While conducting an assessment the nurse suspects that a client is making up things in response to specific questions. What behavior is this client demonstrating?

perseveration

flight of ideas

derailment

confabulation

negative Babinski reflex

Answer and Explanation

The Correct Answer is D

A.   Perseveration refers to the repetition of a particular response or behavior despite the cessation of the stimulus that prompted it. This often occurs in individuals with neurological disorders, where they keep repeating the same word, phrase, or action.
B.   Flight of ideas is a rapid flow of thoughts where the person moves quickly from one topic to another, often with tangential or disconnected ideas. It is commonly observed in conditions such as mania or hypomania.
C.   Derailment, also known as loosening of associations, is a thought disorder where a person’s speech goes off-topic and seems disorganized. The connections between ideas are loose or fragmented, making the conversation difficult to follow.
D.   Confabulation is a memory disturbance where a person creates false memories or fabricated details to fill in gaps in their memory. The individual does not intentionally deceive but genuinely believes their fabricated information is true.

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

Explanation

A. Maintaining an appropriate body weight helps reduce the strain on the musculoskeletal system, including joints and muscles. Excess weight can increase the risk of injuries, especially to weight-bearing joints like the knees and hips.
B. Regular exercise helps to strengthen muscles, improve flexibility, and maintain healthy joints. It also promotes overall physical fitness, which can prevent injuries by improving body mechanics and resilience.
C. A safe home environment can help prevent falls and accidents that could lead to musculoskeletal injuries. This includes ensuring that walkways are clear, using non-slip mats, and having proper lighting.
D. Using proper body mechanics involves techniques such as bending the knees, keeping the back straight, and lifting with the legs rather than the back. This helps prevent strain and injuries when lifting heavy objects.
E. Dairy products are a source of calcium and vitamin D, which are important for bone health. Reducing dairy intake could impact bone density if not compensated by other sources of calcium and vitamin D.

A. Sternoclavicular B. Temporomandibular C. Subtalar D. Radioulnar

Correct Answer is B

Explanation

A. The sternoclavicular joint is where the sternum (breastbone) meets the clavicle (collarbone). It plays a role in the movement of the shoulder girdle but does not involve the jaw. Issues with this joint would typically present as shoulder or chest discomfort rather than problems with the jaw.
B. The temporomandibular joint is the joint where the mandible (lower jaw) meets the temporal bone of the skull, just in front of the ear. It is crucial for jaw movement, including opening, closing, and chewing. If a client feels that their jaws are "stuck," it is likely related to a problem with the TMJ. Common issues include TMJ disorders, which can cause pain, limited movement, or a sensation of the jaw being stuck.
C. The subtalar joint is located in the ankle, between the talus and calcaneus bones. It is involved in the movement of the foot, particularly in inversion and eversion. This joint is unrelated to jaw function, so problems here would affect the foot rather than the jaw.
D. The radioulnar joints are located in the forearm and involve the radius and ulna bones. These joints are responsible for the rotation of the forearm, such as turning the palm up or down. They do not relate to jaw movement or problems, so issues with these joints would affect the forearm or wrist rather than the jaw.

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While conducting an assessment the nurse suspects that a client is making up things in response to specific questions. What behavior is this client demonstrating?

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Naxlex Comprehensive Predictor Exams

A community health nurse is providing education to help reduce musculoskeletal injuries in adults. What should the nurse include in these instructions? Select all that apply

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

Explanation

The client presents to the nurse stating that his jaws feel "stuck". What joint should the nurse assess?

Correct Answer is B

Explanation

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