HESI Module 3
Study online at https://quizlet.com/_cu983y
1. The mother of a 3-year-old child tells the nurse that displacement
her child hit her doll after the mother scolded her for
picking the neighbors' flowers. Which defense mech-
anism used by the child does the nurse identify in the
mother's report?
- Projection
- Sublimation
- Displacement
- Identification
2. A client says to the nurse, "I've been following my diet Some people have added
and taking my medication. What else do you want exercise to diet and med-
to talk about today?" Which response would be most ication therapy and got-
helpful during the working phase of the therapeutic ten positive results. Do you
alliance? think that this would work
- "Sounds fine to me. Let's meet again in 6 months." for you
- "I don't believe that you have been following your
diet, because you haven't lost any weight."
- "Well, you've talked about diet in your terms, but
perhaps I should test you on specific things."
"Some people have added exercise to diet and med-
ication therapy and gotten positive results. Do you
think that this would work for you?"
3. As the nurse prepares to interview a client being ad- Perhaps you can start by
mitted to the mental health unit, the client says, "I sharing some of your most
asked my family to bring me in here to talk to some- recent concerns
one, but now I don't know where to begin." Which
response by the nurse would be most helpful?
- "Why not just start talking and see where it takes
you?"
- "If I were you, I'd begin with what you were doing this
, HESI Module 3
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morning."
- "Perhaps you can start by sharing some of your most
recent concerns."
- "Don't worry. Everyone who comes in here for the
first time feels reluctant to talk."
4. During a mental health intake interview, a young adult It seems that your parents
client who lives with his family rent free says, "I'm tired expect you to follow their
of not being able to offer my friends a beer just be- rules when you live under
cause my folks don't believe in taking a drink socially." their roof
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."
- "You tell me you live rent free, yet you expect the
same privileges as an adult who supports the house-
hold?"
- "Well, if you directly discussed your concerns with
them, I guess it's a case of 'When in Rome, do as the
Romans do.'"
5. The nurse developing a plan of care for a client whose Assessing the client's risk
spouse recently died, determines the client has a for violence toward self
problem with dysfunctional grieving. Which priori- and others
ty intervention does the nurse incorporate into the
plan?
- Monitoring the client's sleep pattern
- Assessing the client's risk for violence toward self and
others
- Obtaining a health care provider's prescription for an
antidepressant
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Assisting the client in resolving the grief through emo-
tional, cognitive, and behavioral means
6. A client in the mental health unit tells the nurse, "My How do you feel the mon-
husband makes all the decisions about money, but ey decisions could best be
I'm the one who's making the money now, not him. handled in your house-
He needs to back off, but he's always directing every hold
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?"
- "You seem frustrated with your husband's habit of
controlling financial decisions."
7. The new nurse employee is developing a plan of care, Discouraging social net-
with the registered nurse, for a client who recently working to prevent the
received a diagnosis of acquired immunodeficiency spread of infection
syndrome (AIDS) and is experiencing difficulty adjust-
ing to the illness. The registered nurse should suggest
revision of which intervention for this client?
- Monitoring the client for signs of self-harm
- Helping the client verbalize concerns related to fear
Incorrect
- Assisting the client with problem-solving and deci-
sion-making
- Discouraging social networking to prevent the
spread of infection
8. B, C, D, E
, HESI Module 3
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A nurse is caring for a patient whose spouse has died.
How does the nurse determine that a client who has
lost a spouse has successfully completed the tasks of
mourning? Select all that apply.
A. Relating that "its better he went first"
B. Reporting that sleeping alone is so hard now
C. Purchasing a smaller car she is comfortable driving
D. Placing a picture of her husband on the bedside
stand
E. Heard explaining to family that illness "took" her
husband
9. The nurse is caring for a 15-year-old girl who has been Identification
hospitalized. The client tells the nurse that she had her
hair styled just like her young math teacher, whom she
admires. Which defense mechanism should the nurse
recognize that the client is using?
- Projection
- Regression
- Identification
- Intellectualization
10. The mental health home care nurse says to the client, You seem to be saying no.
"Do you feel ready to try attending a group session at Would you tell me more
the clinic?" The client shakes his head. Which nursing about your reluctance
statement would be therapeutic?
- "No? Why not?"
- "You seem to be saying no. Would you tell me more
about your reluctance?"
- "OK, but I hope you will let me know when you feel
ready to attend a group session at the clinic."
