A nine-year-old patient is being evaluated for a skin rash. The preliminary diagnosis is impetigo contagiosa. The nurse assists with planning care with which fact about impetigo contagiosa in mind?

is present in all age-groups, but especially older adults

Usually presents with a rash on the patient's back

Is a highly contagious inflammatory disorder

is a viral skin infection

Answer and Explanation

The Correct Answer is C

A. is present in all age-groups, but especially older adults : Impetigo is more common in children and not especially prevalent in older adults.
B. Usually presents with a rash on the patient's back: Impetigo typically presents on exposed areas such as the face, arms, and legs, not usually the back.
C. Is a highly contagious inflammatory disorder: Impetigo is highly contagious and characterized by inflammatory skin lesions.
D. is a viral skin infection: Impetigo is caused by bacterial infection (usually Staphylococcus aureus or Streptococcus pyogenes), not a virus.

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Correct Answer is D

Explanation

A. Personality disorder. Personality disorders are long-term patterns of behaviour and inner experiences that deviate significantly from the expectations of the individual's culture. The described behaviour is a specific pattern related to the time of day, not indicative of a personality disorder.
B. Dementia. While dementia is the underlying condition, the specific worsening of symptoms in the evening is known as sundowning syndrome. Dementia alone does not specify the time-related pattern of increased confusion and agitation.
C. Delirium. Delirium is an acute, often sudden change in cognition and attention, usually caused by an underlying medical condition or substance use. The described behavior follows a regular daily pattern, indicating a different issue.
D. Sundowning syndrome. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, commonly seen in individuals with Alzheimer's disease or other forms of dementia.

A. Obsessive-compulsive B. Anxiety tension C. Controlled repetition D. Senseless behavior

Correct Answer is A

Explanation

A. Obsessive-compulsive: This behavior involves persistent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety, fitting the definition of obsessive-compulsive disorder.

B. Anxiety tension: Anxiety tension is a broader term and does not specifically address the repetitive checking behavior seen in obsessive-compulsive disorder.

C. Controlled repetition: This term is not commonly used to describe a specific psychological condition related to repeated behaviors due to obsessive thoughts.

D. Senseless behavior: The behavior is not senseless but is driven by anxiety and obsessive-compulsive tendencies.

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A nine-year-old patient is being evaluated for a skin rash. The preliminary diagnosis is impetigo contagiosa. The nurse assists with planning care with which fact about impetigo contagiosa in mind?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult who lives in a long-term care facility on the Alzheimer unit. Every evening around 5:00 p.m., the resident becomes increasingly agitated and more confused, a state that lasts throughout the evening. The nurse recognizes this behaviour as:

Correct Answer is D

Explanation

A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen. What does this behavior represent?

Correct Answer is A

Explanation

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