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.

Answer and Explanation

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.

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

Explanation

Choice A reason: Deep breathing and coughing exercises help clear the lungs and prevent atelectasis, a common postoperative respiratory complication.

Choice B reason: Incentive spirometry encourages patients to take deep breaths, which can help keep the lungs clear of mucus and prevent pneumonia.

Choice C reason: Leg exercises improve circulation and can help prevent blood clots, which can lead to pulmonary embolism, another serious respiratory complication.

Choice D reason: Early ambulation, or getting the patient moving as soon as possible after surgery, is crucial for preventing respiratory complications by promoting circulation and lung expansion.

Choice E reason: Hand squeezes are not directly related to preventing respiratory complications; they are more associated with preventing circulatory complications.

A. Has recurrent thoughts of past trauma. B. Invents words that have no meaning. C. Preoccupation with washing and folding his clothes. D. Avoids interactions with staff and peers.

Correct Answer is B

Explanation

Choice A reason: Recurrent thoughts of past trauma are more indicative of post-traumatic stress disorder rather than schizophrenia.

Choice B reason: Inventing new words or phrases that have no meaning, also known as neologisms, is a common positive symptom of schizophrenia.

Choice C reason: A preoccupation with washing and folding clothes is not specifically indicative of schizophrenia; it could be a sign of obsessive-compulsive disorder.

Choice D reason: While social withdrawal can be a symptom of schizophrenia, it is considered a negative symptom, not a positive one.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following does the nurse implement to prevent postoperative respiratory complications for a patient? (Select all that apply)

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

Explanation

A nurse is caring for a client who has positive manifestations of schizophrenia. Which of the following behaviors should the nurse anticipate?

Correct Answer is B

Explanation

A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?

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?

A nurse is reinforcing teaching with a client who is preoperative following abdominal surgery about deep breathing and coughing exercises. Which of the following client statements should indicate to the nurse an understanding of the instructions?

Mr. Thomas is chastised by his boss for failing to complete an assignment. When he arrives home, he slaps his son when the boy is slow in performing his chores. Mr. Thomas is displaying:

The nurse is caring for a patient undergoing surgery with the nursing diagnosis of deficient knowledge related to lack of previous surgical experience. Which nursing intervention is appropriate? (Select all that apply.)

The nurse is caring for a patient receiving a spinal block. Which symptom would most concern the nurse?

Effective coping skills are described as: