HESI quiz motivation
A client comes to the health care provider's office for a 14-year-old wellness visit. Which is the most important anticipatory guidance that can be offered?
1 Abstinence 2 Healthy diet Correct 3 Ways to prevent accidents 4 Correct handwashing technique
After a mild brain attack (cerebrovascular accident, CVA) a client has difficulty grasping objects with the dominant hand. Which specific range-of-motion exercise would the nurse teach the client?
1 Eversion 2 Supination Correct 3 Opposition 4 Circumduction
A female adolescent has anorexia nervosa and is malnourished and severely underweight. Which statement indicates that she is experiencing secondary gains from her behavior?
1 "I'm huge; I'm as big as a house." 2 "I get straight A's in all my subjects." Correct 3 "My mother keeps trying to get me to eat." 4 "My hair is beginning to fall out in clumps."
Which options for communication immediately after total laryngectomy would be best for the client to use? Select all that apply. One, some, or all responses may be correct.
Correct 1 Electrolarynx Correct 2 Alphabet board Correct 3 Picture board 4 Esophageal speech Correct 5 Smartphone text-to-speech application
A client who had a right total hip replacement is progressing from the use of a walker to the use of a cane. In which hand would the nurse teach the client to hold the cane?
Correct 1 Left hand 2 Right hand 3 Stronger hand 4 Dominant hand
A client does not take his or her medication regularly and is depressed. Which inference can the nurse make about the client's motivational level?
Correct 1 Not motivated 2 Intrinsically motivated 3 Extrinsically motivated with self-determination 4 Extrinsically motivated without self-determination
A client with rheumatoid arthritis is in the convalescent stage of an exacerbation. The client states, "The only time I am without pain is when I lie perfectly still." Considering the client's statement, which intervention would the nurse encourage the client to do?
Correct 1 Participate in active joint flexion and extension exercises. 2 Perform flexion exercises three times a day. 3 Do range-of-motion (ROM) exercises once a day. 4 Refrain from exercising until remission occurs.
Based on Maslow's hierarchy of needs, which client is demonstrating characteristics of self-actualization?
1 Client is competent and is esteemed by others for accomplishing work goals 2 Client maintains a stable, loving, same-sex partnership for several years 3 Client learns to sublimate aggressive impulses using physical exercises Correct 4 Client has an accurate perception of reality and is accepting of self and others
After an assessment, the nurse observes a feeling of an altered perception of body appearance in an adolescent. Which action would be beneficial in this situation? Select all that apply. One, some, or all responses may be correct.
1 Developing a mutually agreeable targeted daily caloric intake goal 2 Monitoring activities of detrimental behaviors like purging and binging Correct 3 Providing a therapeutic discussion of personal attributes perceived as positive Correct 4 Encouraging a discussion of maladaptive behaviors surrounding food and fluid intake Correct 5 Involving the adolescent in activities designed to promote a positive image of self-worth and accomplishment
Which action would the nurse implement to assist a client's development of independence, after experiencing a cerebrovascular accident (CVA) 2 weeks ago?
1 Establish long-range goals for the client. Correct 2 Reinforce success in tasks accomplished. 3 Point out errors in performance on which to focus. 4 Explain ways the client can regain independence in activities.
A client at the fertility clinic is being treated for hypertension and obesity and has lost 8 lb (3.6 kg) in the past month, and her blood pressure has decreased to 154/98 mmHg. She states she is using self-control strategies to achieve these improvements. Which would be a therapeutic response by the nurse?
1 Explaining to the client that her current program needs revision to improve results Correct 2 Acknowledging the client's achievement while encouraging continuation of her current program 3 Emphasizing to the client the importance of exercise in addition to reduced sodium and caloric intake 4 Recommending that the client ask her health care practitioner about a prescription for an antihypertensive or a diuretic
Which are extrinsic factors that determine motivation? Select all that apply. One, some, or all responses may be correct.
1 Fear of failure 2 Educational level Correct 3 Human resources Correct 4 Community systems Correct 5 Accessibility of facilities
Which client factor would the nurse consider to have the greatest effect on the effectiveness of bariatric surgery?
