NUR3535 PrepU Chapter 27 Questions with Answers, Exams of Nursing

Download NUR3535 PrepU Chapter 27 Questions with Answers and more Exams Nursing in PDF only on Docsity! COMPLETED IN2m 24s CORRECTLY ANSWERED5 of 5 questions 7 NUR3535 PrepU Chapter 27 Questions with Answers Results • Take a Practice Quiz • See your Overall Performance • See your Quiz History Performance by chapter What's this? Chapter 27: Trauma & Stress-Related: PTSD 11 quizzes taken Your mastery after this quiz 7.5 Class average View current mastery performance for all chapters Answer Key Question 1 See full question The advanced practice psychiatric mental health registered nurse is leading a support group for adolescents who have recently experienced disruptions in their life. What participant mostwarrants further assessment for posttraumatic stress disorder? You Selected: • An adolescent who has committed uncharacteristic acts of violence since the death of the adolescent's mother Correct response: • An adolescent who has committed uncharacteristic acts of violence since the death of the adolescent's mother Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. Question 2 See full question What action by a 6-year-old child would most strongly suggest a diagnosis of disinhibited social engagement disorder? You Selected: • The child gives adults enthusiastic hugs immediately after meeting them Correct response: • The child gives adults enthusiastic hugs immediately after meeting them Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 474. Question 3 See full question A male combat veteran with a diagnosis of post-traumatic stress disorder has been prescribed prazosin. What outcome would most clearly indicate the effectiveness of this treatment? You Selected: • The client reports fewer and less intense nightmares. Correct response: • The client reports fewer and less intense nightmares. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 475. Question 4 See full question The nurse is assessing a client who was sexually assaulted several months ago and 7 COMPLETED IN3m 9s CORRECTLY ANSWERED3 of 5 questions • Take a Practice Quiz • See your Overall Performance • See your Quiz History Performance by chapter What's this? Chapter 27: Trauma & Stress-Related: PTSD 10 quizzes taken Your mastery after this quiz 7.5 Class average View current mastery performance for all chapters Answer Key Question 1 See full question When caring for a client who is experiencing the symptomology of acute stress disorder, the nurse recognizes the importance of minimizing the client's risk for developing which condition? You Selected: • Posttraumatic stress disorder Correct response: • Posttraumatic stress disorder Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. Question 2 See full question A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. The initial medical diagnosis is to rule out posttraumatic stress disorder (PTSD). Which would the nurse assess for when determining the major elements of PTSD? Select all that apply. You Selected: • Reexperiencing the trauma through dreams or recurrent and intrusive thoughts • Feeling mildly anxious • Occuring 2 weeks after the trauma Correct response: • Reexperiencing the trauma through dreams or recurrent and intrusive thoughts • Showing emotional numbing such as feeling detached from others • Being on guard, irritable, or experiencing hyperarousal Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. Question 3 See full question A nurse is contributing to the interdisciplinary care plan for a client who has been diagnosed with PTSD. Which should be included in the care plan? You Selected: • Vigilant monitoring for potential indications of self-harm Correct response: • Vigilant monitoring for potential indications of self-harm Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 476. Question 4 See full question A 14-year-old survived a house fire in which a younger sibling died. What assessment finding would support a diagnosis of posttraumatic stress disorder (PTSD)? You Selected: • The adolescent is fixated on having a fire escape plan in the family's new home Correct response: 6 9 quizzes taken Your mastery after this quiz 7 Class average View current mastery performance for all chapters Answer Key Question 1 See full question Of the following list of nursing interventions for the patient with posttraumatic stress disorder (PTSD), place them in order of priority, with the first being the highest priority. You Selected: • Begin intensive one-on-one counseling. • Have the client identify the original trauma that started the PTSD. • Establish suicidal/aggressive safety measures. • Ensure that the client’s physical needs are met. Correct response: • Ensure that the client’s physical needs are met. • Establish suicidal/aggressive safety measures. • Have the client identify the original trauma that started the PTSD. • Begin intensive one-on-one counseling. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 478. Question 2 See full question The family members of a client with posttraumatic stress disorder (PTSD) state that they are "constantly walking on eggshells" because the client reacts so strongly to stressors that seem inconsequential to them. What is the nurse's best response? You Selected: • Educate the family about the client's hyperarousal Correct response: COMPLETED IN3m 52s CORRECTLY ANSWERED4 of 5 questions Congratulations! You've reached Mastery Level 5 for "Chapter 27: Trauma & Stress-Related: PTSD" ! The nurse is interviewing a client who witnessed a fatal accident at the workplace and was unable to save a colleague. What assessment findings would support a diagnosis of posttraumatic stress disorder (PTSD)? Select all that apply. You Selected: • The client has nightmares about the accident • Management is blaming the client for the accident • The client says the client is "unable to face that place again" Correct response: • The client has nightmares about the accident • The client says the client is "unable to face that place again" • The client says the client's family describes the client now as "edgy" and "irritable" Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 474. Results • Take a Practice Quiz • See your Overall Performance • See your Quiz History Performance by chapter What's this? Chapter 27: Trauma & Stress-Related: PTSD 7 quizzes taken 6.5 5 Your mastery after this quiz Class average View current mastery performance for all chapters Answer Key Question 1 See full question Which individual is exhibiting signs or symptoms that are characteristic of posttraumatic stress disorder (PTSD)? Select all that apply. You Selected: • A client who is unable to relax without first