The nurse has staged a pressure injury that has a shallow crater with a dry pink wound bed in which way?

Stage 4.

stage 3.

stage 2.

stage 1.

Answer and Explanation

The Correct Answer is C

A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.

B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.

C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.

D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.

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Correct Answer is A

Explanation

A. Having a nonjudgmental attitude: A nonjudgmental attitude fosters trust and openness, encouraging the patient to provide honest answers.
B. Promising the patient not to tell anyone: This may be unethical and impractical as certain information may need to be shared for the patient's care.
C. Not asking personal questions: Personal questions are necessary to understand the patient's condition and provide appropriate care.
D. Including the family: Including the family might inhibit the patient's honesty due to fear of judgment or privacy concerns.

A. The patient has decreased perceptions. B. The patient has increased motivation. C. The patient has feeling of impending doom. D. The patient could cause harm to self or others.

Correct Answer is C

Explanation

A. The patient has decreased perceptions: This is a sign of panic anxiety, not necessarily severe anxiety.

B. The patient has increased motivation: Increased motivation is associated with mild to moderate anxiety.

C. The patient has a feeling of impending doom: This is a hallmark of severe anxiety, characterized by intense fear and a sense of catastrophic events.

D. The patient could cause harm to self or others: This is more indicative of panic or extreme anxiety with loss of control.

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The nurse has staged a pressure injury that has a shallow crater with a dry pink wound bed in which way?

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Naxlex Comprehensive Predictor Exams

The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?

Correct Answer is A

Explanation

A nurse is caring for a patient who has anxiety attacks. What symptoms would indicate that the patient is experiencing a severe anxiety attack?

Correct Answer is C

Explanation

When assessing the skin of an older adult patient who is complaining of pruritus, what should the nurse advise the patient to avoid to reduce further drying of her skin?

The older adult patient complains to the nurse about nocturia. This problem is most likely related to:

A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen. What does this behavior represent?

The nurse explains that Alcoholics Anonymous (AA) consists of abstinent alcoholics who help other alcoholics become and stay sober. What is the foundation of AA?

The older adult female patient is concerned about incontinence when she sneezes. What is the correct terminology for this type of incontinence?

The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?

A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?