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HESI Mental Health RN 2026

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 33 pages. Originally published on StudyMerit.

Pages
33
Academic year
2025/2026
Language
English

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Practice Test Assessment Performance Which action should the nurse implement fi rst for a client experiencing alcohol withdrawal? Rationale During alcohol withdrawal, self-destructive or violent behavior can occur due to agitation and hallucinations and cause a potentially immediate and life-threatening risk to the client and others. The nurse should fi rst provide a safe environment by removing any potential objects that could in fl ict self- injury. Secondary prevention strategies, administration of medications, and nutrition needs are then indicated. Return to Overview 100% Correct Well done! Let's review your results from 3/31/2026 at 6:29 pm EST Correct Apply vest or extremity restraints. Give an alpha-adrenergic blocker. Provide a diet high in protein and calories. Prepare the environment to prevent self-injury. messages.downloaded_by lOMoARcPSD|6879242

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An adolescent female client is admitted to the Emergency 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. Which action should the nurse implement? Rationale An adolescent female who has been physically violated and emotionally traumatized needs a non- threatening environment, and reassigning this client to all-female personnel is best to reduce her fear and anxiety related to rape. The other actions do not speci fi cally address the client's fear of the male UAP. A client who abuses alcohol says to the nurse, "I am glad I went in for treatment. Now my problems with alcohol are all behind me." Which response is best for the nurse to provide? Rationale Those who attend alcohol treatment programs and Alcoholics Anonymous never put drinking problems behind them and describe alcoholics as only one step away from a slip in maintaining sobriety. The Reassure the client that the male UAP is a sta ff member who wants to help her. Tell the client that her fear is understandable under these circumstances. Reassign an all-female healthcare team to the client until her fear subsides. Ask her mother to please stay with her throughout the assessment procedures. Yes, but do you know that the treatment program you attended has an excellent success pro fi le? Tell me more about what you mean when you say that your problems with alcohol are now behind you. You are likely to have a di ffi cult time staying sober if you think that problems with alcohol are behind you. Do you know what "one day at a time" means for those who have problems with alcohol? messages.downloaded_by lOMoARcPSD|6879242

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nurse should use re fl ection and encourage the client to further describe their feelings. The other responses do not encourage the client to re fl ect on their recovery. At the end of a group therapy session, a client who is hospitalized for psychosis falls to the fl oor when attempting to stand. Which intervention should the nurse implement fi rst ? Rationale First, help should be obtained while the nurse remains with the client. Next, an assessment of the client should be completed. Lastly, the client should be positioned to prevent aspiration while recovering. The daughter of a female client with stage-1 Alzheimer's disease (AD) asks the nurse what changes should she expect her mother to demonstrate in this stage. Which fi nding should the nurse tell the daughter is common? Rationale Evidence indicates that frequent incidences of confusion, such as being unable to recognize one's location in a familiar environment are associated with the early stages of Alzheimer’s Disease. The other manifestations occur in the later stages of AD. Ask a group member to seek help. Obtain the client's blood pressure. Position in a recovery position. Assess the client's level of orientation. Inability to recognize one's location. Personality changes and agitation. Depression and emotional lability. Alterations in communication. messages.downloaded_by lOMoARcPSD|6879242

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