Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:

Illusion.

Attention-getting behavior.

Hallucination.

Delusion.

Answer and Explanation

The Correct Answer is C

Choice A reason: An illusion is a misinterpretation of a real external stimulus, which is not the case here as there is no snake.

Choice B reason: Attention-getting behavior is a possibility, but given that Mr. G is specifically referencing a snake that isn't there, it suggests a hallucination.

Choice C reason: A hallucination is a sensory perception in the absence of external stimuli, which fits Mr. G's description of seeing a snake that isn't there.

Choice D reason: A delusion is a firmly held false belief; while Mr. G may have this, the immediate experience he's describing is a hallucination, not a delusion.

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Correct Answer is D

Explanation

Choice A reason: Bursting open of the wound is a description that could imply evisceration, but it is not as specific as choice D.

Choice B reason: Wound edges not approximating is a general description of a wound that is not healing properly, but does not specifically describe evisceration.

Choice C reason: Opening of the wound could refer to any situation where a wound has opened, not necessarily evisceration.

Choice D reason: Evisceration specifically refers to the viscera spilling out of the abdomen, usually through a surgical wound.

A. Forms new relationships easily B. Chemical dependency C. Feelings of low self-esteem D. Social integration E. Flashbacks F. Irritability

Correct Answer is ["B","C","E","F"]

Explanation

Choice A reason: Forming new relationships easily is not typically associated with PTSD.

Choice B reason: Chemical dependency can be a coping mechanism for those with PTSD.

Choice C reason: Feelings of low self-esteem are common in individuals with PTSD.

Choice D reason: Social integration is not a symptom of PTSD; rather, individuals may struggle with social interactions.

Choice E reason: Flashbacks are a hallmark symptom of PTSD, where individuals relive the traumatic event.

Choice F reason: Irritability is a common symptom of PTSD, often due to heightened arousal and anxiety.

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Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is evisceration?

Correct Answer is D

Explanation

Symptoms of Post-Traumatic Stress Disorder include: (select all that apply)

Correct Answer is ["B","C","E","F"]

Explanation

An older adult patient experiences a fracture of the lower leg and undergoes closed reduction and placement of a fiberglass cast. What should the nurse prepare for when planning care?

During general surgery, a nurse observes tachycardia, muscle rigidity, respiratory acidosis, and hyperthermia in a patient. Which complication of surgery does the nurse suspect?

Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

Marie has just learned that she has failed her mental health nursing class. She tells her friends, "I knew that instructor was going to fail me. She has never liked me and has just been looking for an excuse to fail me all along." Marie's behavior is an example of which defense mechanism?

The nurse is reading a patient's chart and notes the patient has a tumor stage of IV. Which describes the meaning of stage IV cancer?

When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

People with Narcissistic Personality Disorder display which of the following behaviors? (Select all that apply.)