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HESI Specialty Test Review: Psychiatric/Mental Health Nursing Already passed
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HESI Specialty Test Review: Psychiatric/Mental Health Nursing Already passed
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HESISpecialty
Test
Review:
Psychiatric/Mental
Health
Nursing
Already
passed
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
the
information
you
are
requesting."
B:
"We
do
not
give
out
any
information.
Visitation
hours
in
the
hospital
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)
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
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?"
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 C:
Do
the
neuro
check
D:
Obtain
a
serum
blood
sample
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
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.
Prolonged
alcohol
ingestion
can
cause
disorders
of
the
liver
such
as:
A:
Pancreatitis
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