Nurses understand that patients who deliberately pretend to be ill are:

Neurotic

Psychotic

Malingering

Hypochondriac

Answer and Explanation

The Correct Answer is C

Choice A reason: Neuroticism is a personality trait characterized by anxiety, fear, moodiness, worry, envy, frustration, jealousy, and loneliness. It does not involve pretending to be ill.

Choice B reason: Psychosis refers to a mental disorder in which thought and emotions are so impaired that contact is lost with external reality. It is not associated with deliberately pretending to be ill.

Choice C reason: Malingering is the act of exaggerating or feigning illness for a secondary gain, such as financial compensation or avoidance of work.

Choice D reason: Hypochondriasis is a condition in which a person is excessively and unduly worried about having a serious illness. It does not involve deliberately pretending to be ill.

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Correct Answer is D

Explanation

Choice A reason: Nurse self-awareness is crucial in providing care for individuals with personality disorders to avoid countertransference.

Choice B reason: Trust is a fundamental component of the nurse-client relationship and is necessary for effective care.

Choice C reason: Limit setting is essential for maintaining professional boundaries and providing structure in the therapeutic relationship.

Choice D reason: Vague communication is not therapeutic and can lead to misunderstandings and increased feelings of inferiority, which is not conducive to treatment.

A. "A heating pad will be used on the operative site to help reduce pain." B. "Expect to remain in bed for at least the first 24 hours." C. "You will use a continuous passive motion (CPM) machine several times a day." D. "You will use a special soap to shower with the evening before your surgery."

Correct Answer is C

Explanation

Choice A reason: The use of a heating pad on the operative site is not typically recommended immediately post-surgery due to the risk of bleeding and swelling.

Choice B reason: Patients are encouraged to mobilize as soon as possible after surgery to prevent complications such as deep vein thrombosis and pulmonary embolism.

Choice C reason: The use of a CPM machine is common after total hip replacement surgery to help restore joint function and prevent stiffness.

Choice D reason: Using a special soap the evening before surgery is part of the preoperative preparation to reduce the risk of infection.

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Nurses understand that patients who deliberately pretend to be ill are:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nursing care for people with personality disorders includes all the following except:

Correct Answer is D

Explanation

A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?

When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

A general goal for a patient with a Personality Disorder is:

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Which clinical finding will the nurse anticipate for a patient experiencing a panic attack?

Symptoms of Post-Traumatic Stress Disorder include: (select all that apply)

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