The patient is experiencing loss of multiple abilities such as short- and long-term memory, language, and the ability to understand. What condition does the patient have?

Confusion.

Dementia.

Delirium.

Aggression.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Confusion can cause a temporary state of disorientation and difficulty with concentration and memory, but it doesn’t typically result in a loss of multiple abilities such as short- and long- term memory, language, and the ability to understand.
Choice B rationale
Dementia is a progressive condition that affects memory, thinking skills, and the ability to perform everyday tasks. It can cause loss of multiple abilities such as short- and long-term memory, language, and the ability to understand.
Choice C rationale
Delirium is a sudden and severe confusion that comes on quickly and can cause changes in memory, thinking, attention, and perception. However, it is usually temporary and reversible, unlike the progressive loss of abilities seen in dementia.
Choice D rationale
Aggression is a type of behavior characterized by hostile, forceful, or destructive actions. It does not involve a loss of multiple abilities such as short- and long-term memory, language, and the ability to understand.

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Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Supplements can have a significant impact on lab values. For example, taking iron supplements can increase the level of iron in the blood, while taking vitamin D supplements can increase the level of calcium. Therefore, asking the client if they are taking any supplements can provide valuable information that can help interpret the lab results.

Choice B rationale

Dry skin can be a sign of various conditions that can affect lab values. For example, hypothyroidism can cause dry skin and can also cause changes in lab values such as increased TSH (thyroid-stimulating hormone) and decreased T4 (thyroxine)456. Therefore, asking the client if they have noticed that their skin is dry can provide valuable information that can help interpret the lab results.

Choice C rationale

Urgency to urinate can be a sign of various conditions that can affect lab values. For example, a urinary tract infection can cause urgency to urinate and can also cause changes in lab values such as increased white blood cells and bacteria in the urine. Therefore, asking the client if they have experienced urgency to urinate can provide valuable information that can help interpret the lab results.

Choice D rationale

The need to urinate less often can be a sign of various conditions that can affect lab values. For example, dehydration can cause a person to urinate less often and can also cause changes in lab values such as increased blood urea nitrogen (BUN) and creatinine. However, this symptom is not as specific or indicative as the others, and may not provide as much valuable information for interpreting the lab results.

A. Administer an antipsychotic or anti-anxiety medication. B. Use negative reinforcement such as restraint or seclusion in response to angry outbursts, regardless of whether violence is present. C. Assist the patient in identifying a thought that triggers anger, evaluate the validity of the belief, and replace it with reality-based thinking. D. Use aversive conditioning, such as snapping a rubber band on the wrist, to help diminish feelings of anger.

Correct Answer is C

Explanation

Choice C rationale
Assisting the patient in identifying a thought that triggers anger, evaluating the validity of the belief, and replacing it with reality-based thinking is an effective nursing intervention to help an angry patient manage their anger without resorting to violence. This approach is based on cognitive behavioral therapy (CBT), a type of psychotherapy that can help people learn to identify and change destructive thought patterns that have a negative influence on behavior and emotions.
Choice A rationale
While medication can be part of a comprehensive treatment plan for individuals struggling with anger management, it is not the first-line intervention. Medication should be considered if the anger is part of a larger mental health disorder, such as bipolar disorder or intermittent explosive disorder, and should be administered under the guidance of a healthcare provider.
Choice B rationale
Negative reinforcement such as restraint or seclusion can escalate the situation and is not considered a best practice for managing anger. It should only be used as a last resort when the patient poses a risk to themselves or others.
Choice D rationale
Aversive conditioning, such as snapping a rubber band on the wrist, is a type of behavioral therapy that can be used to help a person reduce or eliminate unwanted behaviors. However, it is not the most effective strategy for managing anger and can potentially lead to self-harm.

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The patient is experiencing loss of multiple abilities such as short- and long-term memory, language, and the ability to understand. What condition does the patient have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) reviews the lab values. What Questions can the PN ask the client based on the lab results? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

What is an effective nursing intervention to help an angry patient manage their anger without resorting to violence?

Correct Answer is C

Explanation

Feelings of worthlessness, guilt, and despair are expressed in a female client’s every thought, movement, and activity. Her physical health has declined and she is often unable to eat. What is the client experiencing?

A client who recently went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?

A patient inquires why they need to attend therapy and can’t just take their prescribed antidepressant medication. What would be the best explanation from the nurse?

In communicating with the psychiatric patient, which nurse responses could obstruct effective communication with a client? (Select all that apply)