HESI Computerized Adaptive Testing CAT With Rationales All new for 2026/2027

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-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 - Ans-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

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 - Ans-3