1 Freedom from concurrent high-risk conditions Correct 2 Motivation to cooperate with required lifestyle changes 3 Willingness to have a panniculectomy a year after weight is stabilized 4 Ability to tolerate a large abdominal incision if it is necessary for this surgery
To implement primary prevention of sexually transmitted infections (STIs) the nurse is counseling an adolescent. Which would be the priority nursing action?
1 Help the adolescent recognize the risk. 2 Provide complete information about STIs. Correct 3 Assess the adolescent's sexual risk behaviors. 4 Educate the adolescent about proper preventive measures.
A client with malabsorption syndrome secondary to celiac sprue reports symptoms associated with the disease. For symptom improvement, the nurse would make which recommendation?
1 Increase in folic acid 2 Increase in vitamin B12 3 Reducing corticosteroid intake Correct 4 Maintaining a gluten-free diet
During a home visit, the nurse finds that a healthy older adult person is actively practicing laughing therapy to maintain good health without pressure or insistence from family members. Which inference about the client would the nurse make from these findings?
1 Not motivated Correct 2 Intrinsically motivated 3 Extrinsically motivated with self-determination 4 Extrinsically motivated without self-determination
Which instruction provides a client the best description of how to use a prescribed, stationary (nonrolling) walker?
1 Place the walker's back leg tips about an arm's length ahead of the feet, shift the body weight to the walker, and step forward. 2 Move the walker about an arm's length ahead while stepping forward and transferring body weight to all walker leg tips. Correct 3 Put the walker's front leg tips about an arm's length ahead of the feet, shift the body weight to the walker, and step forward. 4 Position the walker's front leg tips onto the floor about an arm's length ahead of the feet and step forward until all tips touch the floor.
A client with stomach cancer expresses a lack of interest in food and consumes only small amounts. Which nursing intervention is best for meeting the dietary needs for this client?
1 Smaller portions more frequently Correct 2 Nutritional supplements between meals 3 Supplementary vitamins to stimulate appetite 4 Only food the client likes in small portions at mealtimes
Which action would the nurse teach an older adult to take to prevent frequent colds (viral rhinitis)?
1 Taking antihistamines as soon as symptoms begin 2 Spending more time indoors during the cold season 3 Wearing extra layers whenever going outside in winter Correct 4 Washing hands before putting them near the nose or mouth
A client reports that the client's family members are pressuring the client to attend physical therapy sessions. Which conclusion would the nurse make from this report?
1 The client is not motivated. 2 The client is intrinsically motivated. 3 The client is extrinsically motivated with self-determination. Correct 4 The client is extrinsically motivated without self-determination.
The nurse is caring for a client who is a newly diagnosed type 1 diabetic. The client appears willing to learn how to manage the disease by stating, "I will take insulin regularly to maintain my blood sugar levels." Which inference would the nurse make from this information?
1 The client is not motivated. 2 The client is intrinsically motivated. Correct 3 The client is extrinsically motivated with self-determination. 4 The client is extrinsically motivated without self-determination.
Why would the nurse establish "moderately hard" client-centered goals? Select all that apply. One, some, or all responses may be correct.
1 To decrease the cost of treatment during therapy 2 To decrease the number of follow-up visits by the client 3 To achieve the goal in a shorter period of time with less effort Correct 4 To prevent the client from quitting before the goal is achieved Correct 5 To prevent the client from losing motivation toward achieving the goal
The nurse is coordinating care for a client with severe rheumatoid arthritis. Which health team perspective for planning care would promote the client's self-reliance and independence?
1 Treating the process as a series of limited objectives Correct 2 Developing a positive attitude toward the eventual outcome 3 Understanding that little can be accomplished 4 Recognizing that a nursing home type of facility is needed
For clients with anorexia nervosa, which elements would be included in the therapeutic milieu? Select all that apply. One, some, or all responses may be correct.
Correct 1 Precise meal times 2 Daily weights Correct 3 Behavioral contracts Correct 4 Observation before and after meals Correct 5 Adherence to the selected menu 6 Frequent interaction with healthy peers
Which question would the nurse ask to obtain information about a bulimic client's intake habits and patterns?
