Lisa is a 22-year-old woman who experiences episodes of extreme muscle rigidity. She sometimes repeats a word or phrase over and over. Attempts to move her are met with increased muscle resistance. What is she exhibiting?
Catatonia
Disorganized schizophrenia
Schizotypal disorder
Brief psychotic disorder
The Correct Answer is A
Choice A reason: Catatonia is characterized by symptoms such as extreme muscle rigidity, repetitive speech, and resistance to movement, which align with Lisa's presentation. It is often associated with other mental health conditions but can also be a standalone diagnosis.
Choice B reason: Disorganized schizophrenia is marked by disorganized thinking and behavior, inappropriate emotional responses, and erratic actions. While Lisa's symptoms could suggest a psychotic disorder, they do not specifically indicate disorganized schizophrenia.
Choice C reason: Schizotypal disorder involves eccentric behavior, odd beliefs, and difficulty forming close relationships. Lisa's symptoms do not align with the core characteristics of schizotypal disorder.
Choice D reason: Brief psychotic disorder is a short-term condition that includes delusions, hallucinations, and disorganized speech. Lisa's symptoms could be part of a brief psychotic episode, but the specific mention of muscle rigidity and resistance to movement is more indicative of catatonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: It is not recommended for clients to take morning vitamins before surgery due to the risk of aspiration and interference with anesthesia.
Choice B reason: Clients are typically instructed to remove all jewelry, including tongue studs, to prevent complications during surgery.
Choice C reason: Clients are generally required to fast before surgery, which includes not consuming clear liquids, to reduce the risk of aspiration.
Choice D reason: Allowing the client to keep her hearing aids in is important for communication and to reduce anxiety due to hearing impairment.
Correct Answer is D
Explanation
Choice A reason: Ensuring the patient has no questions before signing the consent is a standard and appropriate practice.
Choice B reason: A nurse can witness the patient's signature on the consent form, which is a normal procedure.
Choice C reason: Consent is not universally good for 30 days; it is specific to the procedure and timing, and this statement could mislead and cause legal issues.
Choice D reason: Saying that informed consent protects the hospital from all lawsuits is incorrect and could lead to a false sense of security, as informed consent is about patient autonomy, not just legal protection.
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