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HESI CAT 2023 TESTBANK LATEST EXAM GRADED A+
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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...

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  • November 15, 2023
  • 329
  • 2023/2024
  • Exam (elaborations)
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HESI CAT 2023 TESTBANK LATEST
EXAM GRADED A+
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. - CORRECT ANSWER 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

,HESI CAT 2023 TESTBANK LATEST
EXAM GRADED A+
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 - CORRECT ANSWER 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.

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

,HESI CAT 2023 TESTBANK LATEST
EXAM GRADED A+
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 - CORRECT ANSWER 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 father recognizes 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."

, HESI CAT 2023 TESTBANK LATEST
EXAM GRADED A+
3

"Why do you feel so bad about yourself?"

4

"What can we do to help you while you're here?" - CORRECT ANSWER 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." - CORRECT ANSWER 2

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