Nokea
The client interprets the proverb 'A rolling stone gathers no moss' as 'As long as the rock keeps moving, it won't turn green.' This is an example of:
- A. Mutism
- B. Flight of ideas
- C. Concrete thinking
- D. Loose association
Correct Answer: C
Rationale: Concrete thinking refers to interpreting things in a literal or factual way without grasping the underlying meaning. In this question, the client's interpretation of the proverb demonstrates a lack of understanding of the metaphorical meaning behind it. By focusing on the literal aspect of the stone not turning green, the client displays concrete thinking. Mutism, flight of ideas, and loose association are unrelated to the client's interpretation of the proverb, making them incorrect choices.
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A Hispanic woman comes to the mental health center at the urging of her adult children. The patient has lost 5 pounds since her husband's death 6 months ago and says, "My husband comes to visit me in the night but I cannot understand what he says." How should the nurse analyze this situation? The patient is:
- A. Experiencing auditory and visual hallucinations.
- B. At high risk for imbalanced nutrition.
- C. Grieving the husband's death.
- D. Denying the husband's death.
Correct Answer: C
Rationale: The correct answer is C: Grieving the husband's death. The patient's statement about her deceased husband visiting her in the night and her weight loss following his death indicate a strong possibility of experiencing grief. This is a common manifestation of bereavement, where individuals may have difficulty accepting the reality of the loss and experience hallucinations or illusions involving the deceased. The patient's symptoms are more aligned with the normal process of grieving rather than psychosis. Choices A and B are incorrect because the patient's experiences are likely related to grief rather than auditory and visual hallucinations or imbalanced nutrition. Choice D is incorrect as the patient's statements suggest she is aware of her husband's death but is struggling to cope with it emotionally.
A nurse is caring for a patient with bulimia nervosa. What is a priority assessment for this patient?
- A. Electrolyte imbalances and cardiac function.
- B. Body image issues and mental health status.
- C. Nutritional status and hydration levels.
- D. Weight changes and exercise patterns.
Correct Answer: A
Rationale: The correct answer is A: Electrolyte imbalances and cardiac function. This is because patients with bulimia nervosa often engage in purging behaviors which can lead to electrolyte imbalances and cardiac complications. Assessing electrolyte levels and cardiac function is crucial to prevent life-threatening complications.
Choice B is incorrect because while body image and mental health are important considerations, they are not the priority assessment in this case. Choice C is also incorrect as nutritional status and hydration levels can be affected, but not as immediately life-threatening as electrolyte imbalances and cardiac issues. Choice D is incorrect as weight changes and exercise patterns may be important, but they are not the priority assessment for a patient with bulimia nervosa.
A person who has an extreme lack of self-confidence and who allows others to run his or her life is said to have a(n) personality
- A. dependent
- B. narcissistic
- C. paranoid
- D. antisocial
Correct Answer: A
Rationale: Dependent personality disorder involves excessive reliance on others and low self-confidence, matching this description.
Major concerns of the elderly living alone in their home are: (Name 1)
- A. Safety
- B. Quality of life
- C. Support system
- D. Access to medical care
Correct Answer: A
Rationale: Safety (A) is a major concern for the elderly living alone, as it impacts their ability to remain independent and healthy. Other concerns like quality of life (B), support system (C), and medical access (D) are also relevant but asked as a single choice here.
A physically frail elderly patient with mild cognitive impairments needs services of a facility that can provide supervision and safety as well as recreation and social interaction. The family cares for this patient during the evening and night. Which type of facility should the nurse suggest to meet this patients needs?
- A. Adult day care program
- B. Skilled nursing facility
- C. Partial hospitalization
- D. Group home
Correct Answer: A
Rationale: A day care program provides recreation and social interaction as well as supervision in a safe environment. Nursing, medical, and rehabilitative care are usually not provided. Skilled nursing facilities go beyond meeting recreational and social needs by providing medical interventions and nursing and rehabilitation services on a 24-hour basis. Partial hospitalization provides acute psychiatric hospital programs. A group home is inappropriate and would not meet the patients needs.