David, a 30-year-old, comes to your unit for treatment of multiple broken bones following a car accident. He is friendly and flirtatious but very demanding. As you gather data from him, you learn that the police have been looking for him for petty theft. He laughs and says, "Like they don't have better things to do!" He states he has changed jobs three times in the past year and has just broken off his second engagement. His former fiancée is visiting and privately tells you that you need to be careful because "He doesn't always tell the truth." You suspect which of the following personality disorders?

Paranoid

Dependent

Antisocial

Schizoid

Answer and Explanation

The Correct Answer is C

Choice A reason: Paranoid personality disorder is characterized by distrust and suspicion, not the behaviors described.

Choice B reason: Dependent personality disorder involves a need to be taken care of and a fear of separation, which does not align with David's behaviors.

Choice C reason: Antisocial personality disorder includes a disregard for and violation of the rights of others, deceitfulness, and impulsivity, which aligns with David's behaviors.

Choice D reason: Schizoid personality disorder is characterized by detachment from social relationships and a restricted range of emotional expression, not matching David's behaviors.

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Correct Answer is D

Explanation

Choice A reason: Getting plenty of outdoor exercise all year is beneficial for overall health but does not specifically prevent Raynaud's attacks, especially in cold weather.

Choice B reason: Keeping affected body areas covered, especially in cold weather, helps prevent Raynaud's attacks by maintaining warmth.

Choice C reason: Taking vasopressors is not a measure to prevent Raynaud's attacks; vasopressors could potentially worsen the condition by causing further vasoconstriction.

Choice D reason: Avoiding stimulation that causes vasoconstriction, such as stress and cold temperatures, is key to preventing Raynaud's attacks.

A. Tumor in situ, no invasion of other tissues. B. Distant metastasis to other sites. C. Abnormal cells present, has spread into nearby tissues. D. No abnormal cells.

Correct Answer is B

Explanation

Choice A reason: Tumor in situ refers to a tumor that has not invaded surrounding tissues, which is not indicative of stage IV cancer.

Choice B reason: Stage IV cancer is characterized by distant metastasis, meaning the cancer has spread to other sites away from the primary location.

Choice C reason: While the spread into nearby tissues indicates progression, it does not necessarily mean stage IV unless there is distant metastasis.

Choice D reason: The presence of no abnormal cells would not be consistent with any stage of cancer.

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Naxlex Comprehensive Predictor Exams

The nurse is reinforcing teaching provided to a patient with Raynaud's disease. Which measure should the nurse include to prevent an attack?

Correct Answer is D

Explanation

The nurse is reading a patient's chart and notes the patient has a tumor stage of IV. Which describes the meaning of stage IV cancer?

Correct Answer is B

Explanation

The nurse is providing care for a patient after an above-the-knee amputation due to diabetes complications. Which nursing care is essential for promoting ambulation?

The nurse is caring for a patient with venous stasis ulcers. What actions should the nurse take?

Which clinical finding will the nurse anticipate for a patient experiencing a panic attack?

Which of the following is a priority when caring for a highly anxious patient?

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

The nurse is assisting in the care of a patient after open-heart surgery. Which action by the other nurse would warrant intervention?

Marie has just learned that she has failed her mental health nursing class. She tells her friends, "I knew that instructor was going to fail me. She has never liked me and has just been looking for an excuse to fail me all along." Marie's behavior is an example of which defense mechanism?

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?