Lorraine, a 27 year old executive was brought to the ER for an unknown reason. She is starting to speak but her speech is disorganized and cannot be understood. On what level of anxiety does this features belongs?

Correct Answer: D

Rationale: Lorraine's disorganized, unintelligible speech indicates panic-level anxiety (D). Mild (A) enhances alertness; moderate (B) narrows focus but allows communication; severe (C) impairs function but speech remains coherent. Panic, the highest level, causes extreme disorganization, as seen here, with loss of rational thought and communication, per anxiety scales (e.g., Peplau). Her ER presentation aligns with panic's chaos, making D correct.

Correct Answer: C

Rationale: p.c.' means after meals (C), from Latin 'post cibum,' per pharmacology. As desired (A) is 'ad lib,' before meals (B) 'a.c.,' bedtime (D) 'h.s.' C fits Maalox's post-meal use, making it correct.

Correct Answer: C

Rationale: Efficiency (C) in the nursing process ensures proper use of resources time, staff, costs per management principles. Organized/systematic (A) structures, humanistic (B) cares, effective (D) achieves goals. C targets resource optimization, making it correct.

Correct Answer: D

Rationale: Pulse rate assessment involves measuring the heart rate, typically at the radial artery, and noting whether it exceeds the normal range of 60-100 beats per minute in adults. When the pulse rate is above normal, it indicates an accelerated heart rate, which is medically termed tachycardia (D), defined as a heart rate exceeding 100 beats per minute at rest. Tachypnea (A) refers to rapid breathing, not heart rate, and is unrelated to pulse findings. Hyperpyrexia (B) denotes an extremely high fever (typically above 41.5°C), which could cause a rapid pulse but is a temperature-related term, not a direct pulse descriptor. Arrhythmia (C) indicates an irregular heart rhythm, which may or may not involve an elevated rate; however, the question specifies only an above-normal rate without mentioning irregularity. Thus, tachycardia is the precise term for documenting a pulse rate above normal, making D the correct answer. This distinction is critical in nursing to ensure accurate communication of clinical findings.

Correct Answer: D

Rationale: Mr. Gary's pain in his amputated left leg is phantom pain (D), a sensation in a missing limb, per neurological phenomena post-amputation. Acute (A) and chronic (B) relate to time, not absence. Referred (C) is mislocated from source. Phantom pain, common after limb loss, arises from nerve endings, making D the correct type.