A young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this?

Delirium

Psychotic break

Possible stroke

Anxiety disorder

Answer and Explanation

The Correct Answer is A

A. Delirium: Delirium is characterized by acute confusion, disorientation, and altered mental status often due to severe infection or high fever.

B. Psychotic break: While hallucinations are a symptom, a psychotic break is generally a chronic mental health condition rather than an acute response to infection.

C. Possible stroke: Stroke symptoms usually involve sudden onset of neurological deficits rather than fever and hallucinations.

D. Anxiety disorder: Anxiety disorders do not typically cause such high fevers or acute hallucinations.

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Correct Answer is A

Explanation

A. Mood disorders: Mood disorders, such as bipolar disorder and major depressive disorder, involve severe and persistent disturbances in mood and emotions.
B. Anxiety disorders: Anxiety disorders involve excessive fear or anxiety, not primarily mood disturbances.
C. Thought process disorders: Thought process disorders, such as schizophrenia, involve disordered thinking but are not primarily characterized by mood disturbances.
D. Personality disorders: Personality disorders involve enduring patterns of behavior and thought that deviate from cultural expectations, not necessarily involving severe mood disturbances

A. Moderate B. Panic C. Mild D. Severe

Correct Answer is D

Explanation

A. Moderate: Moderate anxiety typically involves increased alertness and focus, not severe physiological changes.

B. Panic: Panic is characterized by extreme dread and inability to function, often with a sense of unreality.

C. Mild: Mild anxiety involves slight discomfort and can enhance learning and performance.

D. Severe: Severe anxiety includes significant physiological responses (elevated vital signs) and a sense of impending doom.

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A young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are a group of psychotic disorders characterized by severe and inappropriate emotional responses, by prolonged and persistent disturbances of mood and related thought distortions?

Correct Answer is A

Explanation

The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?

Correct Answer is D

Explanation

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