A group of nursing students is reviewing information about other psychotic disorders. The students demonstrate understanding of this information when they identify which disorder as involving an inducer?

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Question 1 of 5

A group of nursing students is reviewing information about other psychotic disorders. The students demonstrate understanding of this information when they identify which disorder as involving an inducer?

Correct Answer: C

Rationale: Shared psychotic disorder (Choice C) involves an inducer, which is a person already experiencing a psychotic disorder and influences another person to develop similar delusions. This condition is characterized by the transmission of delusional beliefs from one individual (inducer) to another (recipient). Brief psychotic disorder (Choice A) is a short-term psychotic episode without an inducer. Schizophreniform disorder (Choice B) is a separate psychotic disorder with its own set of criteria. Psychotic disorder attributable to a substance (Choice D) is caused by substance use rather than involving an inducer.

Question 2 of 5

A nurse is preparing a teaching plan for a client about the sexual response cycle integrating the theoretical model described by Masters and Johnson. Which of the following would the nurse describe as occurring first?

Correct Answer: A

Rationale: The correct answer is A: Erotic feelings. According to the Masters and Johnson model, the sexual response cycle starts with the excitement phase, during which erotic feelings and thoughts initiate sexual arousal. Penile erection (B), vaginal lubrication (C), and increased muscle tension (D) are part of the subsequent phases of the cycle, which include plateau, orgasm, and resolution. Therefore, based on the sequence proposed by Masters and Johnson, the first step in the sexual response cycle is the experience of erotic feelings.

Question 3 of 5

A nurse is assessing a client diagnosed with Alzheimer's disease. As part of the assessment, the nurse asks the client to identify common objects. The nurse is assessing for which of the following?

Correct Answer: C

Rationale: The correct answer is C: Agnosia. Agnosia is the inability to recognize familiar objects, people, or sounds despite intact sensory abilities. In Alzheimer's disease, agnosia is commonly seen due to damage in the brain areas responsible for processing sensory information. Asking the client to identify common objects helps assess their ability to recognize and comprehend the objects correctly. A: Aphasia is the impairment of language function, not object recognition. B: Apraxia is the inability to perform purposeful movements, not related to object recognition. D: Executive functioning involves cognitive processes such as planning, organizing, and decision-making, not directly related to object recognition in Alzheimer's disease.

Question 4 of 5

The nurse is caring for a client diagnosed with HAND resulting from AIDS. Which of the following would be most important for the nurse to assess?

Correct Answer: B

Rationale: The correct answer is B: Cognitive impairment. For a client with HIV-associated neurocognitive disorder (HAND), assessing cognitive impairment is crucial as it directly impacts their ability to perform daily activities and make informed decisions. Cognitive assessment helps in determining the extent of cognitive decline and planning appropriate interventions. Sensory impairment (choice A) may be important but is not the priority in HAND. Social behaviors (choice C) and anxiety state (choice D) are also important but assessing cognitive impairment takes precedence due to its direct impact on the client's overall functioning.

Question 5 of 5

A nurse is planning care for a child who has increased intracranial pressure with a decreased level of consciousness. Which of the following intervention should the nurse include in the plan of care?

Correct Answer: D

Rationale: The correct answer is D: Maintain the head at a midline position. This intervention helps to optimize cerebral perfusion and reduce the risk of further increasing intracranial pressure. Placing the head at a midline position promotes proper alignment of the brain structures and facilitates adequate blood flow to the brain. A: Performing active range of motion exercises can increase intracranial pressure and should be avoided in this situation. B: Neurological checks every 4 hours are important but do not directly address the issue of maintaining intracranial pressure. C: Suctioning the airway frequently can also increase intracranial pressure and should be done only when necessary to maintain airway patency. In summary, maintaining the head at a midline position is the most appropriate intervention to manage increased intracranial pressure in a child with a decreased level of consciousness.

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