Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

Illusion

Flashback

Hallucination

Delusion

Answer and Explanation

The Correct Answer is A

Choice A reason: An illusion is a misinterpretation of a real external stimulus. Mr. S is mistaking the cracks in the plaster for snakes, which is an illusion.

Choice B reason: A flashback is a vivid memory of a traumatic event that feels like it is happening again. This does not describe Mr. S's experience.

Choice C reason: A hallucination is a sensory experience of something that does not exist outside the mind. Since Mr. S is misinterpreting an actual visual stimulus (the cracks), it is not a hallucination.

Choice D reason: A delusion is a firmly held false belief resistant to reason or confrontation with actual fact. Mr. S's belief is based on a misinterpretation of a visual stimulus, not a delusion.

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Correct Answer is D

Explanation

Choice A reason: Nurse self-awareness is crucial in providing care for individuals with personality disorders to avoid countertransference.

Choice B reason: Trust is a fundamental component of the nurse-client relationship and is necessary for effective care.

Choice C reason: Limit setting is essential for maintaining professional boundaries and providing structure in the therapeutic relationship.

Choice D reason: Vague communication is not therapeutic and can lead to misunderstandings and increased feelings of inferiority, which is not conducive to treatment.

A. A rational fear of certain objects. B. Unaware of compulsions. C. Rule-conscious behavior. D. Difficulty relaxing. E. Perfectionist behavior.

Correct Answer is ["C","D","E"]

Explanation

Choice A reason: A rational fear of certain objects is not typically associated with OCD, which is characterized by irrational fears or obsessions.

Choice B reason: Clients with OCD are usually very aware of their compulsions, even if they cannot control them.

Choice C reason: Rule-conscious behavior is common in OCD, as individuals may create strict routines to manage their anxiety.

Choice D reason: Difficulty relaxing is a characteristic of OCD due to persistent intrusive thoughts and compulsive behaviors.

Choice E reason: Perfectionist behavior is often seen in OCD, where there is an excessive concern with orderliness and details.

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Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nursing care for people with personality disorders includes all the following except:

Correct Answer is D

Explanation

A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse is collecting data from a client who has anemia due to excessive blood loss during surgery. Which of the following findings should the nurse expect?

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

The nurse is collecting data on a patient with minor chronic venous disease. What findings are anticipated?

Ms. T complains of headaches and body pains whenever her husband mentions that the house needs to be cleaned. This has been a recurring problem for more than 6 months. Ms. T probably is suffering from what kind of disorder?

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We encourage the patient to cough and deep breathe after surgery to prevent:

A nurse is collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?

The nurse is reviewing lab data of a Stage 4 breast cancer patient. Which lab data may indicate further metastasis?