Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A new client is diagnosed with agoraphobia. Which of the following would the healthcare identify as a characteristic of this disorder?
Select one:
A. Fear Of using public transportation
Agoraphobia is an anxiety disorder characterized by the fear or avoidance of situations or places where escape might be difficult or help may not be available in the event of a panic attack or other distressing symptom. Individuals with agoraphobia may have intense anxiety or panic symptoms in places such as crowded areas, enclosed spaces, public transportation, open spaces, or places far away from home.
B. Avoids interacting with strangers and speaking in public
Option b refers to social anxiety disorder.
C. Avoids being in the presence of spiders
Option c refers to specific phobia.
D. Refuses to use a public restroom because Of the virus, fungus, and bacteria
Option d refers to obsessive-compulsive disorder.
This question is an excerpt from Nurse Dive's nursing test bank - Mental Health - Proctored Exam 2. Take the full exam now
Full Explanation
Agoraphobia is an anxiety disorder characterized by the fear or avoidance of situations or places where escape might be difficult or help may not be available in the event of a panic attack or other distressing symptom. Individuals with agoraphobia may have intense anxiety or panic symptoms in places such as crowded areas, enclosed spaces, public transportation, open spaces, or places far away from home.
Option b refers to social anxiety disorder.
Option c refers to specific phobia.
Option d refers to obsessive-compulsive disorder.
Similar Questions
Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight after initiating therapy?
Select one:
A. Assess for depression and anxiety every shift
B. Communicate empathy for the patient's feelings to increase rapport
C. Help the patient balance energy expenditure and caloric intake.
D. Observe for adverse effects of refeeding.
Refeeding syndrome is a potentially life-threatening condition that can occur when a person with anorexia nervosa begins to eat again after a period of starvation. It is important for the nurse to closely monitor the patient for signs of refeeding syndrome, such as electrolyte imbalances and fluid overload, as the patient begins to gain weight.
Full Explanation
Refeeding syndrome is a potentially life-threatening condition that can occur when a person with anorexia nervosa begins to eat again after a period of starvation. It is important for the nurse to closely monitor the patient for signs of refeeding syndrome, such as electrolyte imbalances and fluid overload, as the patient begins to gain weight.
Which individual with a mental illness may need emergency involuntary hospitalization for mental illness?
The individual who:
Select one:
A. want to hurt a neighbor due to command hallucinations.
Involuntary hospitalization for mental illness is typically reserved for situations where an individual poses an immediate danger to themselves or others due to a severe mental illness. In option A, the individual is experiencing command hallucinations, which are often a symptom of a severe mental illness such as schizophrenia. The fact that they want to hurt their neighbor is a clear indication that they pose a danger to others and require emergency intervention.
B. reports hearing angels playing harps during storms.
Option B may indicate a mental illness such as schizophrenia or bipolar disorder, but it does not necessarily pose an immediate danger to the individual or others.
C. resumes using heroin every day while still taking treatment with methadone.
Option C may indicate a relapse in addiction, but again, it does not necessarily pose an immediate danger to the individual or others.
D. does not show up for a very important appointment in the Mental health clinic
Option D may indicate a need for follow-up and intervention, but it does not indicate an immediate danger to the individual or others.
Full Explanation
Involuntary hospitalization for mental illness is typically reserved for situations where an individual poses an immediate danger to themselves or others due to a severe mental illness. In option A, the individual is experiencing command hallucinations, which are often a symptom of a severe mental illness such as schizophrenia. The fact that they want to hurt their neighbor is a clear indication that they pose a danger to others and require emergency intervention.
Option B may indicate a mental illness such as schizophrenia or bipolar disorder, but it does not necessarily pose an immediate danger to the individual or others.
Option C may indicate a relapse in addiction, but again, it does not necessarily pose an immediate danger to the individual or others.
Option D may indicate a need for follow-up and intervention, but it does not indicate an immediate danger to the individual or others.
A young female client is admitted to the emergency room because she was raped that evening by her date.
How should the registered nurse record the client's chief complaint in the medical record?
A. Gent clams that she was forced to participate in sexual intercourse by a friend
Option a uses colloquial language and may not accurately convey the severity and trauma of the situation.
B. Client States “my date raped me tonight."
This statement clearly and accurately conveys the client's complaint of being raped by her date. It's important for healthcare providers to use appropriate language when documenting sensitive situations like sexual assault to ensure clear communication among the healthcare team and accurate documentation for legal and forensic purposes.
C. Client has been sexually assaulted last night at 10 pm
Option c uses vague language that does not clearly state the nature of the incident.
D. Client reported that she had sexual relations against her Will and she feels very bad
Option d uses subjective language that may not be helpful for accurately documenting the client's complaint.
Full Explanation
This statement clearly and accurately conveys the client's complaint of being raped by her date.
Option a uses colloquial language and may not accurately convey the severity and trauma of the situation.
Option c uses vague language that does not clearly state the nature of the incident.
Option d uses subjective language that may not be helpful for accurately documenting the client's complaint.
It's important for healthcare providers to use appropriate language when documenting sensitive situations like sexual assault to ensure clear communication among the healthcare team and accurate documentation for legal and forensic purposes.