Documentation in a patient's chart shows. "Throughout a 5-minute interaction, patient fidgeted and tapped their left foot, periodically covered their face with their hands, and looked under chair while stating, 1 enjoy spending time with you." Which analysis is most accurate?
The nurse is viewing the patient's behavior through a cultural filter.
The patient is giving positive feedback about the nurse's communication techniques.
The patient is demonstrating psychotic behaviors.
The patient's verbal and nonverbal messages are incongruent.
The Correct Answer is D
A. There is no indication that cultural bias is affecting interpretation; the focus is on the mismatch between verbal and nonverbal cues.
B. While the patient says they enjoy the interaction, their nonverbal behavior (fidgeting, covering face, looking under chair) suggests discomfort or anxiety, not purely positive feedback.
C. The behaviors described (fidgeting, covering face) do not indicate hallucinations or delusions typical of psychosis.
D. The patient verbally states enjoyment, but their body language suggests discomfort, anxiety, or internal conflict, indicating incongruence between words and actions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Giving medication against a patient’s wishes does not fulfill the standard of care; it violates patient autonomy.
B. Malpractice involves professional negligence resulting in harm, but here the issue is intentional violation of patient rights, not negligence.
C. Administering medication after a patient has explicitly refused is considered battery, which is intentional and unauthorized physical contact, even if harm does not occur.
D. Negligence is a failure to act reasonably or omission of care. This situation is an intentional act, making battery the correct legal term.
Correct Answer is A
Explanation
A. Haloperidol, a typical antipsychotic, commonly causes extrapyramidal side effects (EPS) such as muscle stiffness, rigidity, tremors, and sedation, which can make patients feel “robotic.”
B. Headache, watery eyes, and runny nose are not typical side effects of haloperidol; they are more consistent with allergy or upper respiratory symptoms.
C. Mild fever, sore throat, and skin rash could indicate a serious reaction such as agranulocytosis, which is rare and more common with atypical antipsychotics like clozapine.
D. Sweating, nausea, and diarrhea are not primary side effects of haloperidol; they may occur with other medications or conditions but are not typical EPS.
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