1|Page
Hesi Module 3 / Complete Study Guide /
Actual Exam Questions & Correct
Answers
A young widow of 18 months says to the nurse, "I'm going to need a babysitter,
because I'm going on a blind date at my brother and sister-in-law's house. They
fixed me up, but I think it may be too soon." Which statement by the nurse would
be therapeutic?
- "Hello? You go girl! You can see it's only natural, can't you?"
- "By the end of a year, most people are able to renew their interest in other
people and activities."
- "Nonsense. Your children need a new father, as your family knows. Your husband
would want you to go on with life."
- "If it were me, I would be dating other men by now. After 6 months of mourning,
most of society feels that it's okay."-correct-answer-By the end of a year, most
people are able to renew their interest in other people and activities
A client who is an attorney says to the clinic nurse, "I'm worried about my wife.
She's been so distant and disorganized since our son died of leukemia 4 months
ago. She never suggests that we go out or take our other children anywhere. Is
this normal, or do I need to get her to a doctor?" Which statement by the nurse
would be therapeutic?
- "Absolutely. It sounds as if she may be experiencing a severe depression."
,2|Page
- "To be safe, it would not hurt to have her see your family doctor, or maybe you
have a member of the clergy she can talk to."
- "The reluctance to resume activities and overprotect your other children is a
normal part of bereavement and will subside in 2 months."
- "It's normal, but by the end of a year you can expect that your wife is improving
and able to redirect her energy. Have you expressed your concerns to her?"-
correct-answer-It's normal, but by the end of a year you can expect that your wife
is improving and able to redirect her energy. Have you expressed your concerns to
her
The young nurse has just completed postmortem care of a 16-year-old client who
died of cancer. The nurse says to the nurse manager, "I never get sick, and this
client kept telling me that he couldn't remember not being ill. I feel terrible and so
bad for him and about what he went through." Which statement by the nurse
manager would be therapeutic?
- "Next time, take someone else in with you for postmortem care, OK?"
- "Your feelings are normal and will go away after a good night's sleep."
- "Let's go for coffee and talk about this some more, shall we? We're both due for
our coffee breaks."
- "I should never have assigned you someone so close to your own age. I'll be
more careful in the future."-correct-answer-Let's go for coffee and talk about this
some more, shall we? We're both due for our coffee breaks.
The 45-year-old husband of a client with breast cancer who just died says to the
nurse, "If our doctor had operated sooner, my wife would be alive now." Which
statement by the nurse would be therapeutic?
,3|Page
- Say nothing. Simply nod and say "Mm-hmm" noncommittally.
- "Sounds as if you're feeling angry and pretty helpless right now."
- "Let's focus not on what was not done but instead on what was done for your
wife."
- "Your doctor did all he could for your wife. You know, health care providers can
only apply their best clinical judgment."-correct-answer-Sounds as if you're feeling
angry and pretty helpless right now
During a one-to-one nurse-client session, the client plays with her pack of
cigarettes and says, "I just get a couple of DVDs and watch movies so I won't have
to look at my husband or talk to him." Which coping mechanism does the nurse
recognize in the client's behaviors?
- Self-blame
- Avoidance
- Reframing
- Wishful thinking-correct-answer-Avoidance
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?"
, 4|Page
- "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.'"-correct-answer-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
A client who was formerly a workaholic has lost his job and is being supported
financially by his wife. The client says to the nurse, "I know that my wife is
disappointed in me, but I can't seem to get a job doing what I've done for 25
years. Why should I take a low-level job when she's able to support us
financially?" Which response by the nurse would be therapeutic?
- "Can you tell me a little more about this?"
- "I would dig ditches if it contributed to my family's well-being."
- "Sounds as if you're lucky to have your wife's job to fall back on."
- "I'm surprised that such a hardworking man is not able to find a job."-correct-
answer-Can you tell me a little more about this?
The nurse notes that a client being admitted to the inpatient mental health unit
uses avoidance and denial to cope with stress. Which positive stress response will
the nurse plan to focus on when working with the client?
