Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
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.
This question is an excerpt from Nurse Dive's nursing test bank - Lpn fundamentals exam evolve ( Illinois college) proctored exam. Take the full exam now
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.
Similar Questions
For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of which psychiatric disorder?
A. Bipolar disorder
Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.
B. Dysthymic disorder
Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.
C. Hypomanic episode
Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.
D. Unipolar depression
Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.
Full Explanation
A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.
B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.
C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.
D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.
The nurse has staged a pressure injury that has a shallow crater with a dry pink wound bed in which way?
A. Stage 4.
Stage 4: Stage 4 pressure injuries involve full-thickness tissue loss with exposed bone, tendon, or muscle, which is more severe than a shallow crater.
B. stage 3.
Stage 3: Stage 3 injuries involve full-thickness skin loss and may present with a deeper wound bed and necrotic tissue.
C. stage 2.
Stage 2: Stage 2 pressure injuries present as a shallow crater or blister with a pink or red wound bed.
D. stage 1.
Stage 1: Stage 1 injuries are characterized by non-blanchable redness of intact skin, without a crater or wound bed.
Full Explanation
A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.
B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.
C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.
D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.
For what is the older adult patient at increased risk because of age-related changes in the musculoskeletal system?
A. Heart attacks due to increased effort to ambulate
Heart attacks due to increased effort to ambulate: While heart attacks are a concern, they are not directly related to musculoskeletal changes and posture.
B. Falls related to posture changes
Falls related to posture changes: Age-related changes such as decreased muscle mass and changes in posture increase the risk of falls.
C. Fractures due to poor uptake of calcium
Fractures due to poor uptake of calcium: While decreased calcium absorption can lead to fractures, age-related musculoskeletal changes like posture and muscle weakness are more directly linked to fall risk.
D. Respiratory failure due to kyphosis
Respiratory failure due to kyphosis: Kyphosis can impact respiratory function, but the most direct risk from musculoskeletal changes in older adults is falls.
Full Explanation
A. Heart attacks due to increased effort to ambulate: While heart attacks are a concern, they are not directly related to musculoskeletal changes and posture.
B. Falls related to posture changes: Age-related changes such as decreased muscle mass and changes in posture increase the risk of falls.
C. Fractures due to poor uptake of calcium: While decreased calcium absorption can lead to fractures, age-related musculoskeletal changes like posture and muscle weakness are more directly linked to fall risk.
D. Respiratory failure due to kyphosis: Kyphosis can impact respiratory function, but the most direct risk from musculoskeletal changes in older adults is falls.