Marge is a 68-year-old woman with a long history of bipolar disorder. She is brought to the ED by her sister, who reports that Marge has been increasingly agitated, unable to sleep, and told her daughter that the mayor was calling her for advice on running the city. The behavior is an example of:
Schizophrenia
Auditory hallucinations
Delusions of grandeur
Delusions of persecution
The Correct Answer is C
Choice A reason: Schizophrenia is a diagnosis, not a symptom, and involves a range of symptoms including delusions, hallucinations, and disorganized thinking.
Choice B reason: Auditory hallucinations involve hearing voices or sounds that are not there and are not described in the scenario.
Choice C reason: Delusions of grandeur involve beliefs of having more power, wealth, smarts, or other grand traits than is true, which fits the description of Marge's belief about advising the mayor.
Choice D reason: Delusions of persecution involve beliefs that others are out to harm or harass the individual, which is not indicated in Marge's behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Directly asking the client about suicidal plans is a critical step in assessing risk and determining the need for immediate intervention.
Choice B reason: While involving the family is important, it does not address the immediate risk the client may pose to herself.
Choice C reason: Recognizing the statement as a manipulation attempt is inappropriate; all expressions of suicidal ideation should be taken seriously.
Choice D reason: Allowing the client to rest does not address the immediate risk of suicide and the need for urgent assessment and intervention.
Correct Answer is A
Explanation
Choice A reason: Furosemide is a loop diuretic that can cause hypokalemia, so monitoring potassium levels is important.
Choice B reason: While calcium levels can be affected by furosemide, it is not typically the primary concern.
Choice C reason: Prothrombin time is not usually affected by furosemide and is not routinely monitored unless the patient is on anticoagulant therapy.
Choice D reason: Urine sodium could be checked, but it is the serum potassium that is most commonly monitored due to the risk of hypokalemia with furosemide use.
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