A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

"A heating pad will be used on the operative site to help reduce pain."

"Expect to remain in bed for at least the first 24 hours."

"You will use a continuous passive motion (CPM) machine several times a day."

"You will use a special soap to shower with the evening before your surgery."

Answer and Explanation

The Correct Answer is C

Choice A reason: The use of a heating pad on the operative site is not typically recommended immediately post-surgery due to the risk of bleeding and swelling.

Choice B reason: Patients are encouraged to mobilize as soon as possible after surgery to prevent complications such as deep vein thrombosis and pulmonary embolism.

Choice C reason: The use of a CPM machine is common after total hip replacement surgery to help restore joint function and prevent stiffness.

Choice D reason: Using a special soap the evening before surgery is part of the preoperative preparation to reduce the risk of infection.

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Correct Answer is A

Explanation

Choice A reason: This response is empathetic and reassuring, affirming the nurse's role in providing care and support, which is essential in managing patients with schizophrenia who may experience feelings of paranoia or imprisonment.

Choice B reason: Asking if the patient feels they don't belong could reinforce feelings of alienation or paranoia. It's important to provide reassurance rather than question their sense of belonging.

Choice C reason: While deep breathing can be a calming technique, assuring the patient they will feel better may not address their immediate concerns or the reality of their feelings.

Choice D reason: Asking why they feel the need to leave could challenge the patient's experience and potentially escalate their distress. It's important to validate their feelings and provide reassurance.

A. Schizotypal B. Narcissistic C. Antisocial D. Borderline

Correct Answer is A

Explanation

Choice A reason: Schizotypal personality disorder is characterized by odd beliefs, eccentric behavior, and difficulty with social relationships, yet individuals can still function in society.

Choice B reason: Narcissistic personality disorder involves a pattern of grandiosity and a need for admiration, not necessarily bizarre behavior.

Choice C reason: Antisocial personality disorder is marked by a disregard for the rights of others, not specifically bizarre behavior.

Choice D reason: Borderline personality disorder includes instability in relationships and self-image, which may not be described as "very bizarre behavior".

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A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, "I'm being kept in this prison against my will. Please try to get me out." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

Correct Answer is A

Explanation

Nursing care for people with personality disorders includes all the following except:

The mental status examination takes place during which part of the nursing process?

A general goal for a patient with a Personality Disorder is:

A nurse is collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?

A nurse is contributing to the plan of care for a client who has obsessive-compulsive disorder (OCD) regarding brushing his teeth. The client brushes his tongue several times a day and has developed several ulcerations. Which of the following interventions should the nurse identify as a priority?

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Debridement is: