The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?

The family member said the client started to forget people's names.

The confusion began suddenly after taking a newly prescribed antidepressant.

The client states they have been tired and sleeping a lot more than usual.

The family member states the client does not seem to enjoy previous activities.

Answer and Explanation

The Correct Answer is B

Choice A reason: Forgetting people's names can be a symptom of both dementia and delirium, but it is more commonly associated with the progressive cognitive decline seen in dementia.

Choice B reason: Sudden onset of confusion after starting a new medication, such as an antidepressant, is indicative of delirium, which can be triggered by drug interactions or side effects.

Choice C reason: Increased tiredness and sleep could be associated with either condition but are not specific indicators that would distinguish delirium from dementia.

Choice D reason: A loss of interest in previously enjoyed activities is a symptom that can be seen in dementia as part of a gradual decline in engagement and is not specific to delirium.

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Correct Answer is B

Explanation

Choice A reason: This statement suggests a possible external cause for the hair loss, which might not be related to a psychological issue.

Choice B reason: Observing the child pulling out hair and attempting to conceal it indicates trichotillomania, a disorder characterized by a compulsive urge to pull out one's hair.

Choice C reason: Genetic factors could contribute to hair loss, but the statement does not directly suggest a behavioral or psychological disorder.

Choice D reason: The lack of apparent nervousness or upset in the child does not rule out psychological reasons for hair loss, such as trichotillomania, which can sometimes be a covert behavior.

A. Schizotypal B. Avoidant C. Narcissistic D. Antisocial E. Paranoid

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

Explanation

Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.

Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.

Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.

Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.

Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.

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The nurse is performing an assessment for a client brought in by a family member who states they think the client has dementia. When evaluating the assessment data, which finding indicates that the client may likely have delirium and not dementia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements is associated with a client's child experiencing hair loss?

Correct Answer is B

Explanation

The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)

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

Explanation

A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? Select all that apply.

The nurse is providing education to a client regarding a new prescription for lithium carbonate. Which statement by the client indicates the need for additional education?

A nurse is assessing risk factors for suicide. Which of the following should the nurse consider? Select all that apply.

A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa with a body mass index (BMI) of 17.2. Which of the following actions should the nurse take? Select all that apply.

The nurse is educating a client and family about strategies to minimize the side effects of antipsychotic drugs. Which will be included in the plan? Select all that apply.

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?