HESI MODULE 3 QUESTIONS WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED
TO PASS)
The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded
her for picking the neighbors' flowers. Which defense mechanism used by the child does the nurse
identify in the mother's report?
- Projection
- Sublimation
- Displacement
- Identification Correct answer-displacement
A client says to the nurse, "I've been following my diet and taking my medication. What else do you
want to talk about today?" Which response would be most helpful during the working phase of the
therapeutic alliance?
- "Sounds fine to me. Let's meet again in 6 months."
- "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 medication therapy and gotten positive results. Do
you think that this would work for you?" Correct answer-Some people have added exercise to diet
and medication therapy and gotten positive results. Do you think that this would work for you
As the nurse prepares to interview a client being admitted to the mental health unit, the client says,
"I asked my family to bring me in here to talk to someone, 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 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." Correct
answer-Perhaps you can start by sharing some of your most recent concerns
During a mental health intake interview, a young adult client who lives with his family rent free says,
"I'm tired of not being able to offer my friends a beer just because my folks don't believe in taking a
drink socially." 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
household?"
- "Well, if you directly discussed your concerns with them, I guess it's a case of 'When in Rome, do as
the Romans do.'" Correct answer-It seems that your parents expect you to follow their rules when
you live under their roof
The nurse developing a plan of care for a client whose spouse recently died, determines the client
has a problem with dysfunctional grieving. Which priority 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
Assisting the client in resolving the grief through emotional, cognitive, and behavioral means
Correct answer-Assessing the client's risk for violence toward self and others
,A client in the mental health unit tells the nurse, "My husband makes all the decisions about money,
but I'm the one who's making the money now, not him. He needs to back off, but he's always
directing every 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." Correct
answer-How do you feel the money decisions could best be handled in your household
The new nurse employee is developing a plan of care, with the registered nurse, for a client who
recently received a diagnosis of acquired immunodeficiency syndrome (AIDS) and is experiencing
difficulty adjusting 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 decision-making
- Discouraging social networking to prevent the spread of infection Correct answer-Discouraging
social networking to prevent the spread of infection
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 Correct answer-B, C, D, E
The nurse is caring for a 15-year-old girl who has been 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 Correct answer-Identification
The mental health home care nurse says to the client, "Do you feel ready to try attending a group
session at the clinic?" The client shakes his head. Which nursing 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."
- "Perhaps a group session would be too overwhelming for you right now. How about just seeing
me?" Correct answer-You seem to be saying no. Would you tell me more about your reluctance
A single mother whose son was suspended from school for carrying a gun into the school, says to the
nurse, "I know he has no dad, but I've brought him up to know better, and anyway, where did he get
the stupid gun? What should I do? He just won't listen to me." Which nursing response would be
helpful at this time?
- "Boys who are cared for only by their moms are at highest risk for violent behavior."
- "There is quite a bit that you can do. Let's talk about what you're already doing first."
- "Do you know all of your son's friends, or is he left alone after school because you work?"
, - "Many young people die of gunshots every day in this country, so your son's behavior is
unacceptable." Correct answer-There is quite a bit that you can do. Let's talk about what you're
already doing first
A client says to the nurse, "My doctor says he thinks I'm ready to taper off my pain medication, but
the new painkiller he prescribed doesn't relieve my pain the way the other pill did. I get pain when I
try to do things." Which nursing response would be most supportive to the client?
-"Your health care provider feels that your body is physically ready to make the change in
medication."
- "I think you need to listen to your health care provider when it comes to taking such strong
medication."
- "Well, your health care provider is concerned that you will become physically dependent on the
first painkiller."
- "Perhaps if I medicate you about a half-hour before you plan to start your daily activities, the
medicine will be more effective." Correct answer-Perhaps if I medicate you about a half-hour
before you plan to start your daily activities, the medicine will be more effective.
A client who was employed as a corporate manager before being laid off says to the nurse, "My wife
thinks that I should work in a menial job to maintain our lifestyles until I find another job as a
corporate manager, but I don't feel I should have to humiliate myself like that." Which nursing
response would be therapeutic?
- "Have you shared your feelings with your wife?"
- "You seem to feel that a less prestigious job would be humiliating for you."
- "Oh, I agree with you. Let her get another job if she needs that much money."
- "How soon will you be able to find work? If this is permanent, you may need to swallow your
pride." Correct answer-Have you shared your feelings with your wife?
A young woman who has been divorced twice says to the nurse, "I've decided not to date men ever
again! It never works out for me. Now I'm left with two children to bring up." Which nursing
response would be therapeutic?
- "Oh, me too. I always pick the worst kind of men, so I know just how you feel."
- "Divorce is more difficult for children. Maybe you should focus on them for now."
- "You've been unfortunate, but you seem to be focusing on yourself and what you have to do."
- " Divorce is hard to go through. Tell me what difficulties you feel you will face raising your
children.". Correct answer-Divorce is hard to go through. Tell me what difficulties you feel you will
face raising your children
A client says to the nurse, "What does my psychiatrist mean when she says that my illness is
biologically based?" Which nursing statement would be the most informative?
- "Mental illness always has its roots in the family."
- "Mental illness is a result of environmental factors."
- "Today we know that all mental illness is genetically inherited."
- "There are many possible physical causes of mental illness, and they include problems in the brain."
Correct answer-There are many possible physical causes of mental illness, and they include problems
in the brain
The nurse is caring for a 39-year-old client who has experienced a cerebral vascular accident(stroke).
The client is recently widowed, is very active physically, and has two young sons. The client says to
the nurse, "I don't know what my sons will do if anything permanent happens to me. We have no
other relatives, even on my late wife's side." Which of the following nursing responses would be
therapeutic?
