A young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this?
Delirium
Psychotic break
Possible stroke
Anxiety disorder
The Correct Answer is A
A. Delirium: Delirium is characterized by acute confusion, disorientation, and altered mental status often due to severe infection or high fever.
B. Psychotic break: While hallucinations are a symptom, a psychotic break is generally a chronic mental health condition rather than an acute response to infection.
C. Possible stroke: Stroke symptoms usually involve sudden onset of neurological deficits rather than fever and hallucinations.
D. Anxiety disorder: Anxiety disorders do not typically cause such high fevers or acute hallucinations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Abstaining from drug use: Abstinence is crucial, but rehabilitation also involves addressing underlying issues and developing coping strategies.
B. Establishing a support system: Support systems are important, but the primary focus is addressing addiction-related problems.
C. Addressing the problems related to addiction: Comprehensive rehabilitation involves identifying and addressing the root causes and consequences of addiction.
D. Seeking and maintaining employment: Employment is beneficial, but it is a part of broader rehabilitation goals focused on addiction-related issues.
Correct Answer is C
Explanation
A. Reaction formation involves behaving in a way opposite to one's true feelings, which is not a constructive coping mechanism.
B. Compensation is a coping mechanism where the patient overcomes weaknesses by emphasizing strengths but may not directly address stress.
C. Adaptation involves adjusting and finding effective ways to manage stress and is a positive coping mechanism.
D. Projection involves attributing one's own undesirable thoughts or feelings to others, which is not a healthy way of resolving stress.
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