HESI COMPASS MODULE EXAM 3
ADVANCED CLINICAL JUDGMENT
ASSESSMENT 2026 COMPLEX PATIENT
SCENARIOS COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ The nurse is talking to a client in the mental health unit. The client
says, "I'm really angry with my boyfriend about the things he says to
me. Women always get put down, as if we don't matter or have
anything important to offer." Which response is the most
appropriate one for the nurse to make?
A. "Tell me how you feel as a woman."
B. "I know how you feel. I see that happening with some of my
friends."
C. "Yes, it's sad that women are treated that way. I guess we need to
deal with it."
D. "Many women's groups are developing ways to deal with this. I'll
give you the names and contact numbers of some of these groups
before you're discharged from the hospital."
Answer: A
, Rationale: Focusing helps a client expand on a topic of importance. It
also helps the client become more specific, move from vagueness to
clarity, and concentrate on reality. The nurse should focus on the
client's verbalization of concern. Agreeing with the client and
avoiding the issue does not address the client's concern. Although
the client may need to be provided with referrals to self-help or
support groups before discharge, offering the names and contact
numbers of women's groups is not the most appropriate response
because it does not address the client's concern at the current time.
◉ Suicide precautions are enacted for Joseph, and the nurse
assigned to care for Joseph sits down to talk with him. During the
conversation Joseph states, "I don't want to live if I can't see my son.
He's the only thing that matters to me." Which response by the nurse
will most likely promote therapeutic communication?
A. "Tell me more about how important your son is to you."
B. "Do you have other family members whom you enjoy spending
time with?"
C. "I'm concerned about you, Joseph. You need to look for other
activities to occupy your free time."
D. "I understand what you mean. I have a daughter, and I always look
forward to seeing her when I get home from work."
Answer: A
ADVANCED CLINICAL JUDGMENT
ASSESSMENT 2026 COMPLEX PATIENT
SCENARIOS COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ The nurse is talking to a client in the mental health unit. The client
says, "I'm really angry with my boyfriend about the things he says to
me. Women always get put down, as if we don't matter or have
anything important to offer." Which response is the most
appropriate one for the nurse to make?
A. "Tell me how you feel as a woman."
B. "I know how you feel. I see that happening with some of my
friends."
C. "Yes, it's sad that women are treated that way. I guess we need to
deal with it."
D. "Many women's groups are developing ways to deal with this. I'll
give you the names and contact numbers of some of these groups
before you're discharged from the hospital."
Answer: A
, Rationale: Focusing helps a client expand on a topic of importance. It
also helps the client become more specific, move from vagueness to
clarity, and concentrate on reality. The nurse should focus on the
client's verbalization of concern. Agreeing with the client and
avoiding the issue does not address the client's concern. Although
the client may need to be provided with referrals to self-help or
support groups before discharge, offering the names and contact
numbers of women's groups is not the most appropriate response
because it does not address the client's concern at the current time.
◉ Suicide precautions are enacted for Joseph, and the nurse
assigned to care for Joseph sits down to talk with him. During the
conversation Joseph states, "I don't want to live if I can't see my son.
He's the only thing that matters to me." Which response by the nurse
will most likely promote therapeutic communication?
A. "Tell me more about how important your son is to you."
B. "Do you have other family members whom you enjoy spending
time with?"
C. "I'm concerned about you, Joseph. You need to look for other
activities to occupy your free time."
D. "I understand what you mean. I have a daughter, and I always look
forward to seeing her when I get home from work."
Answer: A
