HESI COMPUTERIZED ADAPTIVE TESTING (CAT) EXAM
2025/2026 TEST BANK WITH RATIONALES.
1-A nurse is counseling the spouse of a client who has a history of alcohol abuse. What doesthe nurse explain
is the main reason for drinking alcohol in people with a long history of alcohol abuse?
1 -They are dependent on it.
2 -They lack the motivation to stop.
3 -They use it for coping.
They enjoy the associated socialization. ✓ Ans- 1
Alcohol causes both physical and psychological dependence; the individual needs the alcohol to function.
Alcoholism is a disorder that entails physical and psychological dependence. Because alcohol is so
physiologically addictive, the client's body craves the alcohol, so most clients lack the motivation to stop
because they will go into withdrawal. Clients who abuse alcohol have numbed their ability to utilize other
coping mechanisms, soalcohol is used as an excuse for coping. People with alcoholism usually drink alone or
feel alone in a crowd; socialization is not the prime reason for their drinking.
How do adolescents establish family identity during psychosocial development? Select allthat apply.
1 -By acting independently to make his or her own decisions
2 -By evaluating his or her own health with a feeling of well-being
3 -By fostering his or her own development within a balanced family structure
4 -By building close peer relationships to achieve acceptance in the society
5 -By achieving marked physical changes ✓ Ans- 13
An adolescent establishes family identity by acting independently for taking important decisions about self.
They also need to foster their development along with maintaining a balanced family structure. Health
identity is associated with the evaluation of one's own
health with a feeling of well-being. By building close peer relationships, an adolescent develops a sense of
belonging, approval, and the opportunity to learn acceptable behavior.These actions establish an adolescent's
group identity. The sound and healthy growth of the adolescent, with marked physical changes, helps to build
an adolescent's sexual identity.
, HESI COMPUTERIZED ADAPTIVE TESTING (CAT) EXAM
2025/2026 TEST BANK WITH RATIONALES.
A clinic nurse observes a 2-year-old client sitting alone, rocking and staring at a small, shiny top that she is
spinning. Later the father relates his concerns, stating, "She pushes meaway. She doesn't speak, and she only
shows feelings when I take her top away. Is it something I've done?" What is the most therapeutic initial
response by the nurse?
1 -Asking the father about his relationship with his wife
2 -Asking the father how he held the child when she was an infant
3 -Telling the father that it is nothing he has done and sharing the nurse's observations of the child
4 -Telling the father not to be concerned and stressing that the child will outgrow this developmental
phase ✓ Ans- 3
The nurse provides support in a nonjudgmental way by sharing information and observations about the child.
This child exhibits symptoms of autism, which is not attributable to the actions of the parents. Asking the
father about his relationship with his wife or how he held the child when she was an infant indirectly indicates
that the parent may be at fault; it negates the father's need for support and increases his sense of guilt.
Telling the father not to be concerned and stressing that the child will outgrow this developmental phase is
false reassurance that does not provide support; the fatherrecognizes that something is wrong.
What is most appropriate for a nurse to say when interviewing a newly admitted depressedclient whose
thoughts are focused on feelings of worthlessness and failure?
1. ”Tell me how you feel about yourself."
2. "Tell me what has been bothering you."
3. "Why do you feel so bad about yourself?"
4. "What can we do to help you while you're here?" ✓ Ans- 1
Because major depression is a result of the client's feelings of self-rejection, it is importantfor the nurse to have
the client initially identify these feelings before developing a plan of care. Later discussion should be focused
on other topics to prevent reinforcement of negative thoughts and feelings. "Tell me what has been bothering
you" is asking the client to draw a conclusion; the client may be unable to do so at this time. Also, depression
may be related not to external events but instead to a client's psychobiology. Asking why does not let a client
explore feelings; it usually elicits an "I don't know" response. "What can wedo to help you while you're here?"
is beyond the scope of the client's abilities at this time.
, HESI COMPUTERIZED ADAPTIVE TESTING (CAT) EXAM
2025/2026 TEST BANK WITH RATIONALES.
A client is admitted to the mental health unit with the diagnosis of major depressive
disorder. Which statement alerts the nurse to the possibility of a suicide attempt?
1. ”I don't feel too good today."
2. "I feel much better; today is a lovely day."
3. "I feel a little better, but it probably won't last."4
"I'm really tired today, so I'll take things a little slower." ✓ Ans- 2
A rapid mood upswing and psychomotor change may signal that the client has made a decision and has
developed a plan for suicide. "I don't feel too good today"; "I feel a
a
During a group discussion it is learned that a group member hid suicidal urges and committed suicide several
days ago. What should the nurse leading the group be preparedto manage?
