Tentamen (uitwerkingen)

Module 3 Exam: HESI VN 2021

Beoordeling

Verkocht

Pagina's

146

Cijfer

A+

Geüpload op

07-03-2022

Geschreven in

2021/2022

Question 1 1 / 1 pts 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 Correct! Displacement Identification Rationale: The defense mechanism of displacement involves the discharge of intense feelings for one person onto a substitute person or object that is less threatening to satisfy an impulse. Projection involves attributing an attitude, behavior, or impulse, such as that which occurs in blaming or scapegoating, to someone else. Sublimation is the act of rechanneling an impulse into a more socially acceptable object. Identification involves modeling behavior after someone else's. Test-Taking Strategy: Use the process of elimination and knowledge regarding the subject, defense mechanisms. Focusing on the data in the question and the child’s behavior will direct you to the correct option. Review these defense mechanisms if you had difficulty with this question. Cognitive Ability: Understanding Client Needs: Psychosocial Integrity Integrated Process: Nursing Process/Data Collection Content Area: Mental Health Question 2 1 / 1 pts 7/19/2021 Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 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! Rationale: Although suggestion or overt giving of advice is sometimes nontherapeutic, these strategies are therapeutic when used in the working phase, because in this situation they will increase the client’s perception of all available options in the treatment plan. Answering “Sounds fine to me. Let’s meet again in 6 months” stops the communication process. Stating to the client that he or she has not lost any weight implies disbelief and does not explore the reasons for the client’s failure to lose weight. “Testing” challenges the client and is nontherapeutic. Test-Taking Strategy: Use the process of elimination and therapeutic communication techniques. Noting the words “working phase” in the question will direct you to the correct option. Review therapeutic communication techniques if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health 7/19/2021 Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Question 3 1 / 1 pts 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.” Correct! “Don’t worry. Everyone who comes in here for the first time feels reluctant to talk.” 7/19/2021 Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Rationale: The intake interview is usually the first contact with the client. It is intended to establish rapport, to help the nurse understand the client’s current problem and level of functioning, and to help the nurse formulate a nursing care plan. The clinician usually allows the client to set the pace of the interview and uses open-ended questions to elicit a comprehensive diagnostic picture of the client’s problems and level of coping. Sharing concerns is a good place to start the conversation because it will allow the client to express feelings. The response “Why not just start talking and see where it takes you?” is too general and does not provide the client with a focus on self. Telling the client not to worry is nontherapeutic and avoids addressing the client’s concerns. Test-Taking Strategy: Use your knowledge of therapeutic communication techniques. Focusing on the client’s feelings will direct you to the correct option. Review therapeutic communication techniques if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health

Meer zien Lees minder

Instelling

Vak

Voorbeeld van de inhoud

7/19/2021 Module i3 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)

Question 1 i
pts
i i i

The imother iof ia i3-year-old ichild itells ithe inurse ithat iher ichild ihit
iher idoll iafter ithe imother iscolded iher ifor ipicking ithe ineighbors’

iflowers. iWhich idefense imechanism iused iby ithe ichild idoes ithe

inurse iidentify iin ithe imother’s ireport?

Projection

Sublimation

Co
orrrec
ct! Displacement

Identification

Rationale: iThe idefense imechanism iof idisplacement
iinvolves ithe idischarge iof iintense ifeelings ifor ione iperson

ionto ia isubstitute iperson ior iobject ithat iis iless ithreatening ito

isatisfy ian iimpulse. iProjection iinvolves iattributing ian

iattitude, ibehavior, ior iimpulse, isuch ias ithat iwhich ioccurs iin

iblaming ior iscapegoating, ito isomeone ielse. iSublimation iis

ithe iact iof irechanneling ian iimpulse iinto ia imore isocially

iacceptable iobject. iIdentification iinvolves imodeling

ibehavior iafter isomeone ielse's.

Test-Taking iStrategy: iUse ithe iprocess iof ielimination iand
iknowledge iregarding ithe isubject, idefense imechanisms.

iFocusing ion ithe idata iin ithe iquestion iand ithe ichild’s

ibehavior iwill idirect iyou ito ithe icorrect ioption. iReview ithese

idefense imechanisms iif iyou ihad idifficulty iwith ithis iquestion.

