A patient is preparing to receive electroconvulsive therapy. The nurse caring for this patient identifies which patient problem as the highest priority?
Anxiety related to uncertainty of the events of the test
Deficient knowledge related to lack of information regarding the procedure
Disturbed thought process related to confusion
Disturbed thought process related to temporary memory loss
The Correct Answer is A
A. Anxiety related to uncertainty of the events of the test: Addressing the patient's anxiety and providing information about the procedure can help reduce fear and improve cooperation.
B. Deficient knowledge related to lack of information regarding the procedure: While providing information is important, the immediate emotional response (anxiety) takes priority as it can impact the patient's experience of the procedure.
C. Disturbed thought process related to confusion: While disturbed thought processes are relevant, they are not the primary concern pre-procedure.
D. Disturbed thought process related to temporary memory loss: Temporary memory loss can occur post-ECT, but addressing pre-procedure anxiety is a more immediate priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 6 to 12 hours: Hallucinations from PCP can last from 6 to 12 hours, depending on the dose and individual response.
B. 1 to 4 hours: PCP-induced hallucinations typically last longer than 1 to 4 hours.
C. 4 to 6 hours: While PCP hallucinations can last around this time, the duration can be longer.
D. 30 to 60 minutes: This duration is too short for PCP-induced hallucinations.
Correct Answer is D
Explanation
A. Personality disorder. Personality disorders are long-term patterns of behaviour and inner experiences that deviate significantly from the expectations of the individual's culture. The described behaviour is a specific pattern related to the time of day, not indicative of a personality disorder.
B. Dementia. While dementia is the underlying condition, the specific worsening of symptoms in the evening is known as sundowning syndrome. Dementia alone does not specify the time-related pattern of increased confusion and agitation.
C. Delirium. Delirium is an acute, often sudden change in cognition and attention, usually caused by an underlying medical condition or substance use. The described behavior follows a regular daily pattern, indicating a different issue.
D. Sundowning syndrome. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, commonly seen in individuals with Alzheimer's disease or other forms of dementia.
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