Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
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.
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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.
Similar Questions
Which is important for the nurse to assess when inspecting the skin of a patient?
A. Wear gloves only if the skin appears broken or inflamed.
Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care.
Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars.
Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin.
Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.
Full Explanation
A. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.
Which patient statement indicates that more teaching is needed regarding antibiotic therapy for the treatment of cellulitis?
A. "Cellulitis can come back at any time."
"Cellulitis can come back at any time." This statement reflects an understanding that cellulitis can recur, which indicates that the patient is aware of the potential for reinfection.
B. "My skin is cleared up. I don't think I need the medication anymore."
"My skin is cleared up. I don't think I need the medication anymore." Antibiotics should be taken for the full prescribed duration even if symptoms improve, to ensure complete eradication of the infection.
C. Cellulitis is contagious."
"Cellulitis is contagious." While cellulitis itself is not contagious, this statement does not necessarily indicate misunderstanding of antibiotic therapy.
D. "If I had washed that scratch with soap and water, I probably would not have gotten cellulitis."
"If I had washed that scratch with soap and water, I probably would not have gotten cellulitis." This reflects an understanding of preventative measures, although proper medical treatment is still required for existing cellulitis.
Full Explanation
A. "Cellulitis can come back at any time." This statement reflects an understanding that cellulitis can recur, which indicates that the patient is aware of the potential for reinfection.
B. "My skin is cleared up. I don't think I need the medication anymore." Antibiotics should be taken for the full prescribed duration even if symptoms improve, to ensure complete eradication of the infection.
C. "Cellulitis is contagious." While cellulitis itself is not contagious, this statement does not necessarily indicate misunderstanding of antibiotic therapy.
D. "If I had washed that scratch with soap and water, I probably would not have gotten cellulitis." This reflects an understanding of preventative measures, although proper medical treatment is still required for existing cellulitis.
A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen. What does this behavior represent?
A. Obsessive-compulsive
Obsessive-compulsive: This behavior involves persistent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety, fitting the definition of obsessive-compulsive disorder.
B. Anxiety tension
Anxiety tension: Anxiety tension is a broader term and does not specifically address the repetitive checking behavior seen in obsessive-compulsive disorder.
C. Controlled repetition
Controlled repetition: This term is not commonly used to describe a specific psychological condition related to repeated behaviors due to obsessive thoughts.
D. Senseless behavior
Senseless behavior: The behavior is not senseless but is driven by anxiety and obsessive-compulsive tendencies.
Full Explanation
A. Obsessive-compulsive: This behavior involves persistent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety, fitting the definition of obsessive-compulsive disorder.
B. Anxiety tension: Anxiety tension is a broader term and does not specifically address the repetitive checking behavior seen in obsessive-compulsive disorder.
C. Controlled repetition: This term is not commonly used to describe a specific psychological condition related to repeated behaviors due to obsessive thoughts.
D. Senseless behavior: The behavior is not senseless but is driven by anxiety and obsessive-compulsive tendencies.