Debridement is:

Dosing of wounds.

Dirty wounds.

Necrotic and infected tissue are removed before infected wounds are closed.

Infected wounds.

Answer and Explanation

The Correct Answer is C

Choice A reason: Debridement is not related to dosing, which typically refers to medication administration.

Choice B reason: While debridement may involve cleaning dirty wounds, this choice does not fully capture the definition of debridement.

Choice C reason: Debridement is the medical process of removing dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue.

Choice D reason: Infected wounds may require debridement, but this choice does not define what debridement is.

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Correct Answer is D

Explanation

Choice A reason: Thinking/content of thought refers to the logical process of thought and coherence, not directly to the experience of reality.

Choice B reason: Mood and affect pertain to the emotional state and its expression, not the perception of reality.

Choice C reason: Judgment involves decision-making abilities and the evaluation of situations, not the perception of reality.

Choice D reason: Perception is the component that deals with how a person experiences reality, including any hallucinations or delusions they may have.

A. "You seem to be having some very frightening thoughts." B. "Why do you think you are being lied about and poisoned?" C. "You are mistaken. Nobody is lying about you or trying to poison you." D. "Who is lying about you and trying to poison you?"

Correct Answer is A

Explanation

Choice A reason: This response acknowledges the client's feelings without agreeing with the delusion or challenging their reality, which can help in building trust and rapport.

Choice B reason: Asking "Why do you think you are being lied about and poisoned?" could potentially reinforce the delusion and lead the client to further justify their beliefs.

Choice C reason: Directly telling the client they are mistaken can be confrontational and may damage the therapeutic relationship.

Choice D reason: Asking "Who is lying about you and trying to poison you?" can validate the delusion and is not a therapeutic response.

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Debridement is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which component of the Mental Health Status Examination focuses on the way a person experiences reality?

Correct Answer is D

Explanation

A nurse is caring for a client who has schizophrenia. The client states, "They lie about me all the time and are trying to poison my food." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating, "The muxtranks are coming. The muxtranks are coming." The nurse correctly recognizes the client's use of the word "muxtranks" as an example of which of the following alterations in speech?

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

The nurse is caring for a patient preparing for surgery. Which finding would concern the nurse?

Which of the following are NOT appropriate nursing interventions for Paranoid Personality Disorders? (Select all that apply.)

An older adult patient experiences a fracture of the lower leg and undergoes closed reduction and placement of a fiberglass cast. What should the nurse prepare for when planning care?

The mental status examination takes place during which part of the nursing process?

Which question will the nurse ask a client when assessing their abstract thinking and judgment?

The nurse is reinforcing teaching for a patient who is using a continuous passive motion (CPM) machine. Which of these, if stated by the patient, indicates to the nurse correct understanding of its purpose?