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 ["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.

A. They are depressed over their current life situation. B. They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences. C. They do not care that they lost their job and their partner. D. They filed for bankruptcy because of their debts and job loss.

Correct Answer is B

Explanation

A. While the client may experience depression as a result of their situation, this does not specifically relate to their addiction to internet gaming and gambling.
B. This manifestation is characteristic of non-substance addictions, such as gambling disorder and internet gaming disorder. Despite experiencing negative consequences, the client continues to engage in the addictive behavior
C. This statement may be true, but it does not specifically relate to the client's addiction to internet gaming and gambling.
D. Filing for bankruptcy due to debts and job loss is a consequence of the client's addiction, but it does not specifically relate to their addiction to internet gaming and gambling.

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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 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

Correct Answer is B

Explanation

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