A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?
Anger
Fear
Isolation
Suicidal ideation
The Correct Answer is D
A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.
B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.
C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.
D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.
B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.
C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.
D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.
Correct Answer is A
Explanation
A. Withdrawal problems: These symptoms are consistent with alcohol or drug withdrawal, which can occur in hospitalized patients with a history of substance use.
B. Circulatory problems: While hypertension is a circulatory issue, the sweating and trembling suggest withdrawal rather than primary circulatory problems.
C. Cardiac problems: While important to rule out, the combination of symptoms points more towards withdrawal.
D. Respiratory problems: The primary symptoms here are not indicative of respiratory issues.
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