Psych Practice Hesi
An adolescent female client is Reassign an all-female healthcare team to the client until her fear
admitted to the Emergency subsides
Department because she reports
being raped. When the male
unlicensed assistive personnel
(UAP) enters the room to obtain her
vital signs, she begins screaming for
her mother and curls up in the
corner of the room. What action
should the nurse implement?
, Psych Practice Hesi
An adolescent who attempted Administer acetylcysteine (Mucocyst).
suicide with a drug overdose
arrives in the emergency Tylenol overdose is treated with immediate administration of
department with an empty 30- Mucomyst to prevent hepatic insult. The other actions are not
tablet bottle of acetaminophen indicated.
(Tylenol). Which action should the
nurse implement?
Administer acetylcysteine
(Mucocyst).
Monitor cardiac rhythm for flat T
waves.
Check both serum AST and ALT
levels.
Prepare to administer Syrup of
Ipecac.
An adult female who is married and How did this happen to you?
works full-time in a factory has
been absent from work for three
days at a time on several occasions.
Each time she returns to work, she
wears dark glasses to cover facial
bruising. Her supervisor refers her
to the occupational health nurse.
What assessment question should
the nurse use?
, Psych Practice Hesi
At the end of a group therapy Ask a group member to seek help.
session, a client who is hospitalized
for psychosis falls to the floor when
attempting to stand. What
intervention should the nurse
implement first?
, Psych Practice Hesi
A client actively involved in The client must participate in making decisions about one's own
substance addiction therapy physical and mental health.
frequently relapses into
benzodiazepines and alcohol use. The client has the right to self-determination and the responsibility
The client tells the nurse, "I don't to make a decision to pursue health or illness, so the client must
think I will ever be able to kick this actively participate, which the nurse should clarify with the client.
habit." How should the nurse The other responses are components in addiction recovery, but do
respond? not indicate the client's responsibility and primary commitment for
decision-making about self care and health.
The goal of the individual is one of
growth, health, autonomy, and self-
actualization.
All people have the right to an
equal opportunity for adequate
health care.
Dependence on an extensive
support system is needed to
overcome any addiction.
The client must participate in
making decisions about one's own
physical and mental health.
A client is pacing in the hall near You seem pretty upset. Tell me about it.
the nurses' station and swearing
loudly. What response is best for
the nurse to provide?
An adolescent female client is Reassign an all-female healthcare team to the client until her fear
admitted to the Emergency subsides
Department because she reports
being raped. When the male
unlicensed assistive personnel
(UAP) enters the room to obtain her
vital signs, she begins screaming for
her mother and curls up in the
corner of the room. What action
should the nurse implement?
, Psych Practice Hesi
An adolescent who attempted Administer acetylcysteine (Mucocyst).
suicide with a drug overdose
arrives in the emergency Tylenol overdose is treated with immediate administration of
department with an empty 30- Mucomyst to prevent hepatic insult. The other actions are not
tablet bottle of acetaminophen indicated.
(Tylenol). Which action should the
nurse implement?
Administer acetylcysteine
(Mucocyst).
Monitor cardiac rhythm for flat T
waves.
Check both serum AST and ALT
levels.
Prepare to administer Syrup of
Ipecac.
An adult female who is married and How did this happen to you?
works full-time in a factory has
been absent from work for three
days at a time on several occasions.
Each time she returns to work, she
wears dark glasses to cover facial
bruising. Her supervisor refers her
to the occupational health nurse.
What assessment question should
the nurse use?
, Psych Practice Hesi
At the end of a group therapy Ask a group member to seek help.
session, a client who is hospitalized
for psychosis falls to the floor when
attempting to stand. What
intervention should the nurse
implement first?
, Psych Practice Hesi
A client actively involved in The client must participate in making decisions about one's own
substance addiction therapy physical and mental health.
frequently relapses into
benzodiazepines and alcohol use. The client has the right to self-determination and the responsibility
The client tells the nurse, "I don't to make a decision to pursue health or illness, so the client must
think I will ever be able to kick this actively participate, which the nurse should clarify with the client.
habit." How should the nurse The other responses are components in addiction recovery, but do
respond? not indicate the client's responsibility and primary commitment for
decision-making about self care and health.
The goal of the individual is one of
growth, health, autonomy, and self-
actualization.
All people have the right to an
equal opportunity for adequate
health care.
Dependence on an extensive
support system is needed to
overcome any addiction.
The client must participate in
making decisions about one's own
physical and mental health.
A client is pacing in the hall near You seem pretty upset. Tell me about it.
the nurses' station and swearing
loudly. What response is best for
the nurse to provide?
