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.
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Related Questions
Correct Answer is D
Explanation
A. This is an inappropriate and potentially harmful response. Restraints should only be used as a last resort and under strict protocols.
B. While it might be tempting to address the behavior, it's unlikely to be effective in this situation. The client is agitated and not receptive to reason.
C. Seclusion is a restrictive measure that should be avoided if possible. It's not appropriate in this situation where the client is verbally abusive but not physically threatening.
D. This is the most appropriate response. It sets a clear boundary, de-escalates the situation, and gives the client and nurse time to calm down.
Correct Answer is B
Explanation
A. While social factors can influence depression, they don't primarily focus on learning as the root cause.
B. Behavioral theories suggest that depression is learned through conditioning and reinforcement. This includes concepts like learned helplessness and operant conditioning.
C. These theories focus on physiological factors like neurotransmitters and genetics as the primary causes of depression.
D. These theories emphasize unconscious conflicts and early childhood experiences as the basis for depression.
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