1 "Are you trying to control other people through the use of food?" 2 "When you socialize, do you find that you eat more than when you eat by yourself?" 3 "Do you find yourself eating more right before the beginning of your menstrual cycle?" Correct 4 "How often are you eating in response to your feelings rather than because you're hungry?"
The nurse is planning to provide self-care health information to several clients. Which client would the nurse anticipate will be most motivated to learn?
1 A 55-year-old client who had a mastectomy and is very anxious about her body image 2 An 18-year-old client who smokes cigarettes and is in denial about the dangers of smoking Correct 3 A 56-year-old client who had a heart attack last week and is requesting information about exercise 4 A 47-year-old client who has a long-leg cast after sustaining a broken leg and is still experiencing severe pain
In the clinical setting, which clients exhibit affiliative motivation? Select all that apply. One, some, or all responses may be correct.
1 A client who follows a low-fat diet due to the fear of having a heart attack Correct 2 An obese teenager who follows dietary restrictions to fit in with a peer group 3 A client who becomes a vegetarian, loses weight, and continues with the change Correct 4 A client who complies with taking his or her medication to please the client's spouse 5 A young person who performs aerobic exercise and also teaches others to exercise
Which action would the nurse take for an adolescent client with anorexia nervosa?
Correct 1 Reward weight gain by increasing privileges. 2 Discuss the importance of eating a balanced diet. 3 Encourage the client to include high-calorie foods in the diet. 4 Suggest family therapy to focus on the client's behavior.
Which would the nurse assess to determine whether a 75-year-old individual is meeting the developmental tasks associated with aging?
1 Achievement of a personal philosophy 2 Adaptation to the children leaving home Correct 3 Attainment of a sense of worth as a person 4 Adjustment to life in an assisted-living facility
When caring for a client hospitalized with deep vein thrombosis, which topic would the nurse include when doing discharge teaching about ways to avoid another venous thrombosis?
1 Daily aspirin use Correct 2 Frequent ambulation 3 Warm soaks to legs 4 Avoidance of cold
Which characteristics influence the intrinsic factors that determine motivation? Select all that apply. One, some, or all responses may be correct.
1 Family 2 Cultural values Correct 3 Cognitive level Correct 4 Self-confidence Correct 5 Emotional readiness
Which reason would likely be the cause for a 65-inch (165 cm) tall 15-year-old girl weighing 80 lb (36.3 kg) being admitted to a mental health facility?
Correct 1 A desire to control her life 2 The wish to be accepted by her peers 3 The media's emphasis on the beauty of thinness 4 A delusion in which she believes that she must be thin
Which behavior by a client who has had an ST-segment-elevation myocardial infarction indicates that the nurse's actions to improve client autonomy have been successful?
Correct 1 Active participation in providing self-care 2 Verbalizing realistic expectations of caregivers 3 Discussing necessary lifestyle changes with family members 4 Listing the indicators of recovery after a myocardial infarction
Which action would the nurse take for a newly admitted client with schizophrenia who refuses to remove dirty clothing?
Correct 1 Allow the client to undress when ready to help maintain identity. 2 Provide two outfits and help the client decide which one to wear. 3 Explain that clean clothes will look more attractive and increase self-esteem. 4 Get assistance to remove the clothing to meet the client's basic hygiene needs.
Which is the correct nursing intervention when assessing a client with anxiety?
Correct 1 Divide the assessment and do it over shorter amounts of time. 2 Complete the client assessment in a shorter amount of time. 3 Postpone the client assessment until a more beneficial time. 4 Do the assessment in a soft-spoken voice for a longer duration.
Which findings would the history likely reveal about a young client with anorexia nervosa? Select all that apply. One, some, or all responses may be correct.
Correct 1 Ritualistic behaviors Correct 2 Desire to improve self-image 3 Supportive parent-child relationship 4 Low achievement in school with little concern for grades 5 Satisfaction with and a desire to maintain current weight
