HESI Specialty Test Review:
Psychiatric/Mental Health Nursing 154
complete solutions.
HESI Specialty Test Review:
Psychiatric/Mental Health Nursing 154
complete solutions.
Your patient has an admitting diagnosis of alcohol withdrawal syndrome. You receive a phone call at the
nurses' station from a person who says he is the patient's minister and wants to know if the patient "fell
off the wagon again" and when visitation hours are. What is your best response?
A: "Yes, the patient drank too much, but he should be fine in a few
days. Visiting hours are 9 A.M. to 6 P.M."
B: "We do not give out any information. Visitation hours in the hospital
are from 9 A.M. to 6 P.M. daily."
C: "Please pray for the patient; he is in bad shape. You can visit him
anytime between 9 A.M. and 6 P.M. daily."
D: "Please contact the hospital's chief executive officer, who can give
you the information you are requesting." - ANSWER B: "We do not give out any information. Visitation
hours
in the hospital are from 9 A.M. to 6 P.M. daily."
(+) Patient confidentiality is required, and there is no
way to verify the identity of the person calling.
Your patient has been hospitalized for acute alcohol withdrawal. It is the fifth day, and he is having
visual hallucinations followed by a seizure. What is the most likely source of the patient's problem?
A: Autonomic dysreflexia (AD)
B: A brain tumor
,HESI Specialty Test Review:
Psychiatric/Mental Health Nursing 154
complete solutions.
C: Sleep deprivation
D: Delirium tremens (DTs) - ANSWER D: Delirium tremens (DTs)
(+) Delirium tremens occurs as acute alcohol withdrawal
progresses. It includes symptoms such as clouding
of sensorium, hallucinations, seizures, and autonomic
hyperactivity.
Which of the following assessments is used to confirm alcohol intake?
A: Pupil dilation
B: Serum sample
C: Hair shaft analysis
D: Sputum sample - ANSWER B: Serum sample
(+) Urine and serum samples are toxicology specimens used to assess and monitor alcohol withdrawal.
Which of the following questions is most appropriate to ask in screening for a potential problem of high
alcohol intake?
A: "Have you felt you should cut down on your alcohol
consumption?"
B: "Do you enjoy getting smashed?"
C: "Have you ever thought about killing someone?"
D: "In the last week, have you had a glass of wine?" - ANSWER A: "Have you felt you should cut down on
your alcohol
consumption?"
,HESI Specialty Test Review:
Psychiatric/Mental Health Nursing 154
complete solutions.
(+) Screening requires questions associated with cutting down, feelings of guilt about drinking, and
having a first drink in the morning.
Your patient in the Emergency Department has a diagnosis of acute alcohol withdrawal syndrome
(AWS). He is acting euphoric, yet shy. The APN has prescribed the following care: CAGE questionnaire,
serum for toxicology, IV of D5 1/2 NS and 1 amp multivitamin (MVI) at 75 mL/h, neuro check q 1 h. What
is your first priority?
A: Administer the CAGE questionnaire
B: Start the IV
C: Do the neuro check
D: Obtain a serum blood sample - ANSWER D: Obtain a serum blood sample
(+) Obtain a toxicology sample, as the patient is too euphoric to answer the CAGE questionnaire. The IV
and neuro checks can wait.
Your patient sees you at a preplanned postoperative visit 4 weeks after being hospitalized for acute
alcohol withdrawal. Upon questioning, she states that her husband is abusive, so she drinks to "drown
out his yelling." The patient also complains of depression and severe pain in the epigastric region that
radiates to her back and has been constant since yesterday. She has vomited twice in the past 12 hours.
What is your first priority?
A: Refer her immediately for treatment of depression
B: Call social services and report spousal abuse
C: Assess her for pancreatitis
D: Administer a test or scale that assesses alcohol withdrawal - ANSWER C: Assess her for pancreatitis
Approximately 65% of cases of pancreatitis are related to alcohol. This patient is exhibiting the classic
symptoms of this disease.
, HESI Specialty Test Review:
Psychiatric/Mental Health Nursing 154
complete solutions.
Prolonged alcohol ingestion can cause disorders of the liver such as:
A: Pancreatitis
B: Hypomagnesemia
C: Cirrhosis
D: Colitis - ANSWER C: Cirrhosis
(+) Cirrhosis is a liver disorder that can result from
prolonged ingestion of alcohol.
Adolescent suicide has increased over the past and is among the top five causes of death in U.S.
adolescents.
A: TRUE
B: FALSE - ANSWER A: TRUE
(+) Adolescent suicides have quadrupled since 1950 and
are the third leading cause of death in U.S.
adolescents.
Your patient has just received his sixth electroconvulsant therapy outpatient treatment. He tells you that
he plans to drive himself home because his wife is working at her part-time job today. What is your best
response?
A: "Be careful and drive slowly."
B: "You need to wait 30 minutes and then you will be safe to drive."
