HESI 101 Module 3 Exam QUIZ 2023/2024 (HESI VN Questions with Correct Answers Latest Rated A+)

HESI 101 Module 3 Exam QUIZ 2023/2024 (HESI VN Questions with Correct Answers Latest Rated A+) During a mental health intake interview, a young adult client who lives with his family rent free says, “I’m tired of not being able to offer my friends a beer just because my folks don’t believe in taking a drink socially.” Which nursing response would be therapeutic? “Well, I guess you could move out and live on your own if you wanted to.” “It seems that your parents expect you to follow their rules when you live under their roof.” Correct! Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) “You tell me you live rent free, yet you expect the same privileges as an adult who supports the household?” “Well, if you directly discussed your concerns with them, I guess it’s a case of ‘When in Rome, do as the Romans do.’” Rationale: The therapeutic nursing response uses reflection, in which the nurse directs the content of the client’s message back for the client to review from a new perspective. This technique also includes an element of focusing on the crux of the issue—in this case, that it is his parents’ home and they set the rules for living in their home, just as he someday will in his. Telling the client to move out is giving advice or suggestions to the client prematurely. Although this technique can be useful in the working phase, it is usually nontherapeutic when the nurse needs to promote client understanding and selfexploration. Stating “You tell me you live rent free, yet you expect the same privileges as an adult who supports the household?” is judgmental and poorly timed in that it humiliates the client unnecessarily. The client has acknowledged that he pays no rent, so there is no helpful purpose in reemphasizing this fact. Stating “Well, if you directly discussed your concerns with them, I guess it’s a case of ‘When in Rome, do as the Romans do’” is nontherapeutic in that it offers a cliché and expresses hopelessness and powerlessness, two emotions that the client is no doubt already experiencing. Test-Taking Strategy: Use your knowledge of therapeutic communication techniques. This will direct you to the correct option, the nursing response that focuses on the client’s concerns and feelings. Review therapeutic communication techniques if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Question 5 1 / 1 pts A nurse is participating in a care planning conference regarding care for a client whose spouse recently died. The registered nurse formulates a nursing diagnosis of dysfunctional grieving. Which priority intervention does the nurse expect to see incorporated into the plan? Monitoring the client’s sleep pattern Obtaining a physician’s prescription for an antidepressant Determining the client’s risk for violence toward self and others Correct! Assisting the client in resolving the grief through emotional, cognitive, and behavioral means Rationale: The priority intervention for a client with dysfunctional grieving is assessing the client’s risk for violence toward self and others. Although the nurse will assist the client in resolving the grief and will monitor the client’s sleep pattern, these are not priorities in the list of options given. Obtaining a physician’s prescription for an antidepressant is not a priority. Test-Taking Strategy: Use the process of elimination and the steps of the nursing process. Both monitoring the client’s sleep pattern and determining the client’s risk for violence toward self and others involve assessment. From these options, select the one that addresses the safety of the client. Review interventions for a client with dysfunctional grieving if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Question 6 1 / 1 pts A client in the mental health unit tells the nurse, “My husband makes all the decisions about money, but I’m the one who’s making the money now, not him. He needs to back off, but he’s always directing every decision we make.” Which nursing response would be the most therapeutic? “Have you told your husband to back off”? “You’re making the most money, so the decisions should be left to you.” “How do you feel the money decisions could best be handled in your household?” Correct! “You seem frustrated with your husband’s habit of controlling financial decisions.” Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Rationale: The therapeutic nursing response is the one that provides a broad opening or statement and is focused on the client’s feelings. In this response, the nurse will be able to assess what the client believes concerning family financial decision-making. Asking “Have you told your husband to ‘back off’?” is improperly paraphrasing the client and assumes that the client’s stance is correct. Stating that “You’re making the most money, so decisions should be left to you” is inappropriate restating and provides an opinion; this response may be seen by the client as reassurance that her interpretation is being judged as correct. By stating “You seem to feel frustrated…,” the nurse is sharing perceptions, which may appear to be challenging to the client when used in this context. Test-Taking Strategy: Use your knowledge of therapeutic communication techniques. Remember to focus on the client’s feelings and to provide the client the opportunity to communicate. This will direct you to the correct option. Review therapeutic communication techniques if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health Question 7 1 / 1 pts A nurse is attending a care planning conference for a client who recently received a diagnosis of acquired immunodeficiency syndrome and is experiencing difficulty adjusting to the illness. The nurse should question which planned intervention for this client? Monitoring the client for signs of self-harm Helping the client verbalize concerns related to fear Assisting the client with problem-solving and decision-making Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Discouraging social networking to prevent the spread of infection Correct! Rationale: In planning care for a client experiencing difficulty in adjusting to an illness, the nurse develops interventions to promote (not discourage) social networking that will provide needed information to the client. The other options are appropriate interventions. Test-Taking Strategy: Use the process of elimination and note the strategic word “question.” Recalling that social support is important