CORRECT & VERIFIED ANSWERS (UPDATED
TO PASS)
The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded
her for picking the neighbors' flowers. Which defense mechanism used by the child does the nurse
identify in the mother's report?
- Projection
- Sublimation
- Displacement
- Identification Correct answer-displacement
A client says to the nurse, "I've been following my diet and taking my medication. What else do you
want to talk about today?" Which response would be most helpful during the working phase of the
therapeutic alliance?
- "Sounds fine to me. Let's meet again in 6 months."
- "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 medication therapy and gotten positive results. Do
you think that this would work for you?" Correct answer-Some people have added exercise to diet
and medication therapy and gotten positive results. Do you think that this would work for you
As the nurse prepares to interview a client being admitted to the mental health unit, the client says,
"I asked my family to bring me in here to talk to someone, 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 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." Correct
answer-Perhaps you can start by sharing some of your most recent concerns
During a mental health intake interview, a young adult client who lives with his family rent free says,
"I'm tired of not being able to offer my friends a beer just because my folks don't believe in taking a
drink socially." 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
household?"
- "Well, if you directly discussed your concerns with them, I guess it's a case of 'When in Rome, do as
the Romans do.'" Correct answer-It seems that your parents expect you to follow their rules when
you live under their roof
The nurse developing a plan of care for a client whose spouse recently died, determines the client
has a problem with dysfunctional grieving. Which priority 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
Assisting the client in resolving the grief through emotional, cognitive, and behavioral means
Correct answer-Assessing the client's risk for violence toward self and others
,A client in the mental health unit tells the nurse, "My husband makes all the decisions about money,
but I'm the one who's making the money now, not him. He needs to back off, but he's always
directing every 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." Correct
answer-How do you feel the money decisions could best be handled in your household
The new nurse employee is developing a plan of care, with the registered nurse, for a client who
recently received a diagnosis of acquired immunodeficiency syndrome (AIDS) and is experiencing
difficulty adjusting 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 decision-making
- Discouraging social networking to prevent the spread of infection Correct answer-Discouraging
social networking to prevent the spread of infection
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 Correct answer-B, C, D, E
The nurse is caring for a 15-year-old girl who has been 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 Correct answer-Identification
The mental health home care nurse says to the client, "Do you feel ready to try attending a group
session at the clinic?" The client shakes his head. Which nursing 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."
- "Perhaps a group session would be too overwhelming for you right now. How about just seeing
me?" Correct answer-You seem to be saying no. Would you tell me more about your reluctance
A single mother whose son was suspended from school for carrying a gun into the school, says to the
nurse, "I know he has no dad, but I've brought him up to know better, and anyway, where did he get
the stupid gun? What should I do? He just won't listen to me." Which nursing response would be
helpful at this time?
- "Boys who are cared for only by their moms are at highest risk for violent behavior."
- "There is quite a bit that you can do. Let's talk about what you're already doing first."
- "Do you know all of your son's friends, or is he left alone after school because you work?"
, - "Many young people die of gunshots every day in this country, so your son's behavior is
unacceptable." Correct answer-There is quite a bit that you can do. Let's talk about what you're
already doing first
A client says to the nurse, "My doctor says he thinks I'm ready to taper off my pain medication, but
the new painkiller he prescribed doesn't relieve my pain the way the other pill did. I get pain when I
try to do things." Which nursing response would be most supportive to the client?
-"Your health care provider feels that your body is physically ready to make the change in
medication."
- "I think you need to listen to your health care provider when it comes to taking such strong
medication."
- "Well, your health care provider is concerned that you will become physically dependent on the
first painkiller."
- "Perhaps if I medicate you about a half-hour before you plan to start your daily activities, the
medicine will be more effective." Correct answer-Perhaps if I medicate you about a half-hour
before you plan to start your daily activities, the medicine will be more effective.
A client who was employed as a corporate manager before being laid off says to the nurse, "My wife
thinks that I should work in a menial job to maintain our lifestyles until I find another job as a
corporate manager, but I don't feel I should have to humiliate myself like that." Which nursing
response would be therapeutic?
- "Have you shared your feelings with your wife?"
- "You seem to feel that a less prestigious job would be humiliating for you."
- "Oh, I agree with you. Let her get another job if she needs that much money."
- "How soon will you be able to find work? If this is permanent, you may need to swallow your
pride." Correct answer-Have you shared your feelings with your wife?
A young woman who has been divorced twice says to the nurse, "I've decided not to date men ever
again! It never works out for me. Now I'm left with two children to bring up." Which nursing
response would be therapeutic?
- "Oh, me too. I always pick the worst kind of men, so I know just how you feel."
- "Divorce is more difficult for children. Maybe you should focus on them for now."
- "You've been unfortunate, but you seem to be focusing on yourself and what you have to do."
- " Divorce is hard to go through. Tell me what difficulties you feel you will face raising your
children.". Correct answer-Divorce is hard to go through. Tell me what difficulties you feel you will
face raising your children
A client says to the nurse, "What does my psychiatrist mean when she says that my illness is
biologically based?" Which nursing statement would be the most informative?
- "Mental illness always has its roots in the family."
- "Mental illness is a result of environmental factors."
- "Today we know that all mental illness is genetically inherited."
- "There are many possible physical causes of mental illness, and they include problems in the brain."
Correct answer-There are many possible physical causes of mental illness, and they include problems
in the brain
The nurse is caring for a 39-year-old client who has experienced a cerebral vascular accident(stroke).
The client is recently widowed, is very active physically, and has two young sons. The client says to
the nurse, "I don't know what my sons will do if anything permanent happens to me. We have no
other relatives, even on my late wife's side." Which of the following nursing responses would be
therapeutic?
