A young man with malaria spikes a temperature of 105 F (40.5°C) and begins to hallucinate. How should the nurse assess this?
Anxiety disorder
Delirium
Early onset dementia
Psychotic break
The Correct Answer is B
A. While anxiety can cause symptoms like hallucinations, it's typically not associated with a sudden onset due to a physical illness and a high fever.
B. Delirium is an acute confusional state often caused by medical conditions, such as infections (like malaria), and is characterized by rapid onset, fluctuations in consciousness, and disturbances in attention, perception, and cognition. Hallucinations are a common symptom of delirium.
C. Dementia is a progressive decline in cognitive function, which usually develops gradually over time, not suddenly due to a fever.
D. While hallucinations are a symptom of psychosis, they are typically associated with underlying mental health conditions rather than a sudden physical illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Making a suicidal individual feel foolish can increase their isolation and shame, potentially exacerbating suicidal thoughts. It's essential to approach the situation with empathy and understanding.
B. Establishing therapeutic rapport encourages open communication. By creating a safe and trusting environment, the caregiver can facilitate the client to express their thoughts and feelings about suicidal ideation. This information is crucial for assessing the client's risk and developing an appropriate care plan.
C. While feeling in control can be beneficial for some individuals, it's not the primary goal of establishing therapeutic rapport with suicidal clients. The focus should be on creating a safe space for open communication and understanding the client's perspective.
D. Enhancing self-worth is a long-term goal of therapy, but it's not the immediate focus when establishing rapport with a suicidal client. The priority is to address the immediate crisis and create a safe environment for open communication.
Correct Answer is D
Explanation
A. Suicide rates are high among middle-aged individuals, particularly those between 45 and 64 years old but the highest rates are actually found among older adults and particularly among men. Among all age groups, older adults and young adults (especially males) have notably high suicide rates.
B. Suicide is a significant public health issue in the United States. It affects individuals across various demographics and has serious social, emotional, and economic impacts. The idea that it is "not a problem" is inaccurate and dismissive of the reality of the issue.
C. While antidepressants can be a crucial part of treatment for depression, which is a major risk factor for suicide, they do not fully control or prevent suicide on their own. Suicide prevention requires a comprehensive approach that includes mental health support, therapy, crisis intervention, and social support, among other strategies.
D. In the United States, suicide is indeed one of the leading causes of death. As of recent data, it ranks as the tenth leading cause of death overall. This highlights its significant impact and the need for effective prevention strategies and mental health support.
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