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

Neurotic

Psychotic

Malingering

Hypochondriac

Answer and Explanation

The Correct Answer is C

Choice A reason: Neuroticism is a personality trait characterized by anxiety, fear, moodiness, worry, envy, frustration, jealousy, and loneliness. It does not involve pretending to be ill.

Choice B reason: Psychosis refers to a mental disorder in which thought and emotions are so impaired that contact is lost with external reality. It is not associated with deliberately pretending to be ill.

Choice C reason: Malingering is the act of exaggerating or feigning illness for a secondary gain, such as financial compensation or avoidance of work.

Choice D reason: Hypochondriasis is a condition in which a person is excessively and unduly worried about having a serious illness. It does not involve deliberately pretending to be ill.

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Correct Answer is A

Explanation

Choice A reason: A urine output of 18 mL/hr is significantly lower than the normal range (typically around 0.5-1 mL/kg/hr), indicating possible renal hypoperfusion, an early sign of shock.

Choice B reason: While blood pressure is an important indicator, it may not drop until later stages of shock.

Choice C reason: Lethargy can be a sign of shock, but it is a more subjective and later symptom compared to the objective measure of urine output.

Choice D reason: An elevated pulse is a compensatory mechanism in shock, but it is not as specific an early indicator as a decrease in urine output.

A. Surgical pause B. Time out C. Preoperative checklist D. Time in

Correct Answer is B

Explanation

Choice A reason: A surgical pause is not a commonly used term for this process.

Choice B reason: A time out is a standardized procedure used to verify the correct patient, procedure, and site before surgery begins.

Choice C reason: The preoperative checklist is a broader list of tasks completed before surgery, not the specific pause for verification.

Choice D reason: Time in is not a recognized term for this verification process in the surgical setting.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 52-year-old male patient with a bowel obstruction. Which of these signs would be the earliest indicator to the nurse that the patient is developing symptoms of shock?

Correct Answer is A

Explanation

After positioning the patient on the surgical table and applying the safety strap, the surgical team pauses and verifies the patient and surgical information. What is this called?

Correct Answer is B

Explanation

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

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

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?

The nurse is collecting admission data on a new patient with a long health history. Which of the following life events is considered a stressor?

Debridement is:

In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

A schizophrenic client is being assessed by the nurse. The client is demonstrating negative symptoms. Which symptoms should be considered negative? (select all that apply)