The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate?

Site of the lesions

Severity of the symptoms

Surface area of the lesions

Symptomatology of the lesions

Answer and Explanation

The Correct Answer is B

A. Site of the lesions: The site of the lesions is addressed by the "S" in some mnemonics, but in PQRST, it refers to severity.

B. Severity of the symptoms: In the PQRST mnemonic for pain assessment, "S" stands for severity, referring to how intense or bothersome the symptoms are.

C. Surface area of the lesions: Surface area is not typically included in the PQRST mnemonic but may be relevant for other assessments.

D. Symptomatology of the lesions: Symptomatology encompasses the overall symptoms but is not specifically what "S" represents in PQRST.

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Correct Answer is A

Explanation

A. Obsessive-compulsive: This behavior involves persistent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety, fitting the definition of obsessive-compulsive disorder.

B. Anxiety tension: Anxiety tension is a broader term and does not specifically address the repetitive checking behavior seen in obsessive-compulsive disorder.

C. Controlled repetition: This term is not commonly used to describe a specific psychological condition related to repeated behaviors due to obsessive thoughts.

D. Senseless behavior: The behavior is not senseless but is driven by anxiety and obsessive-compulsive tendencies.

A. Help the patient interact in nonaddictive activities. B. Enrol the patient in Alcoholics Anonymous (AA). C. Keep the patient safe from aspiration and seizure. D. Help the patient gain insight into the addiction.

Correct Answer is C

Explanation

A. Help the patient interact in nonaddictive activities. While engaging in nonaddictive activities is important for long-term recovery, the primary concern during the detoxification period is managing withdrawal symptoms and ensuring safety.
B. Enroll the patient in Alcoholics Anonymous (AA). Enrolling in AA or similar support groups is beneficial for ongoing recovery, but the focus during detoxification should be on managing acute withdrawal symptoms and safety.
C. Keep the patient safe from aspiration and seizure. During detoxification, patients are at risk for serious complications such as seizures and aspiration due to withdrawal symptoms. Ensuring patient safety by monitoring for these conditions is a primary goal.
D. Help the patient gain insight into the addiction. Gaining insight into addiction is important for long-term recovery but is not the immediate priority during the detoxification period, which focuses on managing physical withdrawal symptoms and ensuring patient safety.

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The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen. What does this behavior represent?

Correct Answer is A

Explanation

During the detoxification period, what does the nurse aim to achieve when designing interventions?

Correct Answer is C

Explanation

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