Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?
A. Posttraumatic stress disorder
. Posttraumatic stress disorder: This behavior is consistent with PTSD, where triggers related to a traumatic event cause intense emotional and physical reactions.
B. Phobia
Phobia: A phobia is an intense fear of a specific object or situation, but this behavior is linked to a traumatic event rather than a specific fear.
C. Obsessive-compulsive disorder
Obsessive-compulsive disorder: OCD involves compulsive behaviors and obsessions, not reactions to trauma.
D. Disordered thinking
Disordered thinking: Disordered thinking involves abnormal thought processes, which does not directly explain the reaction to firecrackers.
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Full Explanation
. Posttraumatic stress disorder: This behavior is consistent with PTSD, where triggers related to a traumatic event cause intense emotional and physical reactions.
B. Phobia: A phobia is an intense fear of a specific object or situation, but this behavior is linked to a traumatic event rather than a specific fear.
C. Obsessive-compulsive disorder: OCD involves compulsive behaviors and obsessions, not reactions to trauma.
D. Disordered thinking: Disordered thinking involves abnormal thought processes, which does not directly explain the reaction to firecrackers.
Similar Questions
A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?
A. 6 to 12 hours
6 to 12 hours: Hallucinations from PCP can last from 6 to 12 hours, depending on the dose and individual response.
B. 1 to 4 hours
1 to 4 hours: PCP-induced hallucinations typically last longer than 1 to 4 hours.
C. 4 to 6 hours
4 to 6 hours: While PCP hallucinations can last around this time, the duration can be longer.
D. 30 to 60 minutes
30 to 60 minutes: This duration is too short for PCP-induced hallucinations.
Full Explanation
A. 6 to 12 hours: Hallucinations from PCP can last from 6 to 12 hours, depending on the dose and individual response.
B. 1 to 4 hours: PCP-induced hallucinations typically last longer than 1 to 4 hours.
C. 4 to 6 hours: While PCP hallucinations can last around this time, the duration can be longer.
D. 30 to 60 minutes: This duration is too short for PCP-induced hallucinations.
The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?
A. Tasteless food
Tasteless food: While tasteless food could be a factor, it’s less likely to be the primary cause, especially if the issue is widespread and persistent.
B. Overuse of salt
Overuse of salt: Overuse of salt might affect taste but is not a common cause of loss of taste or appetite in older adults.
C. Loss of taste buds
Loss of taste buds: Aging can lead to a decrease in the number of taste buds and a reduced ability to taste food, leading to a loss of appetite.
D. Lack of variety
Lack of variety: Lack of variety might affect appetite but is not typically the cause of a complete loss of taste.
Full Explanation
A. Tasteless food: While tasteless food could be a factor, it’s less likely to be the primary cause, especially if the issue is widespread and persistent.
B. Overuse of salt: Overuse of salt might affect taste but is not a common cause of loss of taste or appetite in older adults.
C. Loss of taste buds: Aging can lead to a decrease in the number of taste buds and a reduced ability to taste food, leading to a loss of appetite.
D. Lack of variety: Lack of variety might affect appetite but is not typically the cause of a complete loss of taste.
The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?
A. "I wouldn't need to drink if I had my family back."
"I wouldn't need to drink if I had my family back." This statement shifts the focus from personal responsibility for drinking to external factors.
B. "My drinking helps me cope with the stress of my job."
"My drinking helps me cope with the stress of my job." This indicates a belief in using alcohol as a coping mechanism rather than recognizing the impact of drinking itself.
C. "All my difficulties are related to my drinking."
"All my difficulties are related to my drinking." Recognizing that difficulties are related to drinking shows insight and a step towards taking responsibility for the problem.
D. “I drink because I'm lonely."
“I drink because I'm lonely.” While this indicates awareness of a trigger, it does not demonstrate the same level of insight into the central role of drinking in the patient’s difficulties.
Full Explanation
A. "I wouldn't need to drink if I had my family back." This statement shifts the focus from personal responsibility for drinking to external factors.
B. "My drinking helps me cope with the stress of my job." This indicates a belief in using alcohol as a coping mechanism rather than recognizing the impact of drinking itself.
C. "All my difficulties are related to my drinking." Recognizing that difficulties are related to drinking shows insight and a step towards taking responsibility for the problem.
D. “I drink because I'm lonely.” While this indicates awareness of a trigger, it does not demonstrate the same level of insight into the central role of drinking in the patient’s difficulties.