HESI Module 4 Test Questions with Answers Rated A
A client with schizophrenia says, "I'm away for the day ...
but don't think we should play or do we have feet of clay?"
Which alteration in the client's speech does the nurse
document?
Neologism Clang association
Word salad
Clang association
Associative looseness
A client with schizophrenia and his parents are meeting
with the nurse. One of the young man's parents says to
the nurse, "We were stunned when we learned that our
son had schizophrenia. He was no ditterent than from
his older brother when they were growing up. Now he's
had another relapse, and we can't understand why he
stopped his medication." Which response by the nurse is
appropriate?
Asking the client, "How can we help you to take your
Telling the parents, "Medication noncompliance is the
medicine or to tell us when you're having problems so that
most frequent reason that people with this diagnosis re-
your medication can be adjusted?"
lapse."
Telling the parents, "Well, it's his decision to take his
medicine, but it's yours to have him live with you if he stops
the medication."
Asking the client, "How can we help you to take your
medicine or to tell us when you're having problems so that
your medication can be adjusted?"
,HESI Module 4 Test Questions with Answers Rated A
Saying to the parents, "Your concerns are appropriate,
but I wonder whether your son was having trouble telling
someone that he had concerns about his medication."
An acutely ill client with schizophrenia says to the nurse,
"He keeps saying that he likes you, and I keep telling him
you're married, but he won't listen, and I think he's going
to get fresh with you." Once the nurse has determined
that the client is hallucinating, which response to the client
would be most appropriatestatement?
"Try not to listen to the voices right now so that I can talk
with you." "Try not to listen to the voices right now so that I can talk
with you."
"I think that you can help him stop his behavior if you
concentrate."
"Tell him I said to mind his p's and q's or I'll call the police
on him."
"I think that you're trying to share your own feelings to-
ward me, but you're shy."
A client says to the nurse, "It's over for me — the whole
thing is over." Which response by the nurse would be
therapeutic?
"Let's talk more about your feeling that the whole thing is
"What do you mean, 'The whole thing is over'?"
over for you. This is important, and I may need to share
"Over? Well, that sounds pretty drastic to me. Let's discuss your feelings with other statt members."
this in the strictest confidence."
"Can you tell me more about why it's over for you? I'll keep
,HESI Module 4 Test Questions with Answers Rated A
your thoughts strictly confidential."
"Let's talk more about your feeling that the whole thing is
over for you. This is important, and I may need to share
your feelings with other statt members."
The nurse performing a lethality assessment asks the
client whether he is thinking of suicide. Which statement
by the client would be of most concern to the nurse?
"No, I wasn't, but I am now, thanks to you."
"I hadn't thought of that, but I can see that you are." "No, I wasn't, but I am now, thanks to you."
"Of course not, but there are days when I think that I
should be."
"What is suicide going to do for me except get me excom-
municated from the church?"
A client who has expressed suicidal ideation in the past
says to the nurse, while shuffling several documents in an
ettort to organize them, "Well, I'm feeling so much better
now since I got organized. My lawyer wrote my will and
durable power of attorney." Which response by the nurse
is most appropriate?
"You talk about getting organized. Are you thinking of
"Good grief! You don't look organized to me." killing yourself?"
"Okay, what are you up to today? Your behavior is not
appropriate."
"You talk about getting organized. Are you thinking of
killing yourself?"
, HESI Module 4 Test Questions with Answers Rated A
"If you keep behaving like this, you know that I'll have
to tell the health care provider, and we'll have to seclude
you."
An adolescent client says, "I'm just a burden to my folks.
They wish I'd never been born. My dad told me he had to
marry Mom because she got pregnant." Which response
by the nurse would be therapeutic?
"You're feeling that your folks didn't want you, but they
chose to marry and have you."
"You're feeling that your folks didn't want you, but they
"You feel that you were a burden and not wanted? Let's
chose to marry and have you."
talk with your parents to see whether you're right."
"Let's speak with your parents about what you've just told
me. Let's ask whether you were truly unwanted."
"Sounds like your father was very inappropriate, but I'm
certain that he didn't mean that you were a burden to
him."
A client says to the nurse, "I've ruined my life. I left college
with only a few credits to go. I keep telling myself that I'm
going to make it as a writer, but I'll be a loser and a nothing
for the rest of my life." Which response by the nurse is
therapeutic?
"You seem to be saying that your choices are final and that
"What are you saying? Sounds like you need to pull your- you've lost any other opportunities."
self together and go back to school."
"Having faith in yourself is one thing, but looking at your
alternatives realistically is another."