Study online at https://quizlet.com/_cu983y
1. The mother of a 3-year-old child tells the nurse that displacement
her child hit her doll after the mother scolded her for
picking the neighbors' flowers. Which defense mech-
anism used by the child does the nurse identify in the
mother's report?
- Projection
- Sublimation
- Displacement
- Identification
2. A client says to the nurse, "I've been following my diet Some people have added
and taking my medication. What else do you want exercise to diet and med-
to talk about today?" Which response would be most ication therapy and got-
helpful during the working phase of the therapeutic ten positive results. Do you
alliance? think that this would work
- "Sounds fine to me. Let's meet again in 6 months." for you
- "I don't believe that you have been following your
diet, because you haven't lost any weight."
- "Well, you've talked about diet in your terms, but
perhaps I should test you on specific things."
"Some people have added exercise to diet and med-
ication therapy and gotten positive results. Do you
think that this would work for you?"
3. As the nurse prepares to interview a client being ad- Perhaps you can start by
mitted to the mental health unit, the client says, "I sharing some of your most
asked my family to bring me in here to talk to some- recent concerns
one, but now I don't know where to begin." Which
response by the nurse would be most helpful?
- "Why not just start talking and see where it takes
you?"
- "If I were you, I'd begin with what you were doing this
, HESI Module 3
Study online at https://quizlet.com/_cu983y
morning."
- "Perhaps you can start by sharing some of your most
recent concerns."
- "Don't worry. Everyone who comes in here for the
first time feels reluctant to talk."
4. During a mental health intake interview, a young adult It seems that your parents
client who lives with his family rent free says, "I'm tired expect you to follow their
of not being able to offer my friends a beer just be- rules when you live under
cause my folks don't believe in taking a drink socially." their roof
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."
- "You tell me you live rent free, yet you expect the
same privileges as an adult who supports the house-
hold?"
- "Well, if you directly discussed your concerns with
them, I guess it's a case of 'When in Rome, do as the
Romans do.'"
5. The nurse developing a plan of care for a client whose Assessing the client's risk
spouse recently died, determines the client has a for violence toward self
problem with dysfunctional grieving. Which priori- and others
ty intervention does the nurse incorporate into the
plan?
- Monitoring the client's sleep pattern
- Assessing the client's risk for violence toward self and
others
- Obtaining a health care provider's prescription for an
antidepressant
, HESI Module 3
Study online at https://quizlet.com/_cu983y
Assisting the client in resolving the grief through emo-
tional, cognitive, and behavioral means
6. A client in the mental health unit tells the nurse, "My How do you feel the mon-
husband makes all the decisions about money, but ey decisions could best be
I'm the one who's making the money now, not him. handled in your house-
He needs to back off, but he's always directing every hold
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?"
- "You seem frustrated with your husband's habit of
controlling financial decisions."
7. The new nurse employee is developing a plan of care, Discouraging social net-
with the registered nurse, for a client who recently working to prevent the
received a diagnosis of acquired immunodeficiency spread of infection
syndrome (AIDS) and is experiencing difficulty adjust-
ing to the illness. The registered nurse should suggest
revision of which intervention for this client?
- Monitoring the client for signs of self-harm
- Helping the client verbalize concerns related to fear
Incorrect
- Assisting the client with problem-solving and deci-
sion-making
- Discouraging social networking to prevent the
spread of infection
8. B, C, D, E
, HESI Module 3
Study online at https://quizlet.com/_cu983y
A nurse is caring for a patient whose spouse has died.
How does the nurse determine that a client who has
lost a spouse has successfully completed the tasks of
mourning? Select all that apply.
A. Relating that "its better he went first"
B. Reporting that sleeping alone is so hard now
C. Purchasing a smaller car she is comfortable driving
D. Placing a picture of her husband on the bedside
stand
E. Heard explaining to family that illness "took" her
husband
9. The nurse is caring for a 15-year-old girl who has been Identification
hospitalized. The client tells the nurse that she had her
hair styled just like her young math teacher, whom she
admires. Which defense mechanism should the nurse
recognize that the client is using?
- Projection
- Regression
- Identification
- Intellectualization
10. The mental health home care nurse says to the client, You seem to be saying no.
"Do you feel ready to try attending a group session at Would you tell me more
the clinic?" The client shakes his head. Which nursing about your reluctance
statement would be therapeutic?
- "No? Why not?"
- "You seem to be saying no. Would you tell me more
about your reluctance?"
- "OK, but I hope you will let me know when you feel
ready to attend a group session at the clinic."
