RNSG 2231 HESI EXTRA CREDIT MODULE 3
EXAM QUESTIONS AND ANSWERS RATED A+
FOR STUDENTS LATEST UPDATE 2024/2025
90. 90.ID: 9477084320
A client says to the nurse, “I’ve started a journal because
my health care provider suggested it, and I’m writing
about the things that bother me each day. Sometimes I
dictate my feelings and what happened during the day
into a recorder and write them up before I go to bed —
and, do you know, they seem silly to me then. Is this
helping me?” Which response by the nurse would be
appropriate?
A. “I’m not certain that using a tape
recorder will help you with the
journal-keeping.”
B. “Well, I wonder about the dictation,
because the writing is what helps
reduce stress.”
C. “Well, it will take some time, but
let’s see how you’re doing over a
month. In the meantime, keep
writing.”
,RNSG 2231 HESI EXTRA CREDIT MODULE 3
EXAM QUESTIONS AND ANSWERS RATED A+
FOR STUDENTS LATEST UPDATE 2024/2025
D. “It seems that people who write in
their journals and can share traumatic
Rationale: Journaling is a cognitive stress-management technique in which one
events improve their self-awareness.”
expresses oneself in written form, increasing self-awareness and improving the
Correct
writer’s capacity for coping. In stating, “I’m not certain that using a tape
recorder will help you with the journal-keeping” or “Well, I wonder about the
dictation, because the writing is what helps reduce stress,” the nurse is off
focus and concerned about the tape recorder even though the client is writing
down thoughts at the end of the day. Perhaps the tape recorder is cause for
concern, but because the client is keeping the journal as directed these are not
the appropriate responses. In telling the client, “Well, it will take some time, but
let’s see how you’re doing over a month. In the meantime, keep writing,” the
nurse gives advice, avoids the client’s concerns, and is somewhat negative or
uncertain about journaling.
Test-Taking Strategy: Eliminate the options that are comparable or alike and
focus on the aspect of recording thoughts and avoid the client’s concerns. This
will direct you to the correct option. Review: the advantages of this stress-
reduction method .
References: Stuart, G. (2009). Principles & practice of psychiatric nursing (9th
ed., pp. 27-31, 384). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Mental Health
Giddens Concepts: Clinical Judgment, Stress
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Stress and
Coping
, RNSG 2231 HESI EXTRA CREDIT MODULE 3
EXAM QUESTIONS AND ANSWERS RATED A+
FOR STUDENTS LATEST UPDATE 2024/2025
Awarded 1.0 points out of 1.0 possible points.
91. 91.ID: 9477084338
A client who was recently admitted to the mental health
unit has a history of paranoia. When the meal tray is
delivered, the client refuses to eat and tells the nurse
that someone is poisoning the food. Which statement
by the nurse is appropriate?
A. “Your food is not poisoned.”
B. “Why do you think the food is
poisoned?”
C. “There is no poison in the food.
Here, I’ll taste the food for you.”
D. “It must be frightening to you. Has
something
Rationale: The correct madetheyou
option acknowledges feel
client’s that
feelings and your
food is
encourages verbalization poisoned?”
of the Correct
client’s concerns. In stating, “Your food is not
, RNSG 2231 HESI EXTRA CREDIT MODULE 3
EXAM QUESTIONS AND ANSWERS RATED A+
FOR STUDENTS LATEST UPDATE 2024/2025
poisoned,” the nurse is defensive and therefore nontherapeutic. In asking,
“Why do you think the food is poisoned?” the nurse places the client on the
defensive, which is not therapeutic. In stating, “There is no poison in the food.
Here, I’ll taste the food for you,” the nurse supports the client’s delusion.
Test-Taking Strategy: Use your knowledge of therapeutic communication
techniques. Remember, always focus on the client’s feelings first. Also,
remember that the nurse should not support the client’s delusion and should
always present reality. This will direct you to the correct option. Review:
techniques for dealing with a client’s delusions .
References: Stuart, G. (2009). Principles & practice of psychiatric nursing (9th
ed., pp. 27-31). St. Louis: Mosby.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health
nursing: A communication approach to evidence-based care (p. 289). St. Louis:
Saunders.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Mental Health
Giddens Concepts: Communication, Psychosis
HESI Concepts: Cognition—Psychosis, Communication
Awarded 1.0 points out of 1.0 possible points.
92. 92.ID: 9477084393
The nurse reviews the nursing care plan of a client being
seen in the mental health clinic and notes that the
client is experiencing dysfunctional grieving after losing
his spouse. Which is the appropriate outcome for the
treatment plan for this client?
A. The client plans to attend a
community grief group. Correct
B. The client reports that he is trying
to use coping strategies.
C. The client verbalizes an absolute
need to spend time with friends.
