HESI Module 3:Questions and Answer 2025
A 12-year-old client who has been reported for drawing sexually explicit scenes in her
textbooks during class says to the psychiatric nurse, "I just felt like it." Which
response by the nurse would be therapeutic and aid assessment of abuse-related
symptoms?
- "Well, a picture paints a thousand words."
- "You just felt like destroying your textbooks?"
- "Your parents and teachers are very concerned about your drawings."
- "I am concerned about you. Are you being or have you ever been abused?" - ansI
am concerned about you. Are you being or have you ever been abused?
A 16-year-old client says, "My dad thinks I'm evil, but we get into fights because I let
things build up. He never has any time for me because he's always glued to the TV.
He doesn't even look at me when he talks." Which statement by the nurse
encourages the client to use assertive behavior with his father?
- "So you're saying that you let your feelings build up and then you just explode?"
- "Have you tried standing in front of the television when your dad is watching it?"
- "What makes you feel that you have the right to fly off the handle just because you
feel ignored?"
- "Have you tried saying that directly to your dad? For example, you could say, 'I
notice that you watch television when I'm telling you things that are important to
me.'" - ansHave you tried saying that directly to your dad? For example, you could
say, 'I notice that you watch television when I'm telling you things that are important
to me
A 25-year-old client says to the nurse, "I got my degree in criminal justice. I graduated
first in my class from the police academy and had just started as a patrolman when
,my partner and I responded to a domestic violence call in the most rural part of our
patrol area. Someone started shooting at us, and I'm terrified. Maybe I'm not right
for this job." Which statement by the nurse would be therapeutic?
- "You're saying that because you felt afraid in a violent situation, you may not be
right for the job?"
- "Did you really think that you wouldn't be frightened? You're fortunate if this is the
first time you've ever been afraid."
- "You seem to be surprised that you were frightened by the violence. Have you
talked with your co-workers about their experiences?"
- "My earlier work as a nurse involved trips through our local crack houses. Wait until
you've had some experience working narcotics and then tell me how you - ansYou're
saying that because you felt afraid in a violent situation, you may not be right for the
job?
A 32-year-old married woman who recently gave birth to her first child by cesarean
section says, "My husband and I worry about our baby all the time. We did
everything right, yet he had so many problems at birth." Which statement by the
nurse would be therapeutic?
- "I'd like to ask you a series of parenting questions to determine your fitness."
- "What's been happening since you all came home? As I understand it, the baby is
thriving."
- "Can you tell me more about the worrying? What's been happening since you
brought your baby home?"
- "Lots of women do everything right but wind up having cesarean sections. Why
worry when it won't change anything?" - ansCan you tell me more about the
worrying? What's been happening since you brought your baby home?
A 35-year-old client says to the nurse, "I got divorced less than a year after getting
,married. I left the Navy SEALs shortly after I joined. Now I teach in the air marshal
program to avoid being recalled for war, but I'd really like to quit. I start something,
am great at it, then get bored and move on. I date, but I'm still living at home. I never
seem to be on my own like other guys my age." Which response by the nurse is most
appropriate?
- "You made the Navy SEALs but can't live on your own like an adult and can't stick
with anything."
- "Can you tell me more about your marriage and relationships? If you leave home,
what do you fear will happen?"
- "You have many years to find a new relationship, but moving out of your parents'
home is a first step to growing up."
- "When will your mother let you go? Seems to me that jobs have come easy to you
but that you can't grow up and separate from your parents." - ansCan you tell me
more about your marriage and relationships? If you leave home, what do you fear
will happen?
A 35-year-old recently divorced parent of twins comes to the intake office of the
psychiatric clinic for the first time with a possible diagnosis of generalized anxiety
disorder. The client says to the nurse, "My mother always called me a worrywart like
my nana, so I guess I come by my problems naturally. I keep worrying about things I
can't change, like my divorce, and blaming myself when I know I'm not the only one
responsible for the divorce." Which nursing statement would be therapeutic?
- "Yet you seem to be dwelling on the thought that the divorce is all your fault."
- "Can you tell me more about the worrying and blaming you are experiencing?"
