The nurse is admitting a client to the unit for surgery the next morning. The nurse notes that the client speaks at an accelerated pace and jumps from topic to topic no of which progresses to sensible conversation. What would the nurse document about this client?

The patient demonstrates Flight of ideas

demonstrates confabulation

depressed

demonstrates schizophrenia

Answer and Explanation

The Correct Answer is A

A.   Flight of ideas is characterized by a rapid and continuous flow of thoughts where the individual frequently shifts topics, often making it difficult to follow their conversation. This is commonly observed in conditions like mania or hypomania, often seen in bipolar disorder.
B.   Confabulation involves fabricating or inventing stories or information to fill in gaps in memory. It is often seen in conditions affecting memory or cognition, such as Korsakoff’s syndrome or certain types of dementia.
C.   Depression typically involves symptoms such as low mood, decreased energy, and lack of interest in activities, rather than rapid speech or topic shifts. The client’s accelerated pace of speech and jumping from topic to topic do not align with the characteristics of depression.
D.   Schizophrenia is a broad term for a range of symptoms, including hallucinations, delusions, disorganized thinking, and impaired social functioning. While disorganized thinking can be a symptom of schizophrenia, the specific behavior described (accelerated speech and jumping topics) more specifically indicates flight of ideas, which is not exclusive to schizophrenia.

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Correct Answer is C

Explanation

A. Kyphosis is a condition characterized by an excessive outward curvature of the thoracic spine, leading to a hunchbacked appearance. It often results from degenerative diseases, osteoporosis, or other spinal conditions.
B. Lordosis refers to an excessive inward curvature of the lumbar spine, often referred to as "swayback." This condition can be congenital or due to other factors like obesity or pregnancy.
C. Osteoporosis is a bone condition characterized by decreased bone density and strength, leading to an increased risk of fractures. It is particularly common in postmenopausal women due to decreased estrogen levels, which help maintain bone density.
D. Scoliosis is a condition characterized by an abnormal lateral curvature of the spine. It can be congenital, idiopathic, or secondary to other conditions.

A. 2+ B. 3+ C. 1+ D. 4+

Correct Answer is B

Explanation

A. A reflex grade of 2+ is considered normal. It indicates that the reflex is present and of normal intensity, with a typical response.
B. A reflex grade of 3+ is considered brisk. It indicates that the reflex is more pronounced than normal
but not necessarily pathological. It’s often described as "brisk" or "exaggerated."
C. A reflex grade of 1+ is considered diminished or hypoactive. It indicates that the reflex is present but less intense than normal.
D. A reflex grade of 4+ is considered very brisk or hyperactive. It indicates a reflex response that is exaggerated and may suggest an upper motor neuron lesion or other neurological abnormalities.

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The nurse is admitting a client to the unit for surgery the next morning. The nurse notes that the client speaks at an accelerated pace and jumps from topic to topic no of which progresses to sensible conversation. What would the nurse document about this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Loss of bone density that occurs with greatest frequency in postmenopausal women is called?

Correct Answer is C

Explanation

The nurse assesses brisk reflexes in a client. The nurse would document this finding as which of the following?

Correct Answer is B

Explanation

When implementing nursing interventions for a client who has attempted suicide, which of the following is most important?

Which of the following would the nurse most likely expect to find when assessing a client diagnosed with a frontal lobe contusion (in the Broca's Area) following a motor vehicle accident?

During an assessment of the cranial nerves, a client reports spontaneously losing balance. The nurse should focus additional assessment on which cranial nerve?

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Taste in the 1/3 posterior of your tongue is given by:

During an assessment, the nurse asks a client to explain what the following means: "A penny saved is a penny earned." The nurse is assessing which of the following?