Marge is a 68-year-old woman with a long history of bipolar disorder. She is brought to the ED by her sister, who reports that Marge has been increasingly agitated, unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:

Schizophrenia

Auditory hallucinations

Delusions of grandeur

Delusions of persecution

Answer and Explanation

The Correct Answer is C

Choice A reason: Schizophrenia is a diagnosis, not a symptom, and involves a range of symptoms including delusions, hallucinations, and disorganized thinking.

Choice B reason: Auditory hallucinations involve hearing voices or sounds that are not there and are not described in the scenario.

Choice C reason: Delusions of grandeur involve beliefs of having more power, wealth, smarts, or other grand traits than is true, which fits the description of Marge's belief about advising the mayor.

Choice D reason: Delusions of persecution involve beliefs that others are out to harm or harass the individual, which is not indicated in Marge's behavior.

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Correct Answer is C

Explanation

Choice A reason: Determining a target heart rate is not the primary purpose of an exercise stress electrocardiogram; it is more about observing the heart's function under stress³.

Choice B reason: Identifying the need for more exercise is not the direct outcome of this test; it is used to assess cardiovascular response to stress³.

Choice C reason: The test is designed to show how the heart performs during exercise, which can help diagnose conditions like coronary artery disease³.

Choice D reason: Predicting a heart attack is not the purpose of an exercise stress electrocardiogram; rather, it helps to identify heart conditions that may lead to complications if left untreated³.

A. Exhibiting clang associations. B. Reports spending large sums of money. C. Interacting with others in a flirtatious way. D. Reports sleeping for long periods of time. E. Talking in rapid, continuous speech.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Clang associations, or speech governed by the sound of words rather than their meaning, are common in manic episodes.

Choice B reason: Impulsive behaviors such as spending large sums of money are characteristic of mania.

Choice C reason: Increased sociability and flirtatious behavior can be observed in individuals experiencing mania.

Choice D reason: Sleeping for long periods is not typically associated with manic behavior; rather, reduced need for sleep is more common.

Choice E reason: Rapid, continuous speech is a symptom of manic behavior, often making it difficult for others to interrupt.

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Marge is a 68-year-old woman with a long history of bipolar disorder. She is brought to the ED by her sister, who reports that Marge has been increasingly agitated, unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has been scheduled for an exercise stress electrocardiogram asks why this test is needed. Which of the following is the nurse's best response?

Correct Answer is C

Explanation

A nurse is collecting data from a newly-admitted client who has bipolar disorder and is displaying manic behavior. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?

A nurse in an acute care mental health facility is caring for a client who has major depression and states, "Everyone will be much better off when I'm gone." Which of the following actions should the nurse take first?

Which of the following statements by a patient demonstrates to the nurse that the patient understands when to replace prescribed nitroglycerin tablets?

When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50mg daily. After taking the medication for 3 days, the patient says, "I don't think the medicine is working. I don't want to take it any longer." What is your best response?

A newly licensed nurse is assisting with the involuntary admission of a client who has depression to an acute care mental health facility. Which of the following guidelines should the nurse follow when caring for the client?

The patient is being discharged on furosemide (Lasix). The nurse evaluates the patient as understanding medication teaching if the patient states that which of the following laboratory tests will be monitored as ordered?

A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?