Cognitive iAbility: iUnderstanding

Client iNeeds: iPsychosocial iIntegrity

Integrated iProcess: iNursing iProcess/Data iCollection

Content iArea: iMental iHealth

Question 2 i
pts
i i i

https://concorde.instructure.com/courses/18612/quizzes/83923?module_item_id=1519719 1/146

,7/19/2021 Module i3 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)

A iclient isays ito ithe inurse, i“I’ve ibeen ifollowing imy idiet iand itaking
imy i medication. iWhat ielse ido iyou iwant ito italk iabout itoday?” iWhich

iresponse iwould ibe imost ihelpful iduring ithe iworking iphaseiof ithe

itherapeutic ialliance?

“Sounds ifine ito ime. iLet’s imeet iagain iin i6 imonths.”

“I idon’t ibelieve ithat iyou ihave ibeen ifollowing iyour idiet ibecause
iyou ihaven’t ilost iany iweight.”

“Well, iyou’ve italked iabout idiet iin iyour iterms, ibut iperhaps iI
ishould itest iyou ion ispecific ithings.”

Co
orrrec
ct!
“Some ipeople ihave iadded iexercise ito idiet iand imedication
itherapy iand igotten ipositive iresults. iDo iyou ithink ithat ithis iwould

iw ork ifor iyou?”

Rationale: iAlthough isuggestion ior iovert igiving iof iadvice iis
isometimes inontherapeutic, ithese istrategies iare

itherapeutic iwhen iused iin ithe iworking iphase, ibecause iin

ithis isituation ithey iwill iincrease ithe iclient’s iperception iof iall

iavailable ioptions iin ithe itreatment iplan. iAnswering i“Sounds

ifine ito ime. iLet’s imeet iagain iin i6 imonths” istops ithe

icommunication iprocess. iStating ito ithe iclient ithat ihe iorishe

ihas inot ilost iany iweight iimplies idisbelief iand idoes inot

iexplore ithe ireasons ifor ithe iclient’s ifailure ito ilose iweight.

i“Testing” ichallenges ithe iclient iand iis inontherapeutic.

Test-Taking iStrategy: iUse ithe iprocess iof ielimination iand
itherapeutic icommunication itechniques. iNoting ithe iwords

i“working iphase” iin ithe iquestion iwill idirect iyou ito ithe

icorrect ioption. iReview itherapeutic icommunication

itechniques iif iyou ihad idifficulty iwith ithis iquestion.

Cognitive iAbility: iApplying

Client iNeeds: iPsychosocial iIntegrity

Integrated iProcess: iCommunication iand iDocumentation

Content iArea: iMental iHealth

https://concorde.instructure.com/courses/18612/quizzes/83923?module_item_id=1519719 2/146

,7/19/2021 Module i3 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)

Question 3 i
pts
i i i

As ithe inurse iprepares ito iinterview ia iclient ibeing iadmitted ito ithe
imental ihealth iunit, ithe iclient isays, i“I iasked imy ifamily ito ibring imeii n

ihere ito italk ito isomeone, ibut inow iI idon’t iknow iwhere ito ibegin.”

iW hich iresponse iby ithe inurse iwould ibe imost ihelpful?

“Why inot ijust istart italking iand isee iwhere iit itakes iyou?”

“If iI iwere iyou, iI’d ibegin iwith iwhat iyou iwere idoing ithis imorning.”

Co
orrrec
ct!
“Perhaps iyou ican istart iby isharing isome iof iyour imost irecent
iconcerns.”

“Don’t iworry. iEveryone iwho icomes iin ihere ifor ithe ifirst itime ifeels
ireluctant ito italk.”

https://concorde.instructure.com/courses/18612/quizzes/83923?module_item_id=1519719 3/146

, 7/19/2021 Module i3 iExam: iHESI iVN iTXGRP i1912COHORT(VNE
i39)

Rationale: iThe iintake iinterview iis iusually ithe ifirst icontact
iwith ithe iclient. iIt iis iintended ito iestablish irapport, ito ihelp ithe

i nurse i understand i the i client’s i current iproblem i and ilevel iof

ifunctioning, iand ito ihelp ithe inurse iformulate ia inursing icare

iplan. iThe iclinician iusually iallows ithe iclient ito iset ithe ipace

iof ithe iinterview iand iuses iopen-ended iquestions ito ielicit ia

icomprehensive idiagnostic ipicture iof ithe i client’s i problems

i and ilevel i of i coping. i Sharing iconcerns iis i a i good i place i to

i start i the i conversation ibecause iit iwill iallow ithe iclient ito

iexpress ifeelings. iThe iresponse i“Why inot ijust istart italking

iand isee iwhere iit itakesiyou?” iis itoo igeneral iand idoes inot

iprovide ithe iclient iwith ia ifocus ion iself. iTelling ithe iclient inot

ito iworry iis inontherapeutic iand iavoids iaddressing ithe

iclient’s iconcerns.

