A patient insistently states, "I can decipher codes of DNA just by looking at someone." Which problem is evident?
Magical thinking
Ideas of reference
Visual hallucinations
Thought insertion
The Correct Answer is A
A. Magical thinking involves belief that one has special powers or that thoughts/actions can influence unrelated events. Claiming an ability to decode DNA by sight reflects an irrational belief in a special, unrealistic power.
B. Ideas of reference are the belief that neutral events (TV, conversations) refer specifically to oneself; that is not described here.
C. Visual hallucinations are false sensory perceptions (seeing things that aren't there); the statement describes a belief about an ability, not a sensory experience.
D. Thought insertion is the delusional belief that others are putting thoughts into one’s mind; the patient is claiming a personal ability, not externally implanted thoughts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This involves memory loss due to brain injury or alcohol abuse, not acute fluctuating confusion.
B. Alzheimer’s causes progressive, irreversible memory decline that develops gradually, not suddenly over 2 days.
C. Delirium is characterized by acute onset, fluctuating levels of orientation, confusion, speech changes, and impaired gait, often triggered by medications, infections, or metabolic issues.
D. Dementia develops slowly and progressively, not suddenly like delirium.
Correct Answer is ["A","B","E"]
Explanation
A. Hypothermia (35.3°C/96.5°F) is dangerous and requires immediate intervention to prevent worsening metabolic and cardiovascular instability.
B. Slow respiratory rate (10/min), wheezes, crackles, productive cough, and hypoxemia (SpO₂ 90% on room air) indicate respiratory compromise and possible impending failure.
C. Although very high, it confirms intoxication but does not require immediate reporting compared to life-threatening findings.
D. Important for discharge planning and social work involvement, but not an immediate medical priority.
E. Hypotension (88/66 mmHg) threatens organ perfusion and needs urgent management.
F. Malnutrition is significant but not an immediate emergency compared to airway, breathing, circulation, and temperature concerns.
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