A college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The student tells the practical nurse (PN) that his roommate is acting strange.

Which question should the PN ask the client next?

"Are you planning to obey the voices?"

"Have you taken any hallucinogens?"

"When did these voices begin?"

"Do you believe the voices are real?"

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C

Choice A rationale: This question prematurely assumes the client is experiencing command hallucinations, which are auditory hallucinations instructing the individual to perform specific actions, often dangerous. Scientifically, this bypasses the essential diagnostic step of characterizing the hallucination type. Without understanding onset, frequency, and context, asking about obedience risks escalating paranoia or defensiveness. Psychiatric assessment requires chronological and phenomenological data before evaluating risk. Prematurely probing intent may compromise rapport and hinder accurate clinical evaluation.

Choice B rationale: While substance-induced psychosis is a differential diagnosis, asking about hallucinogen use before establishing the nature and onset of symptoms may be perceived as accusatory. Scientifically, the DSM-5 criteria for substance-induced psychotic disorder require temporal correlation between substance use and symptom onset. Without knowing when the voices began, this question lacks diagnostic precision. A thorough psychiatric history must precede substance screening to avoid bias and ensure accurate etiological classification of hallucinations.

Choice C rationale: Establishing the onset of auditory hallucinations is foundational in psychiatric assessment. Scientifically, the timeline helps differentiate between transient, substance-induced, and chronic psychotic disorders such as schizophrenia. Early onset may suggest prodromal schizophrenia, while abrupt onset could indicate delirium or drug-induced psychosis. Understanding duration also informs risk stratification and treatment planning. This question respects clinical sequencing, allowing the nurse to gather essential data before exploring content, belief, or behavioral response to hallucinations.

Choice D rationale: Exploring the client’s belief about the reality of voices is part of assessing insight, but it should follow initial characterization of the hallucinations. Scientifically, insight evaluation helps determine the severity of psychosis and guides treatment adherence predictions. However, asking this prematurely may confuse or distress the client. Insight is typically assessed after establishing symptom chronology, frequency, and impact. Premature probing of belief risks misinterpretation and may hinder therapeutic engagement in early assessment stages.

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Correct Answer is C

Explanation

Choice A rationale:

Domestic violence assistance is an important topic, but it falls under secondary and tertiary prevention rather than primary disease prevention, which is the focus of this community outreach program. Primary prevention aims to prevent the disease from occurring in the first place, while domestic violence assistance addresses an existing issue.

Choice B rationale:

Blood pressure screening is valuable for early detection of hypertension, but it also falls under secondary prevention. Primary prevention focuses on preventing the onset of diseases through measures such as immunizations, health education, and lifestyle modifications.

Choice D rationale:

Outreach for support group information is essential for clients with chronic conditions or specific needs. However, it is not primarily related to preventing diseases at the population level, which is the primary goal of this community outreach program. This topic may be more relevant to secondary and tertiary prevention efforts.

A. “You may notice that your reaction time is slower than before.”. B. “You may experience some difficulty with learning new things.”. C. “You may have more neurotransmitters in your brain as you age.”. D. “You may lose some of your sense of smell and taste over time.”. E. “You may have more oxygen delivery to your brain cells as you age.”.

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

Explanation

Choice A rationale:

Slower reaction time is a common age-related change in the neurological system. The processing of sensory information and response time may become slower in older adults due to changes in neural pathways and decreased neurotransmitter activity.

Choice B rationale:

Older adults may experience some difficulty with learning new things due to changes in cognitive function and neural plasticity. This is a common age-related effect on the neurological system.

Choice C rationale:

This statement is incorrect. Older adults typically have fewer neurotransmitters in their brains as they age, which can contribute to cognitive changes and a decline in cognitive function.

Choice D rationale:

Loss of some sense of smell and taste is an age-related change. Older adults may experience a decreased ability to detect and differentiate smells and tastes due to changes in olfactory and gustatory receptors.

Choice E rationale:

This statement is incorrect. Aging does not necessarily lead to an increase in oxygen delivery to brain cells. In fact, there may be a decrease in cerebral blood flow with age in some individuals.

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A college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The student tells the practical nurse (PN) that his roommate is acting strange. Which question should the PN ask the client next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a community outreach program on primary disease prevention. Which topic should the nurse plan to include in this event?

Correct Answer is C

Explanation

A nurse is teaching a group of older adults about the effects of aging on the neurological system. Which of the following statements should the nurse include as correct? (Select all that apply.).

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

Explanation

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A college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The student tells the practical nurse (PN) that his roommate is acting strange.

Which question should the PN ask the client next?