Author Question: The nurse has asked a catatonic patient, Where is your hat? Which response should cause the nurse to ... (Read 120 times)

crazycityslicker · **on:** Jun 25, 2018

The nurse has asked a catatonic patient, Where is your hat? Which response should cause the nurse to document episodes of echolalia?

a. The patient excitedly says, Hat, cat, rat, fat, scat, splat
b. The patient tearfully says, I had a hat when my mother drove her yellow car.
c. The patient repeatedly says, Your hat, your hat, your hat.
d. The patient places his hands on his head and says, Where is your hat?

Question 2

The nurse adds an intervention to the nursing care plan for a patient on neuroleptics. Which intervention is most appropriate?

a. Increase fluid intake to compensate for the side effect of diarrhea.
b. Encourage snacks to prevent weight loss.
c. Monitor vital signs for hypertension.
d. Assess urinary output for evidence of uri-nary retention.

amandalm · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

D
Echolalia is the repetition of words spoken to the patient by another person.

Answer to Question 2

D
Neuroleptics cause urinary retention, weight gain, constipation, and hypotension. Diarrhea is not associated with the administration of neuroleptics. Weight gain, and not weight loss, is asso-ciated with this type of medication. Hypertension is not associated with this type of medication.