- Reframing
- Locus of control
- Problem-solving
Hesi Module 3 / Complete Study Guide /
Actual Exam Questions & Correct
Answers
A young widow of 18 months says to the nurse, "I'm going to need a babysitter,
because I'm going on a blind date at my brother and sister-in-law's house. They
fixed me up, but I think it may be too soon." Which statement by the nurse would
be therapeutic?
- "Hello? You go girl! You can see it's only natural, can't you?"
- "By the end of a year, most people are able to renew their interest in other
people and activities."
- "Nonsense. Your children need a new father, as your family knows. Your husband
would want you to go on with life."
- "If it were me, I would be dating other men by now. After 6 months of mourning,
most of society feels that it's okay."-correct-answer-By the end of a year, most
people are able to renew their interest in other people and activities
A client who is an attorney says to the clinic nurse, "I'm worried about my wife.
She's been so distant and disorganized since our son died of leukemia 4 months
ago. She never suggests that we go out or take our other children anywhere. Is
this normal, or do I need to get her to a doctor?" Which statement by the nurse
would be therapeutic?
- "Absolutely. It sounds as if she may be experiencing a severe depression."
,2|Page
- "To be safe, it would not hurt to have her see your family doctor, or maybe you
have a member of the clergy she can talk to."
- "The reluctance to resume activities and overprotect your other children is a
normal part of bereavement and will subside in 2 months."
- "It's normal, but by the end of a year you can expect that your wife is improving
and able to redirect her energy. Have you expressed your concerns to her?"-
correct-answer-It's normal, but by the end of a year you can expect that your wife
is improving and able to redirect her energy. Have you expressed your concerns to
her
The young nurse has just completed postmortem care of a 16-year-old client who
died of cancer. The nurse says to the nurse manager, "I never get sick, and this
client kept telling me that he couldn't remember not being ill. I feel terrible and so
bad for him and about what he went through." Which statement by the nurse
manager would be therapeutic?
- "Next time, take someone else in with you for postmortem care, OK?"
- "Your feelings are normal and will go away after a good night's sleep."
- "Let's go for coffee and talk about this some more, shall we? We're both due for
our coffee breaks."
- "I should never have assigned you someone so close to your own age. I'll be
more careful in the future."-correct-answer-Let's go for coffee and talk about this
some more, shall we? We're both due for our coffee breaks.
The 45-year-old husband of a client with breast cancer who just died says to the
nurse, "If our doctor had operated sooner, my wife would be alive now." Which
statement by the nurse would be therapeutic?
,3|Page
- Say nothing. Simply nod and say "Mm-hmm" noncommittally.
- "Sounds as if you're feeling angry and pretty helpless right now."
- "Let's focus not on what was not done but instead on what was done for your
wife."
- "Your doctor did all he could for your wife. You know, health care providers can
only apply their best clinical judgment."-correct-answer-Sounds as if you're feeling
angry and pretty helpless right now
During a one-to-one nurse-client session, the client plays with her pack of
cigarettes and says, "I just get a couple of DVDs and watch movies so I won't have
to look at my husband or talk to him." Which coping mechanism does the nurse
recognize in the client's behaviors?
- Self-blame
- Avoidance
- Reframing
- Wishful thinking-correct-answer-Avoidance
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?"
, 4|Page
- "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.'"-correct-answer-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
A client who was formerly a workaholic has lost his job and is being supported
financially by his wife. The client says to the nurse, "I know that my wife is
disappointed in me, but I can't seem to get a job doing what I've done for 25
years. Why should I take a low-level job when she's able to support us
financially?" Which response by the nurse would be therapeutic?
- "Can you tell me a little more about this?"
- "I would dig ditches if it contributed to my family's well-being."
- "Sounds as if you're lucky to have your wife's job to fall back on."
- "I'm surprised that such a hardworking man is not able to find a job."-correct-
answer-Can you tell me a little more about this?
The nurse notes that a client being admitted to the inpatient mental health unit
uses avoidance and denial to cope with stress. Which positive stress response will
the nurse plan to focus on when working with the client?
- Reframing
- Locus of control
- Problem-solving
