A patient is being treated on the mental health unit for an anxiety disorder. The patient approaches the nurse and reports feeling dizzy and weak, with a sensation of a racing heart. The nursing care plan includes interventions of imagery exercises and as-needed lorazepam (Ativan) for symptoms of anxiety. What should the nurse do first?

Obtain the patient's vital signs.

Give the patient the prescribed as-needed lorazepam.

Instruct the patient to sit and breathe deeply.

Instruct the patient in an imagery exercise.

Answer and Explanation

The Correct Answer is A

Choice A reason: The first step should always be to assess the patient's physical state to rule out any immediate life-threatening conditions before proceeding with psychiatric interventions.

Choice B reason: Administering medication may be necessary, but it should not precede an assessment of the patient's vital signs.

Choice C reason: While instructing the patient to sit and breathe deeply can help alleviate symptoms of anxiety, it is not the first action to take before assessing the patient's vital signs.

Choice D reason: Imagery exercises can be helpful for managing anxiety, but they are not the priority before ensuring the patient's physiological stability.

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Correct Answer is ["B","D","E"]

Explanation

Choice A reason: People with Narcissistic Personality Disorder (NPD) typically do not give credit to others; they are more likely to take credit for themselves.

Choice B reason: Giving grandiose credit to oneself is a common behavior in NPD, as individuals with this disorder often exaggerate their achievements and talents.

Choice C reason: Being unable to make decisions is not a typical characteristic of NPD.

Choice D reason: "Blowing their own horns" is an expression that means to boast about oneself, which is a behavior often associated with NPD.

Choice E reason: Individuals with NPD may choose friends based on how good they make them feel, often seeking out people who will admire them.

Choice F reason: NPD is not similar to Schizoid Personality Disorder; they are distinct conditions with different characteristics.

A. Patients with HbA1c levels below 6% are less likely to experience complications. B. Most complications involve either the large or tiny vessels of the body. C. Chronic hypoglycemia causes a variety of serious complications. D. Type 1 diabetics are at greatest risk for complications even with tight control.

Correct Answer is B

Explanation

Choice A reason: While patients with HbA1c levels below 6% are generally considered to have good glycemic control, this does not guarantee they will be free from complications.

Choice B reason: Diabetes complications often involve vascular issues, affecting both large (macrovascular) and small (microvascular) blood vessels, leading to a range of complications such as cardiovascular disease and neuropathy.

Choice C reason: Chronic hypoglycemia can lead to various health issues, but it is not typically classified as a long-term complication of diabetes. Instead, it is a risk associated with diabetes management, particularly with insulin use.

Choice D reason: Both Type 1 and Type 2 diabetics are at risk for complications. Tight glycemic control can reduce the risk, but it does not eliminate it, and Type 1 diabetics are not necessarily at the greatest risk.

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Naxlex Comprehensive Predictor Exams

People with Narcissistic Personality Disorder display which of the following behaviors? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?

Correct Answer is B

Explanation

A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?

A general goal for a patient with a Personality Disorder is:

A nurse is collecting data from a client who has histrionic personality disorder. Which of the following findings should the nurse expect?

What are the primary goals of pharmacotherapy for patients diagnosed with schizophrenia? (Select all that apply.)

A client with COPD should receive only 1-2 liters per minute of oxygen, if needed, or they may lose their hypoxic drive. Which of the following statements is correct about hypoxic drive?

Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)