Which nursing documentation entry accurately describes a client's use of confabulation?

"Attempts to communicate by using rhyming words."

"Nonverbals indicate communication with unseen others."

"Verbalizes happiness about trip to park which was not based in fact."

"Rambles about early childhood experiences jumping from topic to topic."

Answer and Explanation

The Correct Answer is C

Confabulation involves the fabrication of details or events to fill in gaps in memory. In this case, the client is expressing happiness about a trip to the park that did not actually occur, which is an example of confabulation.

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Correct Answer is B

Explanation

A) Incorrect. While understanding the reasons behind the suicidal thoughts is important, in this immediate situation, assessing access to means (medications) is crucial.

B) Correct. This question assesses the immediate risk by determining if the friend has access to the means (medications) to carry out the overdose.

C) Incorrect. While substance use is a risk factor, it may not directly address the immediate threat of overdose with pills.

D) Incorrect. While family issues can contribute to emotional distress, the most pressing concern is the immediate risk of overdose.

A. Brain atrophy B. Overabundance of plaques (amyloid beta) C. Overabundance of tangles (tau protein) D. Enlargement of the hippocampus E. Enlarged cerebral cortex

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

Explanation

A. Brain atrophy is a common physiological change in the brain of individuals with Alzheimer's disease.
B. An overabundance of plaques, specifically amyloid beta, is a characteristic feature of Alzheimer's disease.
C. An overabundance of tangles, specifically tau protein, is also a characteristic feature of Alzheimer's disease.
D. Enlargement of the hippocampus is not typically associated with Alzheimer's disease; rather, it tends to shrink.

E. Enlarged cerebral cortex is not a typical physiological change in Alzheimer's disease; it actually tends to shrink.

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Which nursing documentation entry accurately describes a client's use of confabulation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent tells the school nurse, "My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicide threat. What is the most critical question for the nurse to ask?

Correct Answer is B

Explanation

What are the possible physiological changes in the brain of a client diagnosed with Alzheimer's disease? (Select all that apply)

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

Explanation

The nurse is admitting a client with a dual diagnosis of major depressive disorder and alcohol abuse. What is the primary intervention?

A client is showing symptoms of alcohol intoxication. What question should the nurse ask first?

An 80 year-old client, together with his daughter, arrived at the medical surgical unit for diagnostic confirmation and management of probable delirium. Which statement by the client's daughter best supports the diagnosis?

A nurse is caring for a client diagnosed with schizophrenia following a recent suicide attempt. Which of the following actions should the nurse take?

The nurse is caring for a client with poor self-esteem. What intervention would be important for the nurse to include in the plan of care?

The nurse is building a discharge teaching plan with a client diagnosed with substance use disorder. Which of the following relapse prevention strategies will be included in the teaching? (Select all that apply)

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A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. What information should be included in the teaching? (Select all that apply.)