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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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: The ability to dress oneself is a basic ADL and is important for independence after discharge.

Choice B reason: Scheduling car maintenance is not considered a basic ADL; it is an instrumental activity of daily living (IADL), which is not typically assessed for depression-related ADLs.

Choice C reason: The ability to bathe oneself is another basic ADL that is crucial for self-care and should be assessed before discharge.

Choice D reason: Performing oral hygiene is a fundamental ADL and should be included in the assessment.

Choice E reason: Balancing a bank account is an IADL and, similar to choice B, is not typically part of the basic ADL assessment for a client with depression.

A. Measure the client's apical pulse. B. Offer the client a light snack. C. Check the client's blood pressure. D. Weigh the client.

Correct Answer is A

Explanation

Choice A reason:Monitoring the apical pulse helps ensure safety and effectiveness of digoxin therapy.

Choice B reason:Offering a light snack is not relevant to digoxin administration.

Choice C reason:While checking the client's blood pressure is important, it is not directly related to digoxin administration.

Choice D reason:Weighing the client is not a specific action related to digoxin administration.

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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 nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

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.)

Which statement regarding the treatment of a myocardial infarction is incorrect?

What is cyclothymic disorder?

A nurse is caring for a client who has depression. After two days of treatment, the nurse notices that the client is suddenly more active and there are no longer signs of a depressive state. Which of the following interventions should the nurse recommend for the plan of care?

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the following is an appropriate food choice for this client?

A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority?

The nursing interventions for a patient with major depression would include all the following except: