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 ["A","B","D"]

Explanation

Choice A reason: Deep breathing and coughing exercises help clear the lungs and prevent atelectasis, a common postoperative respiratory complication.

Choice B reason: Incentive spirometry encourages patients to take deep breaths, which can help keep the lungs clear of mucus and prevent pneumonia.

Choice C reason: Leg exercises improve circulation and can help prevent blood clots, which can lead to pulmonary embolism, another serious respiratory complication.

Choice D reason: Early ambulation, or getting the patient moving as soon as possible after surgery, is crucial for preventing respiratory complications by promoting circulation and lung expansion.

Choice E reason: Hand squeezes are not directly related to preventing respiratory complications; they are more associated with preventing circulatory complications.

A. Lack of interest B. Hyperactivity C. Delusions D. Neglect of personal hygiene E. Irrational actions

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

Explanation

Choice A reason: Lack of interest is a negative symptom of schizophrenia, characterized by a diminished ability to initiate and sustain planned activities.

Choice B reason: Hyperactivity is not typically considered a negative symptom of schizophrenia.

Choice C reason: Delusions are considered positive symptoms, not negative symptoms of schizophrenia.

Choice D reason: Neglect of personal hygiene is a negative symptom, reflecting a decrease in the ability to manage personal self-care.

Choice E reason: Irrational actions are more aligned with positive symptoms due to their active nature.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following does the nurse implement to prevent postoperative respiratory complications for a patient? (Select all that apply)

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

Explanation

A schizophrenic client is being assessed by the nurse. The client is demonstrating negative symptoms. Which symptoms should be considered negative? (select all that apply)

Correct Answer is ["A","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?

Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

The nurse is caring for a patient who is one day post-mastectomy and notes that she is sobbing and gasping for breath. What should the nurse do first?

Which clinical finding will the nurse anticipate for a patient experiencing a panic attack?

The nurse is reinforcing teaching provided to a patient with Raynaud's disease. Which measure should the nurse include to prevent an attack?

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?

The mental status examination takes place during which part of the nursing process?

After positioning the patient on the surgical table and applying the safety strap, the surgical team pauses and verifies the patient and surgical information. What is this called?