A client with schizophrenia says, "I'm away for the day ...
but don't think we should play or do we have feet of clay?"
Which alteration in the client's speech does the nurse
document?
Neologism Clang association
Word salad
Clang association
Associative looseness
A client with schizophrenia and his parents are meeting
with the nurse. One of the young man's parents says to
the nurse, "We were stunned when we learned that our
son had schizophrenia. He was no ditterent than from
his older brother when they were growing up. Now he's
had another relapse, and we can't understand why he
stopped his medication." Which response by the nurse is
appropriate?
Asking the client, "How can we help you to take your
Telling the parents, "Medication noncompliance is the
medicine or to tell us when you're having problems so that
most frequent reason that people with this diagnosis re-
your medication can be adjusted?"
lapse."
Telling the parents, "Well, it's his decision to take his
medicine, but it's yours to have him live with you if he stops
the medication."
Asking the client, "How can we help you to take your
medicine or to tell us when you're having problems so that
your medication can be adjusted?"
,HESI Module 4 Test Questions with Answers Rated A
Saying to the parents, "Your concerns are appropriate,
but I wonder whether your son was having trouble telling
someone that he had concerns about his medication."
An acutely ill client with schizophrenia says to the nurse,
"He keeps saying that he likes you, and I keep telling him
you're married, but he won't listen, and I think he's going
to get fresh with you." Once the nurse has determined
that the client is hallucinating, which response to the client
would be most appropriatestatement?
"Try not to listen to the voices right now so that I can talk
with you." "Try not to listen to the voices right now so that I can talk
with you."
"I think that you can help him stop his behavior if you
concentrate."
"Tell him I said to mind his p's and q's or I'll call the police
on him."
"I think that you're trying to share your own feelings to-
ward me, but you're shy."
A client says to the nurse, "It's over for me — the whole
thing is over." Which response by the nurse would be
therapeutic?
"Let's talk more about your feeling that the whole thing is
"What do you mean, 'The whole thing is over'?"
over for you. This is important, and I may need to share
"Over? Well, that sounds pretty drastic to me. Let's discuss your feelings with other statt members."
this in the strictest confidence."
"Can you tell me more about why it's over for you? I'll keep
,HESI Module 4 Test Questions with Answers Rated A
your thoughts strictly confidential."
"Let's talk more about your feeling that the whole thing is
over for you. This is important, and I may need to share
your feelings with other statt members."
The nurse performing a lethality assessment asks the
client whether he is thinking of suicide. Which statement
by the client would be of most concern to the nurse?
"No, I wasn't, but I am now, thanks to you."
"I hadn't thought of that, but I can see that you are." "No, I wasn't, but I am now, thanks to you."
"Of course not, but there are days when I think that I
should be."
"What is suicide going to do for me except get me excom-
municated from the church?"
A client who has expressed suicidal ideation in the past
says to the nurse, while shuffling several documents in an
ettort to organize them, "Well, I'm feeling so much better
now since I got organized. My lawyer wrote my will and
durable power of attorney." Which response by the nurse
is most appropriate?
"You talk about getting organized. Are you thinking of
"Good grief! You don't look organized to me." killing yourself?"
"Okay, what are you up to today? Your behavior is not
appropriate."
"You talk about getting organized. Are you thinking of
killing yourself?"
, HESI Module 4 Test Questions with Answers Rated A
"If you keep behaving like this, you know that I'll have
to tell the health care provider, and we'll have to seclude
you."
An adolescent client says, "I'm just a burden to my folks.
They wish I'd never been born. My dad told me he had to
marry Mom because she got pregnant." Which response
by the nurse would be therapeutic?
"You're feeling that your folks didn't want you, but they
chose to marry and have you."
"You're feeling that your folks didn't want you, but they
"You feel that you were a burden and not wanted? Let's
chose to marry and have you."
talk with your parents to see whether you're right."
"Let's speak with your parents about what you've just told
me. Let's ask whether you were truly unwanted."
"Sounds like your father was very inappropriate, but I'm
certain that he didn't mean that you were a burden to
him."
A client says to the nurse, "I've ruined my life. I left college
with only a few credits to go. I keep telling myself that I'm
going to make it as a writer, but I'll be a loser and a nothing
for the rest of my life." Which response by the nurse is
therapeutic?
"You seem to be saying that your choices are final and that
"What are you saying? Sounds like you need to pull your- you've lost any other opportunities."
self together and go back to school."
"Having faith in yourself is one thing, but looking at your
alternatives realistically is another."
