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

Purple lesions

Ankle edema

Telangiectasias

Palpable nodules

Answer and Explanation

The Correct Answer is B

Choice A reason: Purple lesions could be associated with more severe venous disease or other conditions, not necessarily minor chronic venous disease.

Choice B reason: Ankle edema is a common finding in chronic venous disease due to the pooling of blood in the lower extremities.

Choice C reason: Telangiectasias, also known as spider veins, are commonly seen in chronic venous disease as they are small, visible blood vessels that can be part of the condition.

Choice D reason: Palpable nodules are not typically associated with minor chronic venous disease and could indicate other medical issues.

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Correct Answer is B

Explanation

Choice A reason: Clang association involves speech governed by words that sound alike rather than having a logical connection, which is not demonstrated here.

Choice B reason: Neologism is the creation of new words or phrases that others may not understand, which fits the use of "muxtranks."

Choice C reason: Echolalia is the repetition of another person's spoken words, which is not the case here.

Choice D reason: Word salad refers to a jumble of words that is incoherent, but "muxtranks" is a consistent term used by the client, indicating neologism.

A. Illusion B. Flashback C. Hallucination D. Delusion

Correct Answer is A

Explanation

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

For the patient with antisocial personality disorder, which of the following behaviors would be the most difficult for the patient to comply with?

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