Nokea
A young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this?
- A. Delirium
- B. Psychotic break
- C. Possible stroke
- D. Anxiety disorder
Correct Answer: A
Rationale: Delirium is an organic mental disorder that is frequently brought on by a severe physical illness, such as fever.
You may also like to solve these questions
What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?
- A. Guarded
- B. Poor
- C. Good
- D. Repeatable
Correct Answer: C
Rationale: Prognosis for schizophrenic patients who are exhibiting positive behavior patterns is good.
What is the term used for the beginning stage of schizophrenia, characterized by a lack of energy and complaints of multiple physical problems?
- A. Prepsychotic
- B. Residual
- C. Acute
- D. Prodromal
Correct Answer: D
Rationale: The prodromal phase is the beginning stage of schizophrenia. Hallucinations and delusions sometimes occur in the prepsychotic stage. In the acute phase, individuals often lose touch with reality. The residual phase follows the acute phase and the symptoms of that phase are similar to those of the prodromal stage.
The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. How should the nurse document this behavior?
- A. Disordered thinking
- B. Anhedonia
- C. Hallucination
- D. Alogia
Correct Answer: C
Rationale: A hallucination is a sensory experience without a stimulus trigger. Disordered thinking occurs when the individual is not able to interpret information being received in the brain. Anhedonia describes lack of expressed feelings. Alogia is reduced content of speech.
When a patient demonstrates accelerated heart rate, trembling, choking, and chest pain along with acute, intense, and overwhelming anxiety, the nurse should recognize that the patient is most likely experiencing what condition?
- A. Terror
- B. Fright
- C. Fear
- D. Panic
Correct Answer: D
Rationale: Panic can be defined as an attack of acute, intense, and overwhelming anxiety.
The nurse cautions a patient to watch his step. What response indicates concrete thinking?
- A. The patient fixedly begins to watch his feet.
- B. The patient immediately examines his watch.
- C. The patient begins to watch the nurse's feet.
- D. The patient stands rigidly in one place without moving.
Correct Answer: A
Rationale: Concreteness is an indication of disordered thinking. The patient is unable to translate any words except by a very concrete definition.