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.
Taking a Patient’s Temperature with a Tympanic Thermometer
The patient's signature on the informed consent form indicates that the patient understands the
Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease.
Jaundice seen in the eyes and the skin of a patient with hepatitis A.
Genetic Vulnerability to Schizophrenia