A nurse is caring for a client who is experiencing delirium. Which of the following findings should the nurse expect?
Catatonia
Echopraxia
Agraphia
Illusions
The Correct Answer is D
A. Catatonia. Catatonia involves significant motor disturbances such as rigidity, mutism, or excessive movement, commonly seen in schizophrenia or severe mood disorders. Delirium is characterized by acute confusion, fluctuating attention, and perceptual disturbances rather than motor abnormalities.
B. Echopraxia. Echopraxia is the involuntary repetition of another person’s movements, often linked to schizophrenia and autism spectrum disorders. Delirium primarily presents with disorientation, altered consciousness, and hallucinations rather than repetitive motor behaviors.
C. Agraphia. Agraphia is the loss of the ability to write due to neurological conditions like stroke or dementia. Delirium is an acute and reversible cognitive disturbance that affects attention and perception but does not typically result in isolated language deficits.
D. Illusions. Illusions involve the misinterpretation of real stimuli, such as mistaking a cord for a snake, and are common in delirium. This occurs due to the client's fluctuating mental status, impaired sensory perception, and difficulty distinguishing reality from distorted perceptions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The preschooler is at risk for developing atelectasis evidenced by the preschooler's refusal to use the spirometer.
Atelectasis, or lung collapse, is a common postoperative complication due to shallow breathing and inadequate lung expansion. In this case the child refuses to use the incentive spirometer, which is crucial for preventing atelectasis by encouraging deep breathing. Shallow respirations are noted in both assessments, indicating reduced lung expansion.
Correct Answer is B
Explanation
A. "The website was last updated 3 years ago." Medical information evolves rapidly, and outdated sources may contain inaccurate or obsolete data. Regular updates improve credibility.
B. "The author cites references to statements made." Citing references supports the accuracy and credibility of medical information. Reliable sources should provide evidence-based content backed by research or reputable organizations.
C. "The website URL is listed as .com." Commercial websites (.com) can contain valid information, but they may also prioritize marketing over accuracy. Government (.gov), educational (.edu), and nonprofit (.org) sites tend to be more reliable.
D. "The author's name is listed without credentials." Without credentials, it is difficult to verify the author's expertise. Reliable medical sources should have content written or reviewed by professionals with relevant qualifications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.