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
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
