Answer to Question 1
ANS: D
The patient is likely laughing in response to inner stimuli, such as hallucinations or fantasy. Focus on the hallucinatory clue (the patient's laughter) and then elicit the patient's observation. The incorrect options are less useful in eliciting a response: no joke may be involved, why questions are difficult to answer, and the patient is probably not focusing on what the nurse said in the first place.
Answer to Question 2
ANS: B
Tardive dyskinesia is a neuroleptic-induced condition involving the face, trunk, and limbs. Involuntary movements, such as tongue thrusting; licking; blowing; irregular movements of the arms, neck, and shoulders; rocking; hip jerks; and pelvic thrusts, are seen. These symptoms are frequently not reversible even when the drug is discontinued. The scenario does not present evidence consistent with the other disorders mentioned. Agranulocytosis is a blood disorder. Tourette's syndrome is a condition in which tics are present. Anticholinergic effects include dry mouth, blurred vision, flushing, constipation, and dry eyes.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink
Effects of nursing rounds on patient safety
A pacemaker in a patient’s chest.
National Patient Safety Goals for Acute-Care Hospitals
Variations in patient response to drugs