A hospitalized client sees snakes on the walls of the hospital room and becomes anxious. This is an example of which of the following?

hallucinations

Delirium

Delusion

Psychosis

Answer and Explanation

The Correct Answer is A

A: Hallucinations involve perceiving something that isn't actually there, such as seeing snakes on the walls.
B: Delirium is a rapid onset of confusion typically resulting from a physical or mental illness but is not specific to hallucinations.
C: Delusions are false beliefs held despite evidence to the contrary.

D: Psychosis can involve hallucinations but is a broader term that encompasses severe mental disorders.

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Correct Answer is D

Explanation

A: Monthly laboratory tests to monitor drug levels are not typical for benzodiazepine use.
B: Avoiding foods containing tyramine is necessary with MAO inhibitors, not benzodiazepines.
C: Benzodiazepines are known to cause physical dependence; hence, stating otherwise would be incorrect.
D: Combining benzodiazepines with alcohol can increase CNS depression and is potentially dangerous.

A. A client expresses dislike of orange juice after reporting earlier that it was a favorite juice. B. A client wants to know what type of poison the nurse placed in her medication. C. A client asks when family members will be arriving after visiting 1 hr earlier. D. A client requests extra blankets when the thermostat in the room indicates 80" F.

Correct Answer is C

Explanation

A: A change in preference does not indicate delirium.

B: Suspicions of poisoning may suggest delusion but not specifically delirium.

C: Confusion about time and the recent presence of family members are typical signs of delirium.
D: Requesting extra blankets in a warm room may indicate altered thermal perception but is not a clear indicator of delirium.

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A hospitalized client sees snakes on the walls of the hospital room and becomes anxious. This is an example of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is given the diagnosis of generalized anxiety disorder and is prescribed a benzodiazepine. The client should be instructed on which of the following?

Correct Answer is D

Explanation

A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?

Correct Answer is C

Explanation

A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?

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In developing a nursing care plan for an adult with a mental health disorder, the nurse knows the goals that are set must be:

Which of the following is a physical clinical finding of depression in older adults?

A nurse is caring for a client who was admitted with delirium five days ago. The client seeks permission from the nurse before performing ADLs. Which of the following actions should the nurse take?

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