termination, phase of group development?
Correct Answer: D
Rationale: In the final phase of group development, which is the termination phase, the group leader should prioritize helping the members process feelings of loss. Termination of a group can bring about feelings of sadness, separation anxiety, and even a sense of loss for the relationships and support gained within the group. By assisting members in acknowledging and processing these feelings, the group leader can facilitate a smooth transition and help the members integrate their experiences from the group into their lives moving forward. This emotional aspect of group termination is crucial for closure and overall group growth.
Question 2 of 5
An angry client on an inpatient unit approaches a nurse, stating, Someone took my lunch! People need to respect others, and you need to do something about this now! The nurses response should be guided by which basic assumption of milieu therapy?
Correct Answer: C
Rationale: In milieu therapy, the therapeutic environment is seen as an essential component of treatment. Every interaction, even seemingly mundane or conflict-laden ones, is viewed as an opportunity to promote healing and growth. In this scenario, the nurse should approach the situation with the mindset that addressing the client's concerns about their missing lunch is not just about solving a practical problem but also about engaging in a therapeutic interaction. By actively listening, empathizing, and working towards a resolution, the nurse can help the client feel supported and respected, fostering a more therapeutic environment on the inpatient unit. Consequently, conflict resolution is not limited to formal therapy sessions but is integrated into daily interactions to promote healing and progress.
Question 3 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 4 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: In psychiatric settings, an interdisciplinary treatment team is crucial for providing holistic care to patients. Occupational therapists play a vital role in mental health care by assisting patients in developing skills for daily living and coping with their conditions. They focus on improving functional abilities and enhancing quality of life. Respiratory therapists primarily work with patients who have respiratory issues, which are not directly related to mental health treatment. While physical health is important in psychiatric care, their role is not typically part of the core interdisciplinary team in psychiatry. Recreational therapists focus on using recreational activities for therapeutic purposes, which can be beneficial for mental health but are not typically core members of the interdisciplinary team in psychiatry. Social workers, on the other hand, play a significant role in psychiatric care by providing support, counseling, and resources to patients and their families. They address social determinants of health and help in creating discharge plans and connecting patients with community resources. Understanding the roles of different team members in a psychiatric setting is essential for providing comprehensive care to patients with mental health conditions. By recognizing the specific contributions of each discipline, nurses can effectively collaborate with the interdisciplinary team to meet the diverse needs of patients.
Question 5 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.