A nurse observes a catatonic patient standing immobile, facing the wall with one arm extended in a salute. The patient remains immobile in this position for 15 minutes, moving only when the nurse gently lowers the arm. What is the name of this phenomenon?
a. Echolalia
b. Waxy flexibility
c. Depersonalization
d. Thought withdrawal
ANS: B
Waxy flexibility is the ability to hold distorted postures for extended periods of time, as though the patient were molded in wax. Echolalia is a speech pattern. Depersonalization refers to a feeling state. Thought withdrawal refers to an alteration in thinking.
You might also like to view...
Order: 640 mL Ensure to infuse NG tube over 8 hr. Available: 1,000 mL of Ensure What is the rate for this tube feeding? _______________
a. 10 mL/hr b. 80 mL/hr c. 640 mL/hr d. 64 mL/hr
A patient receiving loperamide (Imodium) should be alerted by the nurse to what possible adverse effect?
A) Anxiety B) Bradycardia C) Fatigue D) Urinary retention
In advising a client on the care of an anal fissure caused by chronic constipation, the home health nurse would focus on
a. avoiding long, hot baths. b. cleansing with peroxide after each bowel movement. c. keeping stools small by limiting fluid intake. d. the importance of a daily bowel movement.
The nurse collects vital signs on a client with pain. Which of the following would indicate to the nurse that the client is experiencing pain?
A) Respiratory rate of 18 breaths/min B) Temperature of 99.1°F C) Heart rate of 110 bpm D) Blood pressure of 120/70 mmHg