HESI Module 4 Exam With Complete Verified
Answers.
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
Word salad
Clang association
Associative looseness ~CORRECT ANSWER~✓✓Clang association
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 different 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?
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 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 c ~CORRECT
ANSWER~✓✓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?"
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."
"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."
~CORRECT ANSWER~✓✓"Try not to listen to the voices right now so that I can
talk with you."
,A client says to the nurse, "It's over for me — the whole thing is over." Which
response by the nurse would be therapeutic?
"What do you mean, 'The whole thing is over'?"
"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."
~CORRECT ANSWER~✓✓"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."
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."
, "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?" ~CORRECT ANSWER~✓✓"No, I wasn't, but I am now, thanks to you."
A client who has expressed suicidal ideation in the past says to the nurse, while
shuffling several documents in an effort 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?
"Good grief! You don't look organized to me."
"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 seclude you." ~CORRECT ANSWER~✓✓"You talk
about getting organized. Are you thinking of killing yourself?"
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."
Answers.
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
Word salad
Clang association
Associative looseness ~CORRECT ANSWER~✓✓Clang association
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 different 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?
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 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 c ~CORRECT
ANSWER~✓✓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?"
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."
"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."
~CORRECT ANSWER~✓✓"Try not to listen to the voices right now so that I can
talk with you."
,A client says to the nurse, "It's over for me — the whole thing is over." Which
response by the nurse would be therapeutic?
"What do you mean, 'The whole thing is over'?"
"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."
~CORRECT ANSWER~✓✓"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."
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."
, "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?" ~CORRECT ANSWER~✓✓"No, I wasn't, but I am now, thanks to you."
A client who has expressed suicidal ideation in the past says to the nurse, while
shuffling several documents in an effort 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?
"Good grief! You don't look organized to me."
"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 seclude you." ~CORRECT ANSWER~✓✓"You talk
about getting organized. Are you thinking of killing yourself?"
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."