Psychiatric/Mental Health Nursing 154
complete solutions.
HESI Specialty Test Review:
Psychiatric/Mental Health Nursing 154
complete solutions.
Your patient has an admitting diagnosis of alcohol withdrawal syndrome. You receive a phone call at the
nurses' station from a person who says he is the patient's minister and wants to know if the patient "fell
off the wagon again" and when visitation hours are. What is your best response?
A: "Yes, the patient drank too much, but he should be fine in a few
days. Visiting hours are 9 A.M. to 6 P.M."
B: "We do not give out any information. Visitation hours in the hospital
are from 9 A.M. to 6 P.M. daily."
C: "Please pray for the patient; he is in bad shape. You can visit him
anytime between 9 A.M. and 6 P.M. daily."
D: "Please contact the hospital's chief executive officer, who can give
you the information you are requesting." - ANSWER B: "We do not give out any information. Visitation
hours
in the hospital are from 9 A.M. to 6 P.M. daily."
(+) Patient confidentiality is required, and there is no
way to verify the identity of the person calling.
Your patient has been hospitalized for acute alcohol withdrawal. It is the fifth day, and he is having
visual hallucinations followed by a seizure. What is the most likely source of the patient's problem?
A: Autonomic dysreflexia (AD)
B: A brain tumor
,HESI Specialty Test Review:
Psychiatric/Mental Health Nursing 154
complete solutions.
C: Sleep deprivation
D: Delirium tremens (DTs) - ANSWER D: Delirium tremens (DTs)
(+) Delirium tremens occurs as acute alcohol withdrawal
progresses. It includes symptoms such as clouding
of sensorium, hallucinations, seizures, and autonomic
hyperactivity.
Which of the following assessments is used to confirm alcohol intake?
A: Pupil dilation
B: Serum sample
C: Hair shaft analysis
D: Sputum sample - ANSWER B: Serum sample
(+) Urine and serum samples are toxicology specimens used to assess and monitor alcohol withdrawal.
Which of the following questions is most appropriate to ask in screening for a potential problem of high
alcohol intake?
A: "Have you felt you should cut down on your alcohol
consumption?"
B: "Do you enjoy getting smashed?"
C: "Have you ever thought about killing someone?"
D: "In the last week, have you had a glass of wine?" - ANSWER A: "Have you felt you should cut down on
your alcohol
consumption?"
,HESI Specialty Test Review:
Psychiatric/Mental Health Nursing 154
complete solutions.
(+) Screening requires questions associated with cutting down, feelings of guilt about drinking, and
having a first drink in the morning.
Your patient in the Emergency Department has a diagnosis of acute alcohol withdrawal syndrome
(AWS). He is acting euphoric, yet shy. The APN has prescribed the following care: CAGE questionnaire,
serum for toxicology, IV of D5 1/2 NS and 1 amp multivitamin (MVI) at 75 mL/h, neuro check q 1 h. What
is your first priority?
A: Administer the CAGE questionnaire
B: Start the IV
C: Do the neuro check
D: Obtain a serum blood sample - ANSWER D: Obtain a serum blood sample
(+) Obtain a toxicology sample, as the patient is too euphoric to answer the CAGE questionnaire. The IV
and neuro checks can wait.
Your patient sees you at a preplanned postoperative visit 4 weeks after being hospitalized for acute
alcohol withdrawal. Upon questioning, she states that her husband is abusive, so she drinks to "drown
out his yelling." The patient also complains of depression and severe pain in the epigastric region that
radiates to her back and has been constant since yesterday. She has vomited twice in the past 12 hours.
What is your first priority?
A: Refer her immediately for treatment of depression
B: Call social services and report spousal abuse
C: Assess her for pancreatitis
D: Administer a test or scale that assesses alcohol withdrawal - ANSWER C: Assess her for pancreatitis
Approximately 65% of cases of pancreatitis are related to alcohol. This patient is exhibiting the classic
symptoms of this disease.
, HESI Specialty Test Review:
Psychiatric/Mental Health Nursing 154
complete solutions.
Prolonged alcohol ingestion can cause disorders of the liver such as:
A: Pancreatitis
B: Hypomagnesemia
C: Cirrhosis
D: Colitis - ANSWER C: Cirrhosis
(+) Cirrhosis is a liver disorder that can result from
prolonged ingestion of alcohol.
Adolescent suicide has increased over the past and is among the top five causes of death in U.S.
adolescents.
A: TRUE
B: FALSE - ANSWER A: TRUE
(+) Adolescent suicides have quadrupled since 1950 and
are the third leading cause of death in U.S.
adolescents.
Your patient has just received his sixth electroconvulsant therapy outpatient treatment. He tells you that
he plans to drive himself home because his wife is working at her part-time job today. What is your best
response?
A: "Be careful and drive slowly."
B: "You need to wait 30 minutes and then you will be safe to drive."
