A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?

"I need to catch the bird that is flying in my room."

"I feel like someone is watching me."

"I have a difficult time remembering things."

"I am sad no matter how well things are going."

Answer and Explanation

The Correct Answer is C

A.   This statement suggests a delusion or hallucination, which are common symptoms of some mental disorders, but it does not specifically suggest an inability to process new information.
B.   This statement suggests paranoia, which is a common symptom of some mental disorders, but it does not specifically suggest an inability to process new information.
C.   This statement suggests difficulty with memory, which is a cognitive function that is related to the ability to process new information.
D.   This statement suggests a persistent negative mood, which is a symptom of some mental disorders, but it does not specifically suggest an inability to process new information.

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Correct Answer is A

Explanation

A. This behavior reflects the secretive and recurring nature of binge-purge cycles characteristic of bulimia nervosa. The condition often involves a pattern of eating large amounts of food (binging) followed by compensatory behaviors such as self-induced vomiting (purging) to prevent weight gain.
B. This statement is not characteristic of bulimia nervosa.
C. This statement could indicate laxative abuse, which may occur in individuals with bulimia nervosa, but it is not specific to the disorder.
D. This statement could indicate anorexia nervosa, which is characterized by restrictive eating, but it is not specific to bulimia nervosa.

A. Insert a nasogastric (NG) tube. B. Measure lactate level. C. Obtain a wound culture. D. Administer broad-spectrum antibiotics. E. Obtain blood cultures. F. Type and cross-match for 2 units of packed RBCs. G. Rapidly administer 30 mL/kg of normal saline. H. Obtain a urine specimen.

Correct Answer is ["B","D","E","G"]

Explanation

A. Inserting a nasogastric (NG) tube is not a priority action in the initial management of sepsis.
B. Measuring lactate levels is a priority action in the initial management of sepsis. Elevated lactate levels indicate tissue hypoxia and are associated with increased mortality in septic patients.
C. Obtaining a wound culture is not a priority action in the initial management of sepsis.
D. Administering broad-spectrum antibiotics is a priority action in the initial management of sepsis. Prompt antibiotic therapy is associated with improved outcomes in septic patients.
E. Obtaining blood cultures is a priority action in the initial management of sepsis. Blood cultures help identify the causative organism and guide antibiotic therapy.
F. Type and cross-matching for packed RBCs is not a priority action in the initial management of sepsis.
G. Rapidly administering 30 mL/kg of normal saline is a priority action in the initial management of sepsis. This bolus of fluid helps restore tissue perfusion and hemodynamic stability.
H. Obtaining a urine specimen is not a priority action in the initial management of sepsis.

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A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?

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Naxlex Comprehensive Predictor Exams

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Correct Answer is A

Explanation

A nurse is caring for a 73-year-old client in the emergency department (ED). Exhibits It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.

Correct Answer is ["B","D","E","G"]

Explanation

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