What is evisceration?

Bursting open of the wound

Wound edges not approximating

Opening of the wound

The viscera spilling out of the abdomen

Answer and Explanation

The Correct Answer is D

Choice A reason: Bursting open of the wound is a description that could imply evisceration, but it is not as specific as choice D.

Choice B reason: Wound edges not approximating is a general description of a wound that is not healing properly, but does not specifically describe evisceration.

Choice C reason: Opening of the wound could refer to any situation where a wound has opened, not necessarily evisceration.

Choice D reason: Evisceration specifically refers to the viscera spilling out of the abdomen, usually through a surgical wound.

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Correct Answer is A

Explanation

Choice A reason: This response acknowledges the client's feelings without agreeing with the delusion or challenging their reality, which can help in building trust and rapport.

Choice B reason: Asking "Why do you think you are being lied about and poisoned?" could potentially reinforce the delusion and lead the client to further justify their beliefs.

Choice C reason: Directly telling the client they are mistaken can be confrontational and may damage the therapeutic relationship.

Choice D reason: Asking "Who is lying about you and trying to poison you?" can validate the delusion and is not a therapeutic response.

A. Obtain the patient's vital signs. B. Give the patient the prescribed as-needed lorazepam. C. Instruct the patient to sit and breathe deeply. D. Instruct the patient in an imagery exercise.

Correct Answer is A

Explanation

Choice A reason: The first step should always be to assess the patient's physical state to rule out any immediate life-threatening conditions before proceeding with psychiatric interventions.

Choice B reason: Administering medication may be necessary, but it should not precede an assessment of the patient's vital signs.

Choice C reason: While instructing the patient to sit and breathe deeply can help alleviate symptoms of anxiety, it is not the first action to take before assessing the patient's vital signs.

Choice D reason: Imagery exercises can be helpful for managing anxiety, but they are not the priority before ensuring the patient's physiological stability.

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What is evisceration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. The client states, "They lie about me all the time and are trying to poison my food." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

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?

The nurse is caring for a patient preparing for surgery. Which finding would concern the nurse?

A nurse is collecting data from a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse should realize that the client's repetitive behaviors occur due to which of the following?

For the patient with antisocial personality disorder, which of the following behaviors would be the most difficult for the patient to comply with?

A nurse is assisting with the care of a client who is receiving a blood transfusion. The nurse should monitor for which of the following findings as an indication the client is having an acute hemolytic reaction?

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