Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a patient who has anxiety attacks. What symptoms would indicate that the patient is experiencing a severe anxiety attack?
A. The patient has decreased perceptions.
The patient has decreased perceptions: This is a sign of panic anxiety, not necessarily severe anxiety.
B. The patient has increased motivation.
The patient has increased motivation: Increased motivation is associated with mild to moderate anxiety.
C. The patient has feeling of impending doom.
The patient has a feeling of impending doom: This is a hallmark of severe anxiety, characterized by intense fear and a sense of catastrophic events.
D. The patient could cause harm to self or others.
The patient could cause harm to self or others: This is more indicative of panic or extreme anxiety with loss of control.
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Full Explanation
A. The patient has decreased perceptions: This is a sign of panic anxiety, not necessarily severe anxiety.
B. The patient has increased motivation: Increased motivation is associated with mild to moderate anxiety.
C. The patient has a feeling of impending doom: This is a hallmark of severe anxiety, characterized by intense fear and a sense of catastrophic events.
D. The patient could cause harm to self or others: This is more indicative of panic or extreme anxiety with loss of control.
Similar Questions
When a patient is experiencing a panic attack, how should the nurse best assist the patient?
A. Assist with reality orientation.
Assist with reality orientation: Reality orientation is more suitable for psychotic disorders or delirium.
B. Coach in deep breathing.
Coach in deep breathing: Deep breathing helps to calm the patient and reduce the physiological symptoms of a panic attack.
C. Assist with rational thought.
Assist with rational thought: Rational thought is difficult to achieve during a panic attack; calming measures are more appropriate.
D. Aid in decision making.
Aid in decision making: Decision-making assistance is not practical during a panic attack when the patient is highly distressed.
Full Explanation
A. Assist with reality orientation: Reality orientation is more suitable for psychotic disorders or delirium.
B. Coach in deep breathing: Deep breathing helps to calm the patient and reduce the physiological symptoms of a panic attack.
C. Assist with rational thought: Rational thought is difficult to achieve during a panic attack; calming measures are more appropriate.
D. Aid in decision making: Decision-making assistance is not practical during a panic attack when the patient is highly distressed.
Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?
A. Each evening
Each evening: Turning the patient only once per day is insufficient to prevent pressure injuries.
B. Once every shift
Once every shift: This is also inadequate as it does not provide the frequent repositioning necessary to prevent pressure injuries.
C. Every 4 hours
Every 4 hours: While better than every shift, every 4 hours may still not be frequent enough to prevent pressure injuries in at-risk patients.
D. Every 2 hours
Every 2 hours: Frequent repositioning, such as every 2 hours, is essential for pressure injury prevention in bedfast patients.
Full Explanation
A. Each evening: Turning the patient only once per day is insufficient to prevent pressure injuries.
B. Once every shift: This is also inadequate as it does not provide the frequent repositioning necessary to prevent pressure injuries.
C. Every 4 hours: While better than every shift, every 4 hours may still not be frequent enough to prevent pressure injuries in at-risk patients.
D. Every 2 hours: Frequent repositioning, such as every 2 hours, is essential for pressure injury prevention in bedfast patients.
Dementia is an organic mental disease secondary to what problem?
A. Chemical imbalance
Chemical imbalance: Chemical imbalances are more commonly associated with mood disorders and not specifically with organic dementia.
B. Cerebral disease
Cerebral disease: Dementia is primarily due to changes in brain structure or function, such as those seen in Alzheimer’s disease or other neurodegenerative conditions.
C. Emotional problems
Emotional problems: Emotional problems may contribute to other mental health issues but are not the primary cause of dementia.
D. Circulatory impairment
Circulatory impairment: While circulatory problems can contribute to certain types of cognitive impairment, dementia itself is directly related to cerebral disease.
Full Explanation
A. Chemical imbalance: Chemical imbalances are more commonly associated with mood disorders and not specifically with organic dementia.
B. Cerebral disease: Dementia is primarily due to changes in brain structure or function, such as those seen in Alzheimer’s disease or other neurodegenerative conditions.
C. Emotional problems: Emotional problems may contribute to other mental health issues but are not the primary cause of dementia.
D. Circulatory impairment: While circulatory problems can contribute to certain types of cognitive impairment, dementia itself is directly related to cerebral disease.