Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
How should the nurse document the behavior of a patient with mental illness?
A. Very disruptive to a person in society
Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.
B. Differing from socially acceptable behavior
Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.
C. Causing the person to be involved in problems
Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.
D. Resulting from an inability to exercise control
Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.
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Full Explanation
A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.
B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.
C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.
D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.
Similar Questions
After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: "It's only a little bit, and it won't do anything." Which defense mechanism is the patient using?
A. Conversion
Conversion: Conversion involves a psychological conflict being expressed as physical symptoms, which does not fit the patient's response.
B. Repression
Repression: Repression involves unconsciously blocking out unpleasant thoughts or memories, which is not evident in the patient’s response.
C. Denial
Denial: Denial involves refusing to accept reality or facts, which fits the patient’s statement that the candy won’t affect their blood sugar levels.
D. Regression
Regression: Regression involves reverting to earlier developmental stages or behaviors, which does not apply to this situation.
Full Explanation
A. Conversion: Conversion involves a psychological conflict being expressed as physical symptoms, which does not fit the patient's response.
B. Repression: Repression involves unconsciously blocking out unpleasant thoughts or memories, which is not evident in the patient’s response.
C. Denial: Denial involves refusing to accept reality or facts, which fits the patient’s statement that the candy won’t affect their blood sugar levels.
D. Regression: Regression involves reverting to earlier developmental stages or behaviors, which does not apply to this situation.
Which is the term for an infection of a hair follicle?
A. A furuncle
A furuncle (boil) is a deeper infection involving a hair follicle and surrounding tissue, but it is not the term for a simple follicle infection.
B. Folliculitis
Folliculitis is the term for an infection of the hair follicle.
C. A felon
A felon is an infection of the fingertip or pulp, not the hair follicle.
D. A carbuncle
A carbuncle is a cluster of furuncles (boils) that form a larger, deeper infection, rather than a simple follicle infection.
Full Explanation
A. A furuncle (boil) is a deeper infection involving a hair follicle and surrounding tissue, but it is not the term for a simple follicle infection.
B. Folliculitis is the term for an infection of the hair follicle.
C. A felon is an infection of the fingertip or pulp, not the hair follicle.
D. A carbuncle is a cluster of furuncles (boils) that form a larger, deeper infection, rather than a simple follicle infection.
A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse?
A. "You will need to drink lots of water."
"You will need to drink lots of water." This response does not address the potential drug interaction issue between St. John’s wort and MAOIs.
B. "Did you know that St. John's wort can raise your blood pressure dramatically?"
"Did you know that St. John's wort can raise your blood pressure dramatically?" St. John’s wort can interact with MAOIs and may increase blood pressure, which is a significant concern.
C. "That is a great idea. Alternative therapies can be very helpful."
"That is a great idea. Alternative therapies can be very helpful." This response overlooks the potential for dangerous interactions between St. John’s wort and MAOIs.
D. "You will feel better sooner if you include phenylalanine."
"You will feel better sooner if you include phenylalanine." Phenylalanine is not relevant to the interaction between St. John’s wort and MAOIs.
Full Explanation
A. "You will need to drink lots of water." This response does not address the potential drug interaction issue between St. John’s wort and MAOIs.
B. "Did you know that St. John's wort can raise your blood pressure dramatically?" St. John’s wort can interact with MAOIs and may increase blood pressure, which is a significant concern.
C. "That is a great idea. Alternative therapies can be very helpful." This response overlooks the potential for dangerous interactions between St. John’s wort and MAOIs.
D. "You will feel better sooner if you include phenylalanine." Phenylalanine is not relevant to the interaction between St. John’s wort and MAOIs.