Which statement should indicate to a nurse that an individual is experiencing a delusion?

Correct Answer: A

Rationale: The correct answer is A because it indicates a false belief that cannot be true (alien growing in liver). This is a classic example of a delusion, a fixed false belief. B is incorrect as it could be a hallucination seeing the dead husband. C is incorrect as it is a common fear, not a delusion. D is incorrect as it shows a sensory perception issue, not a delusion. Delusions are rigid, false beliefs that are not based in reality.

Correct Answer: B

Rationale: The correct answer is B: cortisol. Cortisol is known as the stress hormone because it is released in response to stress. It helps regulate various bodily functions during stressful situations. ADH (A) is antidiuretic hormone, involved in water balance. Estrogen (C) is a female sex hormone. Aldactone (D) is a medication used to treat high blood pressure and fluid retention, not a stress marker. Cortisol is the most appropriate choice as it directly correlates with stress response.

Correct Answer: B

Rationale: The correct answer is B: Advanced care directive. This document allows individuals to outline their healthcare preferences in the event they are unable to communicate. It provides clear instructions on the type of care they wish to receive or refuse. Verbal consent (A) is temporary and may not accurately reflect long-term preferences. Durable power of attorney (C) designates a person to make healthcare decisions, but may not include specific preferences. Comfort measures only (CMO) order (D) is a medical directive for end-of-life care, not a comprehensive document like an advanced care directive.

Correct Answer: B

Rationale: The correct answer is B, the staff RN with 3 years of experience who enjoys orienting new employees. This choice is the best because of the staff RN's combination of experience and willingness to mentor. The 3 years of experience indicate a good foundation of knowledge and skills, making them a suitable preceptor for the new graduate. Additionally, their enjoyment of orienting new employees suggests they have a positive attitude towards teaching and mentoring, which is crucial for a successful preceptor-preceptee relationship. A: The charge RN may be a natural leader and know policies, but that doesn't necessarily translate to being the best preceptor for a new graduate who needs guidance and support in clinical practice. C: The LPN may have extensive experience and knowledge of doctor's preferences, but the scope of practice and educational background differ from that of an RN, making them less suitable for preceptorship. D: The staff RN with 10 years of experience refusing to work with students is not an ideal

Correct Answer: B

Rationale: The correct answer is B: homeostasis. Homeostasis refers to the body's ability to regulate internal conditions to maintain stability and balance. It involves various physiologic mechanisms such as temperature regulation, blood pressure control, and pH balance. Homeostasis is crucial for the body to function properly. A: Stress is a state of mental or emotional strain and is not the same as the body's internal balance regulation. C: Self-regulation is a broad term that can encompass various aspects of personal control and behavior, but it does not specifically refer to the body's physiological balance. D: Fight-or-flight response is a specific physiological response to perceived threats, not the overall process of maintaining internal balance.