D. The client verbalizes the
Rationale: The question is focused on an appropriate outcome for a client with
dysfunctional grieving. The correct option is the only one that deals with grief in
EXAM QUESTIONS AND ANSWERS RATED A+
FOR STUDENTS LATEST UPDATE 2024/2025
90. 90.ID: 9477084320
A client says to the nurse, “I’ve started a journal because
my health care provider suggested it, and I’m writing
about the things that bother me each day. Sometimes I
dictate my feelings and what happened during the day
into a recorder and write them up before I go to bed —
and, do you know, they seem silly to me then. Is this
helping me?” Which response by the nurse would be
appropriate?
A. “I’m not certain that using a tape
recorder will help you with the
journal-keeping.”
B. “Well, I wonder about the dictation,
because the writing is what helps
reduce stress.”
C. “Well, it will take some time, but
let’s see how you’re doing over a
month. In the meantime, keep
writing.”
,RNSG 2231 HESI EXTRA CREDIT MODULE 3
EXAM QUESTIONS AND ANSWERS RATED A+
FOR STUDENTS LATEST UPDATE 2024/2025
D. “It seems that people who write in
their journals and can share traumatic
Rationale: Journaling is a cognitive stress-management technique in which one
events improve their self-awareness.”
expresses oneself in written form, increasing self-awareness and improving the
Correct
writer’s capacity for coping. In stating, “I’m not certain that using a tape
recorder will help you with the journal-keeping” or “Well, I wonder about the
dictation, because the writing is what helps reduce stress,” the nurse is off
focus and concerned about the tape recorder even though the client is writing
down thoughts at the end of the day. Perhaps the tape recorder is cause for
concern, but because the client is keeping the journal as directed these are not
the appropriate responses. In telling the client, “Well, it will take some time, but
let’s see how you’re doing over a month. In the meantime, keep writing,” the
nurse gives advice, avoids the client’s concerns, and is somewhat negative or
uncertain about journaling.
Test-Taking Strategy: Eliminate the options that are comparable or alike and
focus on the aspect of recording thoughts and avoid the client’s concerns. This
will direct you to the correct option. Review: the advantages of this stress-
reduction method .
References: Stuart, G. (2009). Principles & practice of psychiatric nursing (9th
ed., pp. 27-31, 384). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Mental Health
Giddens Concepts: Clinical Judgment, Stress
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Stress and
Coping
, RNSG 2231 HESI EXTRA CREDIT MODULE 3
EXAM QUESTIONS AND ANSWERS RATED A+
FOR STUDENTS LATEST UPDATE 2024/2025
Awarded 1.0 points out of 1.0 possible points.
91. 91.ID: 9477084338
A client who was recently admitted to the mental health
unit has a history of paranoia. When the meal tray is
delivered, the client refuses to eat and tells the nurse
that someone is poisoning the food. Which statement
by the nurse is appropriate?
A. “Your food is not poisoned.”
B. “Why do you think the food is
poisoned?”
C. “There is no poison in the food.
Here, I’ll taste the food for you.”
D. “It must be frightening to you. Has
something
Rationale: The correct madetheyou
option acknowledges feel
client’s that
feelings and your
food is
encourages verbalization poisoned?”
of the Correct
client’s concerns. In stating, “Your food is not
, RNSG 2231 HESI EXTRA CREDIT MODULE 3
EXAM QUESTIONS AND ANSWERS RATED A+
FOR STUDENTS LATEST UPDATE 2024/2025
poisoned,” the nurse is defensive and therefore nontherapeutic. In asking,
“Why do you think the food is poisoned?” the nurse places the client on the
defensive, which is not therapeutic. In stating, “There is no poison in the food.
Here, I’ll taste the food for you,” the nurse supports the client’s delusion.
Test-Taking Strategy: Use your knowledge of therapeutic communication
techniques. Remember, always focus on the client’s feelings first. Also,
remember that the nurse should not support the client’s delusion and should
always present reality. This will direct you to the correct option. Review:
techniques for dealing with a client’s delusions .
References: Stuart, G. (2009). Principles & practice of psychiatric nursing (9th
ed., pp. 27-31). St. Louis: Mosby.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health
nursing: A communication approach to evidence-based care (p. 289). St. Louis:
Saunders.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Mental Health
Giddens Concepts: Communication, Psychosis
HESI Concepts: Cognition—Psychosis, Communication
Awarded 1.0 points out of 1.0 possible points.
92. 92.ID: 9477084393
The nurse reviews the nursing care plan of a client being
seen in the mental health clinic and notes that the
client is experiencing dysfunctional grieving after losing
his spouse. Which is the appropriate outcome for the
treatment plan for this client?
A. The client plans to attend a
community grief group. Correct
B. The client reports that he is trying
to use coping strategies.
C. The client verbalizes an absolute
need to spend time with friends.
D. The client verbalizes the
Rationale: The question is focused on an appropriate outcome for a client with
dysfunctional grieving. The correct option is the only one that deals with grief in