will direct you to the correct option. Also, note the relationship between the word “question” in the question and “discouraging” in the correct option. Review interventions for a client experiencing difficulty in adjusting to an illness if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Nursing Process/Planning Content Area: Mental Health Question 8 0.75 / 1 pts How does a client who has lost a spouse show that she is successfully completing the tasks of mourning? Select all that apply. Relating that its better “he went first” Correct! Reporting that sleeping alone was hard at first Correct! Purchasing a smaller car she is comfortable driving Correct Answer Heard explaining to family that illness “took” her husband Correct! Heard explaining to family that illness took her husband Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Question 9 1 / 1 pts A nurse is caring for a 15-year-old girl who has been hospitalized on the mental health unit for bipolar disorder. The client tells the nurse that she had her hair styled just like her young math teacher, whom she admires. The nurse recognizes that the client is using which defense mechanism? Projection Regression Correct! Identification Intellectualization Rationale: Identification is the process by which a person tries to become like someone he or she admires by taking on the beliefs, mannerisms, or tastes of that person. Projection is attributing one’s thoughts or impulses to another person. Regression is retreating to a behavior characteristic of an earlier level of development. Intellectualization is excessive reasoning or logic used to avoid experiencing disturbed feelings. Test-Taking Strategy: Use the process of elimination, focusing on the data in the question. Noting that the client is mimicking a characteristic of another person will direct you to the correct option. Review these defense mechanisms if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Question 10 1 / 1 pts A mental health home care nurse says to the client, “Do you feel ready to try attending a group session at the clinic?” The client shakes his head. Which nursing statement would be therapeutic? “No? Why not?” “You seem to be saying no. Would you tell me more about your reluctance?” Correct! “OK, but I hope you will let me know when you feel ready to attend a group session at the clinic.” “Perhaps a group session would be too overwhelming for you right now. How about just seeing me?” Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Rationale: The therapeutic nursing statement is seeking clarification. In this statement, the nurse is asking the client to put his ideas into words and explain what he means or feels. This encourages the client to express his reluctance and to try to work out any reservations about attending the group session. In responding, “No? Why not?” the nurse is using a confrontational style, which could lead to a regressive struggle. The nurse expresses doubt and uses a laissez-faire style regarding attending a group session at the clinic when the nurse states “… let me know when you feel ready to attend.” In stating “Perhaps a group session would be too overwhelming for you right now. How about just seeing me?” the nurse prematurely guesses the reasons for the client’s refusal, and this is not appropriate. Test-Taking Strategy: Draw on your knowledge of therapeutic communication techniques to answer this question. First eliminate the option containing the word “why.” To select from the remaining options, focus on the information in the question. The correct option provides the client the opportunity to verbalize feelings. Review therapeutic communication techniques if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health Question 11 1 / 1 pts A single parent whose son was suspended from school for carrying a gun into the school says to the nurse, “I know he has no dad, but I’ve brought him up to know better, and anyway, where did he get the stupid gun? What should I do? He just won’t listen to me.” Which nursing response would be helpful at this time? “Boys who are cared for only by their moms are at highest risk for violent behavior.” Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) “There is quite a bit that you can do. Let’s talk about what you’re already doing first.” Correct! “Do you know all of your son’s friends, or is he left alone after school because you work?” “Many young people die of gunshots every day in this country, so your son’s behavior is unacceptable.” Rationale: It is important to help parents to identify children at risk for violent behavior. Unfortunately, this young person has already engaged in threatening and potentially violent behavior, but there are parenting measures and therapies that this single parent can use to help her son express his feelings of anger verbally rather than by acting out. The nurse responds nontherapeutically in telling the mother that boys who are cared for only by their mothers are at high risk for violence; this response could generate guilt in the mother. Asking “Do you know all of your son’s friends, or is he left alone after school because you work?” is both inappropriate and premature. Telling the woman that her son’s behavior is unacceptable is lecturing an upset parent, which is inappropriate. Test-Taking Strategy: Use your knowledge of therapeutic communication techniques, and focus on the information in the question. Note that the client of the question (the mother) is asking the nurse for assistance. The correct option is the only option that addresses the mother’s concern and encourages verbalization. Review therapeutic communication techniques if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health Question 12 1 / 1 pts Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) A client says to the nurse, “My health care provider says he thinks I’m ready to taper off my pain medication, but the new painkiller he prescribed doesn’t relieve my pain the way the other pill did. I get pain when I try to do things.” Which nursing response would be most supportive to the client? “Your physician feels that your body is physically ready to make the change in medication.” “I think you need to listen to your physician when it comes to taking such strong medication.” “Well, your health care provider is concerned that you will become physically dependent on the first painkiller.” “Perhaps if I medicate you about a half-hour before you plan to start your daily activities, the medicine will be more effective.”