Your patient has been admitted with a diagnosis of bilateral pneumonia. You have trouble communicating with this patient, who is pouty and demanding your constant attention. She talks for long periods about the smallest details of her life. Besides the pneumonia, you ask the physician if the patient has a history of which of the following personality disorders?

Borderline

Schizoid

Narcissistic

Antisocial

Answer and Explanation

The Correct Answer is C

Choice A reason: Borderline personality disorder is characterized by instability in relationships, self-image, and emotions, not necessarily by being pouty and demanding attention.

Choice B reason: Schizoid personality disorder involves detachment from social relationships and a limited range of emotional expression, which does not align with the patient's behavior.

Choice C reason: Narcissistic personality disorder includes traits such as needing excessive admiration and having a sense of entitlement, which could explain the patient's behavior.

Choice D reason: Antisocial personality disorder is marked by a disregard for and violation of the rights of others, which is not described in the patient's behavior.

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Correct Answer is D

Explanation

Choice A reason: Ensuring the patient has no questions before signing the consent is a standard and appropriate practice.

Choice B reason: A nurse can witness the patient's signature on the consent form, which is a normal procedure.

Choice C reason: Consent is not universally good for 30 days; it is specific to the procedure and timing, and this statement could mislead and cause legal issues.

Choice D reason: Saying that informed consent protects the hospital from all lawsuits is incorrect and could lead to a false sense of security, as informed consent is about patient autonomy, not just legal protection.

A. Echopraxia B. Word salad C. Echolalia D. Illusion

Correct Answer is C

Explanation

Choice A reason: Echopraxia is the involuntary repetition of another person's movements or actions.

Choice B reason: Word salad refers to a confused or meaningless mixture of words and phrases, often seen in schizophrenia.

Choice C reason: Echolalia is the meaningless repetition of words just spoken by another person, occurring as a symptom of mental conditions.

Choice D reason: Illusion is a false idea or belief, or a deceptive appearance or impression.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing informed consent with a coworker. Which statement by the coworker would concern the nurse?

Correct Answer is D

Explanation

A patient who repeats a word or part of a word over and over might be said to have which of the following symptoms?

Correct Answer is C

Explanation

The nurse is caring for a 52-year-old male patient with a bowel obstruction. Which of these signs would be the earliest indicator to the nurse that the patient is developing symptoms of shock?

A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

A nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?

Nurses understand that patients who deliberately pretend to be ill are:

A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?

Michael's parents have always told him that he is not a good student. Michael starts a small business selling things on the internet and devotes all his time and energy to building it, becoming a successful entrepreneur. Michael's situation is an example of:

A nurse is collecting data from a client who has anemia due to excessive blood loss during surgery. Which of the following findings should the nurse expect?