Nursing Elites

1. A healthcare provider is assessing a client diagnosed with antisocial personality disorder. Which of the following behaviors should the provider expect the client to exhibit?

• A. A lack of remorse for wrongdoing
• B. A fear of gaining weight
• C. A need for constant reassurance
• D. A willingness to take responsibility for actions

Correct answer: A

Rationale: Individuals with antisocial personality disorder typically exhibit a lack of remorse for their actions. They may disregard the rights of others, engage in deceitful and manipulative behaviors, and show a consistent pattern of irresponsibility and disregard for social norms. This behavior is a key characteristic of this disorder. Choices B, C, and D are incorrect because they do not align with the typical behaviors associated with antisocial personality disorder. Fear of gaining weight is more indicative of an eating disorder rather than antisocial personality disorder. Needing constant reassurance is not a common trait of individuals with antisocial personality disorder. Additionally, individuals with this disorder often avoid taking responsibility for their actions.

2. During a panic attack, what is the nurse's priority intervention for a patient with panic disorder?

• A. Encourage the patient to verbalize their feelings.
• B. Provide reassurance and stay with the patient.
• C. Leave the patient alone to calm down.
• D. Distract the patient with a task.

Correct answer: B

Rationale: During a panic attack, the priority intervention for the nurse is to provide reassurance and stay with the patient. This action helps reduce fear and provides a sense of safety, which can aid in calming the patient and preventing further escalation of the panic attack. Encouraging the patient to verbalize their feelings (Choice A) may be beneficial after the acute phase of the panic attack. Leaving the patient alone (Choice C) may increase feelings of abandonment and escalate the panic attack. Distracting the patient with a task (Choice D) is not recommended during a panic attack as it may divert attention but not address the underlying anxiety and fear.

3. Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia?

• A. Constantly afraid another student will steal her belongings.
• B. An unusual interest in numbers and specific topics.
• C. Demonstrates no interest in athletics or organized sports.
• D. Appears more comfortable among males.

Correct answer: B

Rationale: During the prodromal phase of schizophrenia, individuals may exhibit subtle changes in behavior or interests. An unusual interest in numbers and specific topics may be a sign of cognitive disturbances that can precede the onset of schizophrenia. While the other choices may also be observed in adolescents, an unusual interest in numbers and specific topics is more specifically linked to potential prodromal symptoms of schizophrenia.

4. When assessing a patient with generalized anxiety disorder (GAD), which symptom would a nurse most likely observe?

• A. Flashbacks
• B. Excessive worry
• C. Hallucinations
• D. Compulsive behaviors

Correct answer: B

Rationale: Excessive worry is a primary characteristic of generalized anxiety disorder (GAD). Patients with GAD experience persistent and excessive worry about various aspects of their lives, often anticipating disaster or catastrophic outcomes. This worry is difficult to control and can be accompanied by physical symptoms like restlessness, fatigue, irritability, muscle tension, and difficulty concentrating. Flashbacks are more commonly associated with post-traumatic stress disorder (PTSD), hallucinations are more typical of psychotic disorders, and compulsive behaviors are characteristic of obsessive-compulsive disorder (OCD). Therefore, when assessing a patient with GAD, a nurse would most likely observe excessive worry.

5. A client with depression is experiencing anhedonia. Which statement by the client reflects this symptom?

• A. I feel so anxious all the time.
• B. I don't enjoy the things I used to love.
• C. I can't concentrate on anything.
• D. I have trouble sleeping through the night.

Correct answer: B

Rationale: Anhedonia is the inability to experience pleasure from activities usually found enjoyable. The statement 'I don't enjoy the things I used to love' directly reflects this symptom as the client is expressing a lack of pleasure from previously enjoyable activities. Choices A, C, and D do not specifically relate to anhedonia but rather indicate symptoms of anxiety, concentration difficulties, and sleep disturbances, respectively.

Similar Questions