1. Guilt of the co-leaders for failing to anticipate and prevent the suicide
2. Guilt of group members because they could not prevent another's suicide
3. Lack of concern over the suicide expressed by several of the members in the group
4. Fear by some members that their own suicidal urges may go unnoticed and that they may go
unprotected ✓ Ans- 4
Ambivalence about life and death, plus the introspection commonly found in clients
These feelings must be handled within the support and supervisory systems
for the staff;
the group members are the primary concern. Guilt that the group's leaders or members might feel because
they could not prevent another's suicide will probably be a secondary concern of the group leader. Lack of
concern over the suicide expressed by several of themembers in the group is not a primary concern, but this
, HESI COMPUTERIZED ADAPTIVE TESTING (CAT) EXAM
2025/2026 TEST BANK WITH RATIONALES.
should be explored later to determine the reason for such apparent indifference, which may be a mask to cover
true feelings.
Which screening report will help the nurse determine skeletal growth in a child?
1. Electroencephalogram reports
2. .Radiographs of the hand and wrist
3. .Magnetic resonance imaging (MRI)
4. .Denver Developmental Screening Test ✓ Ans- 2
Skeletal growth in a child can be determined from the ossification centers. At 5 to 6
radiographs of the hand and wrist will help determine skeletal growth in the
child.
Electroencephalogram reports will help assess a child's brain activity. MRI is used to scanthe internal
structures of a client. The Denver Developmental Screening Test is used to understand developmental issues
of a child.
A client describes his delusions in minute detail to the nurse. How should the nurse respond?
1. Changing the topic to reality-based events
2. Continuing to discuss the delusion with the client
3. Getting the client involved in a social project with peers
4. Disputing the perceptions with the use of logical thinking ✓ Ans- 1 Decreasing time spent on
delusions prevents reinforcement of psychotic thinking.
Discussing reality-based events improves contact with reality. Encouraging discussion willgive validity to the
delusion. The client will have difficulty getting involved in a social activity; the activity will not stop the
delusion. Challenging the client may increase anxiety.
A nurse working on a mental health unit is caring for several clients who are at risk for suicide. Which client is
at the greatest risk for successful suicide?
2025/2026 TEST BANK WITH RATIONALES.
1-A nurse is counseling the spouse of a client who has a history of alcohol abuse. What doesthe nurse explain
is the main reason for drinking alcohol in people with a long history of alcohol abuse?
1 -They are dependent on it.
2 -They lack the motivation to stop.
3 -They use it for coping.
They enjoy the associated socialization. ✓ Ans- 1
Alcohol causes both physical and psychological dependence; the individual needs the alcohol to function.
Alcoholism is a disorder that entails physical and psychological dependence. Because alcohol is so
physiologically addictive, the client's body craves the alcohol, so most clients lack the motivation to stop
because they will go into withdrawal. Clients who abuse alcohol have numbed their ability to utilize other
coping mechanisms, soalcohol is used as an excuse for coping. People with alcoholism usually drink alone or
feel alone in a crowd; socialization is not the prime reason for their drinking.
How do adolescents establish family identity during psychosocial development? Select allthat apply.
1 -By acting independently to make his or her own decisions
2 -By evaluating his or her own health with a feeling of well-being
3 -By fostering his or her own development within a balanced family structure
4 -By building close peer relationships to achieve acceptance in the society
5 -By achieving marked physical changes ✓ Ans- 13
An adolescent establishes family identity by acting independently for taking important decisions about self.
They also need to foster their development along with maintaining a balanced family structure. Health
identity is associated with the evaluation of one's own
health with a feeling of well-being. By building close peer relationships, an adolescent develops a sense of
belonging, approval, and the opportunity to learn acceptable behavior.These actions establish an adolescent's
group identity. The sound and healthy growth of the adolescent, with marked physical changes, helps to build
an adolescent's sexual identity.
, HESI COMPUTERIZED ADAPTIVE TESTING (CAT) EXAM
2025/2026 TEST BANK WITH RATIONALES.
A clinic nurse observes a 2-year-old client sitting alone, rocking and staring at a small, shiny top that she is
spinning. Later the father relates his concerns, stating, "She pushes meaway. She doesn't speak, and she only
shows feelings when I take her top away. Is it something I've done?" What is the most therapeutic initial
response by the nurse?
