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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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
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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