A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?

Anger

Fear

Isolation

Suicidal ideation

Answer and Explanation

The Correct Answer is D

A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.

B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.

C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.

D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.

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Correct Answer is B

Explanation

A. Depression is more related to a sense of loss or prolonged stress, not immediate perceived threats.
B. Anxiety is an emotional response to a perceived threat, involving worry and fear about potential danger.
C. Fear is a direct response to a known and definite threat, whereas anxiety is more about anticipation of a threat.
D. Anger can result from frustration or perceived injustice but is not primarily driven by perceived threats to self.

A. Posttraumatic stress disorder B. Phobia C. Obsessive-compulsive disorder D. Disordered thinking

Correct Answer is A

Explanation

. Posttraumatic stress disorder: This behavior is consistent with PTSD, where triggers related to a traumatic event cause intense emotional and physical reactions.

B. Phobia: A phobia is an intense fear of a specific object or situation, but this behavior is linked to a traumatic event rather than a specific fear.

C. Obsessive-compulsive disorder: OCD involves compulsive behaviors and obsessions, not reactions to trauma.

D. Disordered thinking: Disordered thinking involves abnormal thought processes, which does not directly explain the reaction to firecrackers.

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A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A perceived threat to self causes what emotion?

Correct Answer is B

Explanation

A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?

Correct Answer is A

Explanation

A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?

The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?

The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?

A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. What is the term applied to this type of delirium?

During the detoxification period, what does the nurse aim to achieve when designing interventions?

Which will the nurse examine when assessing a patient for tinea corporis?

A patient who has sustained a burn injury will undergo wound debridement. The nurse includes which explanation when explaining the purpose of burn wound debridement?

A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction will be helpful in managing the pruritus?