A 32-year-old male patient presents to the nurse practitioner for a follow-up after treatment for Guillain-Barre syndrome. Which of the following is an accurate description of GBS?
Genetic disease
Communicable disease
Infectious disease
Autoimmune disease
The Correct Answer is D
Choice A reason: Guillain-Barre syndrome is not a genetic disease. Genetic diseases are inherited through genes and are present at birth or manifest later due to gene mutations, which does not apply to GBS, as it arises after an immune response rather than being inherited.
Choice B reason: Guillain-Barre syndrome is not a communicable disease. Communicable diseases are caused by pathogens that can be transmitted from person to person. GBS is an immune-mediated condition triggered often by infections but is not directly spread between individuals.
Choice C reason: While infections can precede GBS, it is not classified as an infectious disease. An infectious disease is caused by a pathogen actively multiplying and causing illness. In GBS, the immune system mistakenly attacks the peripheral nerves, so the pathology is autoimmune rather than infectious.
Choice D reason: Guillain-Barre syndrome is correctly classified as an autoimmune disease. The immune system attacks the peripheral nervous system, often after a triggering event such as a viral or bacterial infection. This immune-mediated demyelination and nerve damage explain the progressive weakness and paralysis seen in GBS.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Pseudomonas infections can cause green discoloration of nails, but do not typically cause thickening with distal subungual keratin accumulation as described.
Choice B reason: Onychomycosis is a fungal nail infection characterized by thickening, debris accumulation under the nail, and onycholysis (nail separation from the bed), matching the patient’s clinical presentation.
Choice C reason: Herpetic whitlow is a viral infection of the finger or toe causing painful vesicles, not thickened nails with subungual debris.
Choice D reason: Parasitic infections rarely affect nails in this manner and do not produce the chronic thickening and keratin buildup observed in onychomycosis.
Correct Answer is C
Explanation
Choice A reason: This response is fear-based and could increase the client’s anxiety and resistance rather than foster understanding.
Choice B reason: This is coercive and does not respect client autonomy, potentially reducing therapeutic engagement.
Choice C reason: This is correct. It educates the client about the role of avoidance in maintaining PTSD symptoms, promoting insight and motivation for therapy without coercion.
Choice D reason: While reassuring, this minimizes the client’s concerns and does not provide education about symptom maintenance or avoidance behaviors.
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