- "I wonder whether you think you're responsible for making everything turn out
right."
- "So you're a natural worrywart, divorced with twins. I guess you can be forgiven for
a little worrying, but tell me about the blaming you've been doing." - ansCan you tell
me more about the worrying and blaming you are experiencing?
, A 45-year-old client says to the nurse, "Since I left my wife and children, I can hardly
make ends meet between child support and trying to support myself. I don't know
why I bother going to work when my wife and kids take just about everything I
make." Which nursing statement would be therapeutic?
- "I wonder why you left your wife and children."
- "What would you expect your wife and children to do? They didn't leave you."
- "You seem to be very angry about carrying out your responsibility to your children."
- "Do you feel that child support is designed to help children, not punish spouses who
leave?" - ansDo you feel that child support is designed to help children, not punish
spouses who leave
A 45-year-old fireman says to the nurse, "I've worked at some fires recently that
were just devastating, but last week was the worst. I carried this little girl from a fire
— she was badly burned and lived just a few minutes after I brought her out, and she said to me, 'Tell my mom
and Rudy I love them both very much.' Her mom told me that Rudy is their dog, and he just mopes around the
house since the little girl died. I keep thinking about her and just don't know if I can go on." Which response by
the nurse would be therapeutic?
- "Maybe you could help the mother find a home for Rudy, and then your troubling thoughts would go away."
- "Would you listen to yourself? You've seen firemen stress out before. What is your responsibility in all this?"
- "You've helped victims of some horrific fires lately, and yet you question your calling. Do you feel the need to
resign?"
- "You're questioning your job because you're ups - ansYou're questioning your job because you're upset about
the little girl you tried to save. Work stress can be treated and help you cope better. It is so important for you
to seek treatment.
A 52-year-old client is admitted to the hospital for surgery to treat lung cancer. The client says to the nurse, "I
was an alcoholic for 15 years, and now that I'm 25 years sober, I'm being punished." Which statement by the
nurse would be therapeutic?
- "You started drinking at 12 years of age — is that why you feel that the cancer is retribution?"
A 12-year-old client who has been reported for drawing sexually explicit scenes in her
textbooks during class says to the psychiatric nurse, "I just felt like it." Which
response by the nurse would be therapeutic and aid assessment of abuse-related
symptoms?
- "Well, a picture paints a thousand words."
- "You just felt like destroying your textbooks?"
- "Your parents and teachers are very concerned about your drawings."
- "I am concerned about you. Are you being or have you ever been abused?" - ansI
am concerned about you. Are you being or have you ever been abused?
A 16-year-old client says, "My dad thinks I'm evil, but we get into fights because I let
things build up. He never has any time for me because he's always glued to the TV.
He doesn't even look at me when he talks." Which statement by the nurse
encourages the client to use assertive behavior with his father?
- "So you're saying that you let your feelings build up and then you just explode?"
- "Have you tried standing in front of the television when your dad is watching it?"
- "What makes you feel that you have the right to fly off the handle just because you
feel ignored?"
- "Have you tried saying that directly to your dad? For example, you could say, 'I
notice that you watch television when I'm telling you things that are important to
me.'" - ansHave you tried saying that directly to your dad? For example, you could
say, 'I notice that you watch television when I'm telling you things that are important
to me
A 25-year-old client says to the nurse, "I got my degree in criminal justice. I graduated
first in my class from the police academy and had just started as a patrolman when
,my partner and I responded to a domestic violence call in the most rural part of our
patrol area. Someone started shooting at us, and I'm terrified. Maybe I'm not right
for this job." Which statement by the nurse would be therapeutic?
- "You're saying that because you felt afraid in a violent situation, you may not be
right for the job?"
- "Did you really think that you wouldn't be frightened? You're fortunate if this is the
first time you've ever been afraid."
- "You seem to be surprised that you were frightened by the violence. Have you
talked with your co-workers about their experiences?"
- "My earlier work as a nurse involved trips through our local crack houses. Wait until
you've had some experience working narcotics and then tell me how you - ansYou're
saying that because you felt afraid in a violent situation, you may not be right for the
job?
