HESI 101 Module 4 Exam 2023 (HESI VN Questions with Correct Answers Rated 100%)

HESI 101 Module 4 Exam 2023 (HESI VN Questions with Correct Answers Rated 100%). A client says to the nurse, “It’s over for me—the whole thing is over.” Which response by the nurse would be therapeutic? You Answered “What do you mean, ‘The whole thing is over’?” “Over? Well, that sounds pretty drastic to me. Let’s discuss this in the strictest confidence.” “Can you tell me more about why it’s over for you? I’ll keep your thoughts strictly confidential.” “Let’s talk more about your feeling that the whole thing is over for you. This is important, and I may need to share your feelings with other staff members.” Correct Answer 2023/2024 Module 4 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Rationale: The therapeutic response seeks clarification, employs paraphrasing, and informs the client that the nurse needs to share any information that requires crisis intervention with other staff members. Asking “What do you mean, ‘The whole thing is over’?” employs paraphrasing, but the message is blunt and closed-ended. In stating “Over? Well, that sounds pretty drastic to me. Let’s discuss this in the strictest confidence,” the nurse uses hysterical exaggeration (at an inappropriate time) and gives incorrect information regarding confidentiality. In stating “Can you tell me more about why it’s over for you? I’ll keep your thoughts strictly confidential,” the nurse uses the therapeutic technique of seeking clarification but does not clarify with the client that the information might need to be shared. Test-Taking Strategy: Use the process of elimination. Eliminate the comparable or alike options that indicate that shared information will be maintained as confidential. To select from the remaining options, focus on the statement that addresses the client’s feelings. Review therapeutic communication techniques if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Communication and Documentation Content Area: Mental Health Question 5 1 / 1 pts A nurse performing a lethality assessment asks the client whether he is thinking of suicide. Which statement by the client would be of most concern to the nurse? Correct! “No, I wasn’t, but I am now, thanks to you.” “I hadn’t thought of that, but I can see that you are.” “Of course not, but there are days when I think that I should be.” 2023/2024 Module 4 Exam: HESI VN TXGRP 1912COHORT(VNE 39) “What is suicide going to do for me except get me excommunicated from the church?” Rationale: The client’s response that he is now thinking about suicide is of the greatest concern to the nurse. In making the statement “I hadn’t thought of that, but I can see that you are” the client projects his own thoughts of suicide onto the nurse. In stating “Of course not, but there are days when I think that I should be,” the client is being sarcastic but is not specifically talking about suicide. In stating “What is suicide going to do for me except get me excommunicated from the church?” the client indicates that suicide is not an option because of his religious beliefs. Test-Taking Strategy: Use the process of elimination and note the strategic words “of most concern to the nurse.” Note the words “but I am now” in the correct option. This is the only option that identifies definite suicidal thoughts. Review lethality assessment in the suicidal client if you had difficulty with this question. Cognitive Ability: Analyzing Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Assessment Content Area: Mental Health Question 6 1 / 1 pts A client who has expressed suicidal ideation in the past says to the nurse, while shuffling several documents in an effort to organize them, “Well, I’m feeling so much better now since I got organized. My lawyer wrote my will and durable power of attorney.” Which response by the nurse is appropriate? “Good grief! You don’t look organized to me.” 2023/2024 Module 4 Exam: HESI VN TXGRP 1912COHORT(VNE 39) “Okay, what are you up to today? Your behavior is not appropriate.” “You talk about getting organized. Are you thinking of killing yourself?” Correct! “If you keep behaving like this, you know that I’ll have to tell the doctor, and we’ll have to seclude you.” Rationale: The client is exhibiting behaviors that indicate plans for suicide. Talking of suddenly “feeling so much better” and putting affairs in order are key verbal and behavioral clues that the client is planning to commit suicide. In exclaiming “Good grief! You don’t look organized to me,” the nurse nontherapeutically uses hysterical exaggeration, which minimizes the client’s feelings. In asking “Okay, what are you up to today? Your behavior is not appropriate,” the nurse uses teasing to determine the client’s behaviors, which minimizes them. Additionally, the nurse is employing a nontherapeutic technique of judging. In stating “If you keep behaving like this, you know that I’ll have to tell the doctor and