Differentiation of hysterical fit from epileptic fit:

Correct Answer: D

Rationale: Hysterical fits, also known as psychogenic non-epileptic seizures, differ significantly from epileptic fits in their presentation and triggers. Unlike epileptic seizures, which are caused by abnormal electrical activity in the brain and can occur during sleep (choice A), hysterical fits typically do not. Epileptic seizures often result in physical injuries (choice B) due to uncontrolled movements and falls, and they may lead to incontinence (choice C) because of loss of bodily control during the event. In contrast, hysterical fits are more likely to occur in the presence of an audience (choice D), as they are often linked to psychological stressors or a need for attention. This situational occurrence distinguishes them from the involuntary nature of epilepsy. Nurses must assess these differences to provide appropriate care, as managing a hysterical fit involves addressing psychological factors rather than administering anti-seizure medication. Thus, 'occurs when people are watching' is the key differentiator, making D the correct answer.

Correct Answer: A

Rationale: Meningismus is neck stiffness or other meningeal signs (e.g., Kernig's) without actual meningitis, often from subarachnoid blood or trauma. Choice B reverses this, incorrect. Choice C ties headache to meningitis progression, unrelated. Choice D is false; it's not age-specific. A is correct, per medical definition. Nurses differentiate it from meningitis via LP, ensuring proper diagnosis and care.

Correct Answer: C

Rationale: Third intention healing (C) occurs with delayed surgical closure of an infected wound, allowing time for infection control before suturing. First intention (A) involves primary closure of clean wounds with minimal scarring. Second intention (B) is healing by granulation in open wounds, without surgical closure. Fourth intention (D) isn't a recognized term in wound healing. In third intention, the wound is initially left open to drain and treat infection, then closed later, balancing infection management and tissue approximation. This matches the scenario of delayed closure, making C the correct answer based on wound healing classifications.

Correct Answer: C

Rationale: Detailed explanations (C) are inappropriate for anxious clients, as they overwhelm and increase distress, especially in moderate-to-severe states. Offering choices (A) empowers, a quiet environment (B) soothes, and reducing anxiety (D) is the goal all apt. Anxiety narrows focus, per Peplau; excess information hinders coping. Simple, clear communication suits better, making C the incorrect intervention.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.