1 -Asking the father about his relationship with his wife
2 -Asking the father how he held the child when she was an infant
3 -Telling the father that it is nothing he has done and sharing the nurse's observations of the child
4 -Telling the father not to be concerned and stressing that the child will outgrow this developmental
phase ✓ Ans- 3
The nurse provides support in a nonjudgmental way by sharing information and observations about the child.
This child exhibits symptoms of autism, which is not attributable to the actions of the parents. Asking the
father about his relationship with his wife or how he held the child when she was an infant indirectly indicates
that the parent may be at fault; it negates the father's need for support and increases his sense of guilt.
Telling the father not to be concerned and stressing that the child will outgrow this developmental phase is
false reassurance that does not provide support; the fatherrecognizes that something is wrong.
What is most appropriate for a nurse to say when interviewing a newly admitted depressedclient whose
thoughts are focused on feelings of worthlessness and failure?
1. ”Tell me how you feel about yourself."
2. "Tell me what has been bothering you."
3. "Why do you feel so bad about yourself?"
4. "What can we do to help you while you're here?" ✓ Ans- 1
Because major depression is a result of the client's feelings of self-rejection, it is importantfor the nurse to have
the client initially identify these feelings before developing a plan of care. Later discussion should be focused
on other topics to prevent reinforcement of negative thoughts and feelings. "Tell me what has been bothering
you" is asking the client to draw a conclusion; the client may be unable to do so at this time. Also, depression
may be related not to external events but instead to a client's psychobiology. Asking why does not let a client
explore feelings; it usually elicits an "I don't know" response. "What can wedo to help you while you're here?"
is beyond the scope of the client's abilities at this time.
, HESI COMPUTERIZED ADAPTIVE TESTING (CAT) EXAM
2025/2026 TEST BANK WITH RATIONALES.
A client is admitted to the mental health unit with the diagnosis of major depressive
disorder. Which statement alerts the nurse to the possibility of a suicide attempt?
1. ”I don't feel too good today."
2. "I feel much better; today is a lovely day."
3. "I feel a little better, but it probably won't last."4
"I'm really tired today, so I'll take things a little slower." ✓ Ans- 2
A rapid mood upswing and psychomotor change may signal that the client has made a decision and has
developed a plan for suicide. "I don't feel too good today"; "I feel a
a
During a group discussion it is learned that a group member hid suicidal urges and committed suicide several
days ago. What should the nurse leading the group be preparedto manage?
1. Guilt of the co-leaders for failing to anticipate and prevent the suicide
2. Guilt of group members because they could not prevent another's suicide
3. Lack of concern over the suicide expressed by several of the members in the group
4. Fear by some members that their own suicidal urges may go unnoticed and that they may go
unprotected ✓ Ans- 4
Ambivalence about life and death, plus the introspection commonly found in clients
These feelings must be handled within the support and supervisory systems
for the staff;
the group members are the primary concern. Guilt that the group's leaders or members might feel because
they could not prevent another's suicide will probably be a secondary concern of the group leader. Lack of
concern over the suicide expressed by several of themembers in the group is not a primary concern, but this
, HESI COMPUTERIZED ADAPTIVE TESTING (CAT) EXAM
2025/2026 TEST BANK WITH RATIONALES.
should be explored later to determine the reason for such apparent indifference, which may be a mask to cover
true feelings.
Which screening report will help the nurse determine skeletal growth in a child?
1. Electroencephalogram reports
2. .Radiographs of the hand and wrist
3. .Magnetic resonance imaging (MRI)
4. .Denver Developmental Screening Test ✓ Ans- 2
Skeletal growth in a child can be determined from the ossification centers. At 5 to 6
radiographs of the hand and wrist will help determine skeletal growth in the
child.
Electroencephalogram reports will help assess a child's brain activity. MRI is used to scanthe internal
structures of a client. The Denver Developmental Screening Test is used to understand developmental issues
of a child.
A client describes his delusions in minute detail to the nurse. How should the nurse respond?
1. Changing the topic to reality-based events
2. Continuing to discuss the delusion with the client
3. Getting the client involved in a social project with peers
4. Disputing the perceptions with the use of logical thinking ✓ Ans- 1 Decreasing time spent on
delusions prevents reinforcement of psychotic thinking.
Discussing reality-based events improves contact with reality. Encouraging discussion willgive validity to the
delusion. The client will have difficulty getting involved in a social activity; the activity will not stop the
delusion. Challenging the client may increase anxiety.
A nurse working on a mental health unit is caring for several clients who are at risk for suicide. Which client is
at the greatest risk for successful suicide?
