HESI Specialty Psychiatric/Mental Health Nursing Test Review with Guaranteed Accurate Answers

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." - correct 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 C: Sleep deprivation D: Delirium tremens (DTs) - correct 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 - correct 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?" - correct answer A: "Have you felt you should cut down on your alcohol consumption?" (+) 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