The patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. How should the nurse document this behavior?
Alogia
Disordered thinking
Hallucination
Anhedonia
The Correct Answer is C
A. Alogia: Alogia refers to poverty of speech or a reduction in the amount of speech, not to hallucinations.
B. Disordered thinking: Disordered thinking involves a disruption in logical thought processes but does not specifically describe interacting with non-existent entities.
C. Hallucination: A hallucination is a sensory perception (in this case, visual and possibly auditory) in the absence of an external stimulus. Talking to and arranging furniture for a deceased brother fits this definition.
D. Anhedonia: Anhedonia refers to the inability to experience pleasure, not to hallucinations or disordered perceptions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Each evening: Turning the patient only once per day is insufficient to prevent pressure injuries.
B. Once every shift: This is also inadequate as it does not provide the frequent repositioning necessary to prevent pressure injuries.
C. Every 4 hours: While better than every shift, every 4 hours may still not be frequent enough to prevent pressure injuries in at-risk patients.
D. Every 2 hours: Frequent repositioning, such as every 2 hours, is essential for pressure injury prevention in bedfast patients.
Correct Answer is B
Explanation
A. Aerobic: While aerobic exercises improve cardiovascular health, they are less effective in building muscle strength needed to prevent falls.
B. Weight-bearing: Weight-bearing exercises, such as resistance training, help strengthen muscles and improve balance, reducing the risk of falls.
C. Running: Running may be too intense and not suitable for all aging patients, particularly those with joint issues or balance problems.
D. Daily: The frequency of exercise is less relevant than the type; weight-bearing exercises specifically target muscle strength.
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