HESI Module 4
Study online at https://quizlet.com/_cu98j0
1. A client with schizophrenia says, "I'm away for the day Clang association
... 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
Word salad
Clang association
Associative looseness
2. A client with schizophrenia and his parents are meet- Asking the client, "How
ing with the nurse. One of the young man's parents can we help you to take
says to the nurse, "We were stunned when we learned your medicine or to tell us
that our son had schizophrenia. He was no different when you're having prob-
than from his older brother when they were grow- lems so that your medica-
ing up. Now he's had another relapse, and we can't tion can be adjusted?"
understand why he stopped his medication." Which
response by the nurse is appropriate?
Telling the parents, "Medication noncompliance is the
most frequent reason that people with this diagnosis
relapse."
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
, HESI Module 4
Study online at https://quizlet.com/_cu98j0
that your medication can be adjusted?"
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 med-
ication."
3. An acutely ill client with schizophrenia says to the "Try not to listen to the
nurse, "He keeps saying that he likes you, and I keep voices right now so that I
telling him you're married, but he won't listen, and I can talk with you."
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 appropriates-
tatement?
"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
toward me, but you're shy."
4. A client says to the nurse, "It's over for me — the whole "Let's talk more about
thing is over." Which response by the nurse would be your feeling that the whole
therapeutic? thing is over for you. This is
important, and I may need
"What do you mean, 'The whole thing is over'?" to share your feelings with
other staff members."
, HESI Module 4
Study online at https://quizlet.com/_cu98j0
"Over? Well, that sounds pretty drastic to me. Let's
discuss this in the strictest confidence."
"Can you tell me more about why it's over for you? I'll
keep 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 staff members."
5. The nurse performing a lethality assessment asks the "No, I wasn't, but I am
client whether he is thinking of suicide. Which state- now, thanks to you."
ment 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."
"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
excommunicated from the church?"
6. A client who has expressed suicidal ideation in the "You talk about getting or-
past says to the nurse, while shuffling several docu- ganized. Are you thinking
ments in an effort to organize them, "Well, I'm feeling of killing yourself?"
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?
"Good grief! You don't look organized to me."
, HESI Module 4
Study online at https://quizlet.com/_cu98j0
"Okay, what are you up to today? Your behavior is not
appropriate."
"You talk about getting organized. Are you thinking of
killing yourself?"
"If you keep behaving like this, you know that I'll have
to tell the health care provider, and we'll have to se-
clude you."
7. An adolescent client says, "I'm just a burden to my "You're feeling that your
folks. They wish I'd never been born. My dad told me folks didn't want you, but
he had to marry Mom because she got pregnant." they chose to marry and
Which response by the nurse would be therapeutic? have you."
"You're feeling that your folks didn't want you, but
they chose to marry and have you."
"You feel that you were a burden and not wanted?
Let's 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."
8. A client says to the nurse, "I've ruined my life. I left "You seem to be saying
college with only a few credits to go. I keep telling that your choices are final
myself that I'm going to make it as a writer, but I'll be and that you've lost any
a loser and a nothing for the rest of my life." Which other opportunities."
Study online at https://quizlet.com/_cu98j0
1. A client with schizophrenia says, "I'm away for the day Clang association
... 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
Word salad
Clang association
Associative looseness
2. A client with schizophrenia and his parents are meet- Asking the client, "How
ing with the nurse. One of the young man's parents can we help you to take
says to the nurse, "We were stunned when we learned your medicine or to tell us
that our son had schizophrenia. He was no different when you're having prob-
than from his older brother when they were grow- lems so that your medica-
ing up. Now he's had another relapse, and we can't tion can be adjusted?"
understand why he stopped his medication." Which
response by the nurse is appropriate?
Telling the parents, "Medication noncompliance is the
most frequent reason that people with this diagnosis
relapse."
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
, HESI Module 4
Study online at https://quizlet.com/_cu98j0
that your medication can be adjusted?"
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 med-
ication."
3. An acutely ill client with schizophrenia says to the "Try not to listen to the
nurse, "He keeps saying that he likes you, and I keep voices right now so that I
telling him you're married, but he won't listen, and I can talk with you."
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 appropriates-
tatement?
"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
toward me, but you're shy."
4. A client says to the nurse, "It's over for me — the whole "Let's talk more about
thing is over." Which response by the nurse would be your feeling that the whole
therapeutic? thing is over for you. This is
important, and I may need
"What do you mean, 'The whole thing is over'?" to share your feelings with
other staff members."
, HESI Module 4
Study online at https://quizlet.com/_cu98j0
"Over? Well, that sounds pretty drastic to me. Let's
discuss this in the strictest confidence."
"Can you tell me more about why it's over for you? I'll
keep 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 staff members."
5. The nurse performing a lethality assessment asks the "No, I wasn't, but I am
client whether he is thinking of suicide. Which state- now, thanks to you."
ment 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."
"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
excommunicated from the church?"
6. A client who has expressed suicidal ideation in the "You talk about getting or-
past says to the nurse, while shuffling several docu- ganized. Are you thinking
ments in an effort to organize them, "Well, I'm feeling of killing yourself?"
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?
"Good grief! You don't look organized to me."
, HESI Module 4
Study online at https://quizlet.com/_cu98j0
"Okay, what are you up to today? Your behavior is not
appropriate."
"You talk about getting organized. Are you thinking of
killing yourself?"
"If you keep behaving like this, you know that I'll have
to tell the health care provider, and we'll have to se-
clude you."
7. An adolescent client says, "I'm just a burden to my "You're feeling that your
folks. They wish I'd never been born. My dad told me folks didn't want you, but
he had to marry Mom because she got pregnant." they chose to marry and
Which response by the nurse would be therapeutic? have you."
"You're feeling that your folks didn't want you, but
they chose to marry and have you."
"You feel that you were a burden and not wanted?
Let's 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."
8. A client says to the nurse, "I've ruined my life. I left "You seem to be saying
college with only a few credits to go. I keep telling that your choices are final
myself that I'm going to make it as a writer, but I'll be and that you've lost any
a loser and a nothing for the rest of my life." Which other opportunities."
