A client presents to the Emergency Department (ED) after ingesting phencyclidine (PCP). Characteristic behaviors of an individual who has ingested PCP include:

Sedated, heightened senses, withdrawn.

Heightened sensory perceptions, nystagmus, hypotension.

Grandiose delusions, hypotension, quiet.

Violence, psychomotor agitation, hypertension.

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Sedated, heightened senses, withdrawn. This statement is incorrect. While PCP can cause a range of sensory and psychological effects, sedation and withdrawal are not typical primary symptoms. PCP is more likely to cause agitation and aggressive behavior rather than sedation.

Choice B Reason:

Heightened sensory perceptions, nystagmus, hypotension. This statement is partially correct. PCP can cause heightened sensory perceptions and nystagmus (rapid, involuntary eye movements), but hypotension is not a common symptom. Instead, PCP often leads to hypertension (high blood pressure) due to its stimulant effects.

Choice C Reason:

Grandiose delusions, hypotension, quiet. This statement is incorrect. While PCP can cause grandiose delusions, it is more likely to result in agitation and aggressive behavior rather than a quiet demeanor. Hypotension is also not a typical symptom of PCP intoxication.

Choice D Reason:

Violence, psychomotor agitation, hypertension. This statement is correct. PCP intoxication is commonly associated with violent behavior, psychomotor agitation, and hypertension. These symptoms are due to the drug’s stimulant and dissociative effects, which can lead to severe agitation and aggressive behavior.

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Correct Answer is ["125"]

Explanation

Calculation Steps

Step 1: Convert 1 liter to milliliters (mL).

1 liter = 1000 mL

Result: 1000 mL

Step 2: Determine the total time in hours.

Total time = 8 hours

Result: 8 hours

Step 3: Calculate the infusion rate in milliliters per hour (mL/hr).

Infusion rate = Total volume (mL) ÷ Total time (hours)

Step 4: Perform the division.

1000 mL ÷ 8 hours = 125 mL/hr

Result: 125 mL/hr

Therefore, the nurse should set the infusion pump to 125 mL/hr.

A. Bizarre speech patterns B. Generates conflict among the staff C. Social isolation D. Suspiciousness of others

Correct Answer is B

Explanation

The correct answer is b. Generates conflict among the staff.

Choice A Reason:

Bizarre speech patterns are not typically associated with borderline personality disorder (BPD). BPD is characterized by intense emotional responses, unstable relationships, and impulsive behaviors. While individuals with BPD may exhibit erratic behavior, bizarre speech patterns are more commonly linked to disorders such as schizophrenia.

Choice B Reason:

Generating conflict among the staff is a behavior pattern often observed in individuals with borderline personality disorder. People with BPD may have difficulty maintaining stable relationships and can exhibit manipulative behaviors, leading to conflicts. This behavior stems from their intense fear of abandonment and efforts to avoid real or perceived rejection.

Choice C Reason:

Social isolation is not a primary characteristic of borderline personality disorder. While individuals with BPD may experience intense and unstable relationships, they typically do not isolate themselves socially. Instead, they may engage in intense and tumultuous interactions with others.

Choice D Reason:

Suspiciousness of others is more commonly associated with paranoid personality disorder rather than borderline personality disorder. While individuals with BPD may have trust issues and fear abandonment, their behavior is more characterized by emotional instability and impulsive actions rather than pervasive suspiciousness.

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A client presents to the Emergency Department (ED) after ingesting phencyclidine (PCP). Characteristic behaviors of an individual who has ingested PCP include:

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Naxlex Comprehensive Predictor Exams

One liter of normal saline is to infuse over 8 hours. At what rate will the nurse set the infusion pump?

Correct Answer is ["125"]

Explanation

A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe?

Correct Answer is B

Explanation

The nurse has recently set limits for a client with borderline personality disorder. The client yells at the nurse, “You used to care about me. I thought you were wonderful. Now I can see that I was mistaken. You are hateful.” This outburst can be assessed as:

In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

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