A 32-year-old married woman who recently gave birth to her first child by cesarean
section says, "My husband and I worry about our baby all the time. We did
everything right, yet he had so many problems at birth." Which statement by the
nurse would be therapeutic?
- "I'd like to ask you a series of parenting questions to determine your fitness."
- "What's been happening since you all came home? As I understand it, the baby is
thriving."
- "Can you tell me more about the worrying? What's been happening since you
brought your baby home?"
- "Lots of women do everything right but wind up having cesarean sections. Why
worry when it won't change anything?" - ansCan you tell me more about the
worrying? What's been happening since you brought your baby home?
A 35-year-old client says to the nurse, "I got divorced less than a year after getting
,married. I left the Navy SEALs shortly after I joined. Now I teach in the air marshal
program to avoid being recalled for war, but I'd really like to quit. I start something,
am great at it, then get bored and move on. I date, but I'm still living at home. I never
seem to be on my own like other guys my age." Which response by the nurse is most
appropriate?
- "You made the Navy SEALs but can't live on your own like an adult and can't stick
with anything."
- "Can you tell me more about your marriage and relationships? If you leave home,
what do you fear will happen?"
- "You have many years to find a new relationship, but moving out of your parents'
home is a first step to growing up."
- "When will your mother let you go? Seems to me that jobs have come easy to you
but that you can't grow up and separate from your parents." - ansCan you tell me
more about your marriage and relationships? If you leave home, what do you fear
will happen?
A 35-year-old recently divorced parent of twins comes to the intake office of the
psychiatric clinic for the first time with a possible diagnosis of generalized anxiety
disorder. The client says to the nurse, "My mother always called me a worrywart like
my nana, so I guess I come by my problems naturally. I keep worrying about things I
can't change, like my divorce, and blaming myself when I know I'm not the only one
responsible for the divorce." Which nursing statement would be therapeutic?
- "Yet you seem to be dwelling on the thought that the divorce is all your fault."
- "Can you tell me more about the worrying and blaming you are experiencing?"
- "I wonder whether you think you're responsible for making everything turn out
right."
- "So you're a natural worrywart, divorced with twins. I guess you can be forgiven for
a little worrying, but tell me about the blaming you've been doing." - ansCan you tell
me more about the worrying and blaming you are experiencing?
, A 45-year-old client says to the nurse, "Since I left my wife and children, I can hardly
make ends meet between child support and trying to support myself. I don't know
why I bother going to work when my wife and kids take just about everything I
make." Which nursing statement would be therapeutic?
- "I wonder why you left your wife and children."
- "What would you expect your wife and children to do? They didn't leave you."
- "You seem to be very angry about carrying out your responsibility to your children."
- "Do you feel that child support is designed to help children, not punish spouses who
leave?" - ansDo you feel that child support is designed to help children, not punish
spouses who leave
A 45-year-old fireman says to the nurse, "I've worked at some fires recently that
were just devastating, but last week was the worst. I carried this little girl from a fire
— she was badly burned and lived just a few minutes after I brought her out, and she said to me, 'Tell my mom
and Rudy I love them both very much.' Her mom told me that Rudy is their dog, and he just mopes around the
house since the little girl died. I keep thinking about her and just don't know if I can go on." Which response by
the nurse would be therapeutic?
- "Maybe you could help the mother find a home for Rudy, and then your troubling thoughts would go away."
- "Would you listen to yourself? You've seen firemen stress out before. What is your responsibility in all this?"
- "You've helped victims of some horrific fires lately, and yet you question your calling. Do you feel the need to
resign?"
- "You're questioning your job because you're ups - ansYou're questioning your job because you're upset about
the little girl you tried to save. Work stress can be treated and help you cope better. It is so important for you
to seek treatment.
A 52-year-old client is admitted to the hospital for surgery to treat lung cancer. The client says to the nurse, "I
was an alcoholic for 15 years, and now that I'm 25 years sober, I'm being punished." Which statement by the
nurse would be therapeutic?
- "You started drinking at 12 years of age — is that why you feel that the cancer is retribution?"
