Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:
Illusion.
Attention-getting behavior.
Hallucination.
Delusion.
The Correct Answer is C
Choice A reason: An illusion is a misinterpretation of a real external stimulus, which is not the case here as there is no snake.
Choice B reason: Attention-getting behavior is a possibility, but given that Mr. G is specifically referencing a snake that isn't there, it suggests a hallucination.
Choice C reason: A hallucination is a sensory perception in the absence of external stimuli, which fits Mr. G's description of seeing a snake that isn't there.
Choice D reason: A delusion is a firmly held false belief; while Mr. G may have this, the immediate experience he's describing is a hallucination, not a delusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Observing nonverbal communication is a valid nursing intervention for assessing a patient's anxiety level.
Choice B reason: Maximizing stimuli can overwhelm a patient with anxiety and is not a recommended intervention.
Choice C reason: Discouraging activities is not recommended as activities can be a form of therapy for anxiety disorders.
Choice D reason: Documenting only positive changes is not appropriate as all changes, positive or negative, should be documented for a comprehensive understanding of the patient's condition.
Choice E reason: Encouraging patients to verbalize thoughts and feelings is a therapeutic intervention that can help manage anxiety.
Choice F reason: Observing for signs of suicidal thoughts is crucial as anxiety disorders can increase the risk of suicide.
Correct Answer is A
Explanation
Choice A reason: Patients with Personality Disorders often struggle with maladaptive behaviors. A general goal is to help them find nondestructive ways to fulfill their needs, promoting healthier interactions and coping mechanisms.
Choice B reason: While establishing relationships is important, the priority is to ensure that the patient's methods of interacting are healthy and nondestructive.
Choice C reason: Understanding the impact of one's behavior on others is a goal, but it is secondary to the patient learning nondestructive self-management skills.
Choice D reason: Employment is a long-term goal and, while important, it is not as immediately relevant to the therapeutic process as developing nondestructive behaviors.
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