Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?

"Relax. Take a few deep breaths. I'll stay with you."

"I'll take your vital signs and call my supervisor."

"Don't worry. She's done this many times before."

"Why do you think you're having a heart attack, Mr. L?"

Answer and Explanation

The Correct Answer is A

Choice A reason: This response is calming and supportive. It addresses Mr. L's immediate distress by providing reassurance and a directive that can help him manage his panic, which is essential in a situation where a patient is experiencing extreme anxiety.

Choice B reason: While taking vital signs is an important step, it should not be the first response. The priority is to address the patient's acute distress and provide reassurance.

Choice C reason: This response minimizes the patient's feelings and does not address his immediate fear or offer any comfort or support.

Choice D reason: Asking why he thinks he's having a heart attack could increase his anxiety. It's important to first calm the patient before attempting to rationalize the situation.

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Correct Answer is A

Explanation

Choice A reason: Informed consent is obtained when a patient agrees to a procedure after understanding its risks and benefits, which is what Melva provided.

Choice B reason: A time out is a final review before surgery to ensure correct patient identity, procedure, and site, which is not described here.

Choice C reason: Patient history refers to the collection of a patient's medical background, which is not the focus in this scenario.

Choice D reason: The pre-op checklist is a list of tasks to be completed before surgery, not a discussion of the procedure itself.

A. Grandiose B. Preoccupied with details C. Seductive D. Callous toward others

Correct Answer is C

Explanation

Choice A reason: Grandiosity is not typically associated with histrionic personality disorder; it is more commonly seen in narcissistic personality disorder.

Choice B reason: Being preoccupied with details is not a characteristic of histrionic personality disorder; it is more aligned with obsessive-compulsive personality disorder.

Choice C reason: Individuals with histrionic personality disorder may exhibit seductive behavior as a means of seeking attention and affirmation from others.

Choice D reason: Callousness towards others is not a typical feature of histrionic personality disorder; it is more indicative of antisocial personality disorder.

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Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?

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Naxlex Comprehensive Predictor Exams

Melva is scheduled for an elective surgery. The surgeon comes to the preoperative area to review the surgical procedure with her. Alternatives are discussed, along with the benefits and risks associated with the surgery. Melva says she understands everything. This is:

Correct Answer is A

Explanation

A nurse is collecting data from a client who has histrionic personality disorder. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

Nurses understand that patients who deliberately pretend to be ill are:

A patient is receiving IV fluids at 100 mL per hour. Which assessment findings would indicate fluid volume excess? (Select all that apply.)

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

The nurse is assisting a coworker in preparing a patient for surgery. Which statement by the coworker should warrant intervention by the nurse?

A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating, "The muxtranks are coming. The muxtranks are coming." The nurse correctly recognizes the client's use of the word "muxtranks" as an example of which of the following alterations in speech?

Which of the following is a role of the LPN in the preoperative phase? Select all that apply.

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?