Answer to Question 1
ANS: D
The patient is likely laughing in response to inner stimuli such as hallucinations or fantasy. Focusing on the hallucinatory clue (i.e., the patient's laughter) and then eliciting the patient's observation is best. 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 has 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 observed. 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 syndrome is a condition in which tics are present. Anticholinergic effects include dry mouth, blurred vision, flushing, constipation, and dry eyes.
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Measuring Patient Height
Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Hypofrontality in Schizophrenia
Inspecting a patient’s ear during a physical examination.
A patient with goiter due to iodine deficiency.