we’ll have to seclude you,” the nurse uses a threat. Test-Taking Strategy: Use the process of elimination. Focus on the information in the question and note the relationship between the words “expressed suicidal ideation” in the question and “thinking of killing yourself” in the correct option. Review the clues that indicate the potential for suicide if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Communication and Documentation Content Area: Mental Health Question 7 1 / 1 pts 2023/2024 Module 4 Exam: HESI VN TXGRP 1912COHORT(VNE 39) An adolescent client says, “I’m just a burden to my folks. They wish I’d never been born. My dad told me he had to marry Mom because she got pregnant.” Which response by the nurse would be therapeutic? “You’re feeling that your folks didn’t want you, but they chose to marry and have you.” Correct! “You feel that you were a burden and not wanted? Let’s talk with your parents to see whether you’re right.” “Let’s speak with your parents about what you’ve just told me. Let’s ask whether you were truly unwanted.” “Sounds like your father was very inappropriate, but I’m certain that he didn’t mean that you were a burden to him.” 2023/2024 Module 4 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Rationale: In the correct option, the nurse uses reflection to explore the client’s lethality risk and then uses reframing to determine whether the client is able to view what happened in a different way. In suggesting “You feel that you were a burden and not wanted? Let’s talk with your parents to see whether you’re right,” the nurse uses paraphrasing but is then nontherapeutic in trying to persuade the client to talk to the parents. In suggesting “Let’s speak with your parents about what you’ve just told me. Let’s ask whether you were truly unwanted,” the nurse uses a parental approach, which may be threatening to the client, who seems to have been unable to talk with the parents before now. In stating “Sounds like your father was very inappropriate, but I’m certain that he didn’t mean that you were a burden to him,” the nurse offers an opinion about the client’s father and then provides false reassurance. Test-Taking Strategy: Use the process of elimination. Eliminate the comparable or alike options that address discussing the client’s feelings with the parents. In selecting from the remaining options, remember to focus on the client’s feelings. Select the option that exemplifies therapeutic communication technique. This 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 Question 8 1 / 1 pts A client says to the nurse, “I’ve ruined my life. I left college with only a few credits to go. I keep telling myself that I’m going to make it as a writer, but I’ll be a loser and a nothing for the rest of my life.” Which response by the nurse is therapeutic? “What are you saying? Sounds like you need to pull yourself together and go back to school.” 2023/2024 Module 4 Exam: HESI VN TXGRP 1912COHORT(VNE 39) “Having faith in yourself is one thing, but looking at your alternatives realistically is another.” “You seem to be saying that your choices are final and that you’ve lost any other opportunities.” Correct! “Sounds like you feel that things should come easy for you, unlike the rest of us, who work for what we get.” Rationale: The client in this question is engaging in catastrophizing rather than reframing and viewing other alternatives. The task for the nurse is to assess the client’s situation and to help the client feel empowered to take another course of action and find the perseverance and confidence to do so. The therapeutic response here is the one that is nonjudgmental. In responding “What are you saying? Sounds like you need to pull yourself together and go back to school,” or “Sounds like you feel that things should come easy for you, unlike the rest of us, who work for what we get,” the nurse communicates with the client as a parent, using a judging style. In stating “Having faith in yourself is one thing, but looking at your options realistically is another,” the nurse communicates prematurely and gives advice. Test-Taking Strategy: Use the process of elimination and your knowledge of therapeutic communication techniques. Eliminate the comparable or alike options that demonstrate the nurse using a judging style to deal with the client. To select from the remaining options, eliminate the option that is nontherapeutic in that the nurse gives advice. 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 2023/2024 Module 4 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Question 9 1 / 1 pts A client who has twice attempted suicide says, “If people would just leave me alone and let me do what I want with my life, I could get on with what I want to do.” Which response should the nurse should give to the client? “Of course you can’t be left alone to get on with what you want to do.” “Okay, go ahead and do whatever you want to do. Human beings have free will