PSYCH-MENTAL HEALTH EXIT HESI
EXAM NEWEST ACTUAL EXAM 2025
QUESTIONS AND VERIFIED CORRECT
ANSWERS WITH RATIONALES | A+
GRADE
The nurse is working with a client who despite making a heroic
effort was unable to rescue a neighbor trapped in a house fire.
Which client-focused action should the nurse engage in during the
working phase of the nurse-client relationship?
1. Exploring the client's ability to function
2. Exploring the client's potential for self-harm
3. Inquiring about the client's perception or appraisal of why the
rescue was unsuccessful
4. Inquiring about and examining the client's feelings for any that
may block adaptive coping Correct Answer 4. Inquiring about and
examining the client's feelings for any that may block adaptive
coping
Rationale:
The client must first deal with feelings and negative
responses before the client can work through the meaning of
the crisis. The correct option pertains directly to the client's
feelings and is client-focused. The remaining options do not
directly focus on or address the client's feelings.
The nurse employed in a mental health unit of a hospital is the
leader of a group psychotherapy session. What is the nurse's role
during the termination stage of group development?
,1. Acknowledging that the group has identified goals
2. Encouraging the accomplishment of the group's work
3. Acknowledging the contributions of each group member
4. Encouraging members to become acquainted with one another
Correct Answer 3. Acknowledging the contributions of each group
member
Rationale:
In the termination stage, the group leader's task is to
acknowledge the contributions of each member and the
experience of the group as a whole. In this stage, the group
members prepare for separation and assist each other to
prepare for the future. Acknowledging that the group has
identified goals and encouraging group bonding both occur
during the initial stage. Encouraging accomplishment of the
group's work is appropriate during the working stage.
Which are characteristics of the termination stage of group
development? Select all that apply.
1. The group evaluates the experience.
2. The real work of the group is accomplished.
3. Group interaction involves superficial conversation.
4. Group members become acquainted with each other.
5. Some structuring of group norms, roles, and responsibilities
takes place.
6. The group explores members' feelings about the group and the
impending separation. Correct Answer 1 and 6
Rationale:
The stages of group development include the initial stage,
the working stage, and the termination stage. During the
initial stage, the group members become acquainted with
each other, and some structuring of group norms, roles, and
responsibilities takes place. During the initial stage, group
,interaction involves superficial conversation. During the
working stage, the real work of the group is accomplished.
During the termination stage, the group evaluates the
experience and explores members' feelings about the group
and the impending separation.
When a client is admitted to an inpatient mental health unit with
the diagnosis of anorexia nervosa, a cognitive behavioral
approach is used as part of the treatment plan. The nurse
understands that which is the purpose of this approach?
1. Providing a supportive environment
2. Examining intrapsychic conflicts and past issues
3. Emphasizing social interaction with clients who withdraw
4. Helping the client to examine dysfunctional thoughts and
beliefs Correct Answer 4. Helping the client to examine
dysfunctional thoughts and beliefs
Rationale:
Cognitive behavioral therapy is used to help the client
identify and examine dysfunctional thoughts and to identify
and examine values and beliefs that maintain these thoughts.
The remaining options, while therapeutic in certain
situations, are not the focus of cognitive behavioral therapy.
The nurse understands that which best describes Gestalt
therapy?
1. It emphasizes self-expression, self-exploration, and self-
awareness in the present.
2. It promotes the individual's comfort in the group, which then
transfers to other relationships.
3. The therapist focuses on how irrational beliefs and thoughts
contribute to psychological distress.
, 4. The therapist's goal is to help others express their feelings
toward one another during group sessions. Correct Answer 1. It
emphasizes self-expression, self-exploration, and self-awareness
in the present.
Rationale:
Gestalt therapy emphasizes self-expression, self-exploration,
and self-awareness in the present. The client and therapist
focus on everyday problems and try to solve them.
Interpersonal group therapy promotes the individual's
comfort in the group, which then transfers to other
relationships. In rational emotive therapy, the therapist
focuses on how irrational beliefs and thoughts contribute to
psychological distress. In Rogerian therapy, the therapist's
goal is to help others express their feelings toward one
another during group sessions.
A client is preparing to attend a Gamblers Anonymous meeting for
the first time. The nurse should tell the client that which is the first
step in this 12-step program?
1. Admitting to having a problem
2. Substituting other activities for gambling
3. Stating that the gambling will be stopped
4. Discontinuing relationships with people who gamble Correct
Answer 1. Admitting to having a problem
Rationale:
The first step in the 12-step program is to admit that a
problem exists. Substituting other activities for gambling
may be a strategy but it is not the first step. The remaining
options are not realistic strategies for the initial step in a 12-
step program.
Which describes the primary focus of milieu therapy?
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