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 B
Explanation
A. "You will need to drink lots of water." This response does not address the potential drug interaction issue between St. John’s wort and MAOIs.
B. "Did you know that St. John's wort can raise your blood pressure dramatically?" St. John’s wort can interact with MAOIs and may increase blood pressure, which is a significant concern.
C. "That is a great idea. Alternative therapies can be very helpful." This response overlooks the potential for dangerous interactions between St. John’s wort and MAOIs.
D. "You will feel better sooner if you include phenylalanine." Phenylalanine is not relevant to the interaction between St. John’s wort and MAOIs.
Correct Answer is D
Explanation
A. COPD: While COPD is a chronic condition that can be exacerbated by infections, it is not directly caused by decreased immune resistance.
B. Atelectasis: Atelectasis refers to the collapse of part of the lung, often due to surgery or immobility, rather than decreased resistance to infection.
C. Bronchitis: Bronchitis is an inflammation of the bronchi, which can be an issue, but pneumonia is more directly related to infection risk.
D. Pneumonia: Pneumonia is an infection of the lungs and older adults with decreased immune resistance are at increased risk for developing this condition
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