HESI Computerized Adaptive Testing 7(CAT) with Rationales Latest updated 2022
A nurse is counseling the spouse of a client who has a history of alcohol abuse. What does the nurse explain is the main reason for drinking alcohol in people with a long history of alcohol abuse?
1
They are depende...
hesi computerized adaptive testing 7cat with rationales latest updated 2022
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HESI Computerized Adaptive Testing 7(CAT) with Rationales
Latest updated 2022
A nurse is counseling the spouse of a client who has a history of alcohol abuse.
What does the 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. 4
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, so alcohol 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 all that 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-being3
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- 1,3
,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.
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 me away.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 thechild
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 depressed client 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
important
for 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 we do
to help you while you're here?" is beyond the scope of the client's abilities at
this time.
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 little better, but it probably won't last"; and "I'm really tired
today, so I'll take things a little slower" are all typical of the depressed client;
none of these statements signals a change in mood.
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 prepared to 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
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