Test-Taking iStrategy: iUse iyour iknowledge iof itherapeutic
icommunication itechniques. iFocusing ion ithe iclient’s

ifeelings iwill idirect iyou ito ithe icorrect ioption. iReview

itherapeutic icommunication itechniques iif iyou ihad idifficulty

iwith ithis iquestion.

Cognitive iAbility: iApplying

Client iNeeds: iPsychosocial iIntegrity

Integrated iProcess: iCommunication iand iDocumentation

Content iArea: iMental iHealth

Question 4 i
pts
i i i

During ia imental ihealth iintake iinterview, ia iyoung iadult iclient iwho
ilives iwith ihis ifamily irent ifree isays, i“I’m itired iof inot ibeing iable ito

ioffer imy ifriends ia ibeer ijust ibecause imy ifolks idon’t ibelieve iin

itaking ia idrink isocially.” iWhich inursing iresponse iwould ibe

itherapeutic?

“Well, iI iguess iyou icould imove iout iand ilive ion iyour iown iif iyou
wanted ito.”

Co
orrrec
ct!
“It iseems ithat iyour iparents iexpect iyou ito ifollow itheir irules iwhen
you ilive iunder itheir iroof.”

https://concorde.instructure.com/courses/18612/quizzes/83923?module_item_id=1519719 4/146

Meld schending auteursrecht

Geschreven voor

Instelling: Concorde Career College
Vak: HESI 101

Alle documenten voor dit vak (37)

Documentinformatie

Geüpload op: 7 maart 2022
Aantal pagina's: 146
Geschreven in: 2021/2022
Type: Tentamen (uitwerkingen)
Bevat: Vragen en antwoorden

Onderwerpen

question 1 1 1 pts 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 c

$22.99

Krijg toegang tot het volledige document:

Geschreven door studenten die geslaagd zijn

Direct beschikbaar na je betaling

Online lezen of als PDF

Maak kennis met de verkoper

academicmaster

3.9

(111)

Maak kennis met de verkoper

academicmaster Chamberlain College Of Nursing

Bekijk profiel

Volgen

Verkocht

772

Lid sinds

6 jaar

Aantal volgers

676

Documenten

5998

Laatst verkocht

1 maand geleden

MIDTERM & FINALS

Get all latest Quizzes, Test Banks, Midterm and Final Exams. Ace your Exams with My Papers Guaranteed to help you score A in everything.

3.9

111 beoordelingen

Recent door jou bekeken

Waarom studenten kiezen voor Stuvia

Gemaakt door medestudenten, geverifieerd door reviews

Kwaliteit die je kunt vertrouwen: geschreven door studenten die slaagden en beoordeeld door anderen die dit document gebruikten.

Niet tevreden? Kies een ander document

Geen zorgen! Je kunt voor hetzelfde geld direct een ander document kiezen dat beter past bij wat je zoekt.

Betaal zoals je wilt, start meteen met leren

Geen abonnement, geen verplichtingen. Betaal zoals je gewend bent via iDeal of creditcard en download je PDF-document meteen.

“Gekocht, gedownload en geslaagd. Zo makkelijk kan het dus zijn.”

Alisha Student

Veelgestelde vragen

Wat krijg ik als ik dit document koop?

Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.

Tevredenheidsgarantie: hoe werkt dat?

Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.

Van wie koop ik deze samenvatting?

Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper academicmaster. Stuvia faciliteert de betaling aan de verkoper.

Zit ik meteen vast aan een abonnement?

Nee, je koopt alleen deze samenvatting voor $22.99. Je zit daarna nergens aan vast.

Is Stuvia te vertrouwen?

4,6 sterren op Google & Trustpilot (+1000 reviews) Afgelopen 30 dagen zijn er 50910 samenvattingen verkocht Opgericht in 2010, al 16 jaar dé plek om samenvattingen te kopen

Module 3 Exam: HESI VN 2021

Voorbeeld van de inhoud

Geschreven voor

Documentinformatie

Onderwerpen

Maak kennis met de verkoper

Recent door jou bekeken

Waarom studenten kiezen voor Stuvia

Gemaakt door medestudenten, geverifieerd door reviews

Niet tevreden? Kies een ander document

Betaal zoals je wilt, start meteen met leren

Bezig met je bronvermelding?

Veelgestelde vragen

Wat krijg ik als ik dit document koop?

Tevredenheidsgarantie: hoe werkt dat?

Van wie koop ik deze samenvatting?

Zit ik meteen vast aan een abonnement?

Is Stuvia te vertrouwen?