barricading the client's home after a violent home invasion and assault • A client who has quit the client's job so that the client no longer has to go to the client's old office where the client was attacked and robbed • A police officer who experiences panic attacks when thinking about the time the police officer was forced to shoot a violent suspect • A client who has frequent nightmares about the time a fellow soldier died from an improvised explosive device Correct response: • A client who has frequent nightmares about the time a fellow soldier died from an improvised explosive device • A client who is unable to relax without first barricading the client's home after a violent home invasion and assault • A client who has quit the client's job so that the client no longer has to go to the client's old office where the client was attacked and robbed • A police officer who experiences panic attacks when thinking about the time the police officer was forced to shoot a violent suspect Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. COMPLETED IN5m 32s CORRECTLY ANSWERED9 of 10 questions Congratulations! You've reached Mastery Level 4 for "Chapter 27: Trauma & Stress-Related: PTSD" ! • Dopamine • Norepinephrine Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 475. Question 5 See full question The nurse is reviewing the medication history of a client who is being treated for posttraumatic stress disorder (PTSD) following an abduction. The nurse should question the use of what medication? You Selected: • Lorazepam Correct response: • Phenelzine Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 475. Results • Take a Practice Quiz • See your Overall Performance • See your Quiz History 4 Performance by chapter What's this? Chapter 27: Trauma & Stress-Related: PTSD 6 quizzes taken Your mastery after this quiz 6 Class average View current mastery performance for all chapters Answer Key Question 1 See full question One major difference between posttraumatic stress disorder (PTSD) and the other anxiety disorders is that ... You Selected: • symptoms begin after exposure to a traumatic stressor. Correct response: • symptoms begin after exposure to a traumatic stressor. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. Question 2 See full question A client with posttraumatic stress disorder (PTSD) tells the nurse that he often feels like he has left his body and is looking at things from a distance. The nurse interprets this as: You Selected: • Dissociation Correct response: • Dissociation Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 3 See full question A client with posttraumatic stress disorder (PTSD) asks the nurse about this eye movement, desensitization, and reprocessing (EMDR) treatment. The nurse explains that this treatment: You Selected: • guides the client through images of the trauma, allowing for progressive desensitization. Correct response: • guides the client through images of the trauma, allowing for progressive desensitization. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 479. Question 4 See full question A group of at-risk teenagers have successfully completed an outdoor training program in which they had to collaborate and conquer a number of challenges. The nurse should identify what likely outcome of this program? You Selected: • Enhanced resilience for the participants Correct response: • Enhanced resilience for the participants Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 471. Question 5 See full question The advanced practice psychiatric mental health registered nurse is leading a Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 8 See full question The nurse is assessing a client who has been diagnosed with post-traumatic stress disorder (PTSD). During the interview, the nurse learns that the client is wealthy and is under no significant pressure to return to work. How should the nurse best interpret the client's statement? You Selected: • The client requires health education about the factors that affect recovery from PTSD Correct response: • The client's financial resources are a potential strength that can be utilized in recovery Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 478. Question 9 See full question A client who is a bus driver was involved in an accident in which two of her passengers died. The client blames herself for their death even though she was exonerated in the follow-up investigation. To help the client see the event more realistically, the nurse should: You Selected: • facilitate a referral for cognitive restructuring therapy. Correct response: • facilitate a referral for cognitive restructuring therapy. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 476. Question 10 See full question Question 1 See full question A college student who was the victim of an attempted sexual assault has sought care due to anxiety that is affecting every aspect of the client's life. Which characteristic of the client's situation and the client's anxiety would suggest a diagnosis of posttraumatic stress disorder (PTSD) rather than acute stress disorder? You Selected: • The attack was an isolated, rather than ongoing, event. Correct response: • The attack took place several months ago, and the client's anxiety has been continuous. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. Question 2 See full question A client with posttraumatic stress disorder (PTSD) has been prescribed sertraline. While educating this client about possible side effects, the nurse should stress that the client needs to call their health care provider if they experience which of the following signs/symptoms? Select all that apply. You Selected: • Tachycardia (racing heart) • Muscle twitching • Fatigue Correct response: • Muscle twitching • Tachycardia (racing heart) Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 480. Question 3 See full question When giving a community lecture about posttraumatic stress disorder (PTSD) for clients and their families, a nurse would include which topics for discussion? Select all that apply. You Selected: • Trying to identify triggers that lead to re-experiencing the trauma. • Finding people who can assist with watching the client during stressful periods. • Trying various treatment options if one does not help. Correct response: • Trying to identify triggers that lead to re-experiencing the trauma. • Trying various treatment options if one does not help. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 481. Question 4 See full question The psychiatric mental health nurse is working with a client who has been diagnosed with posttraumatic stress disorder (PTSD). Assessment reveals that the client is experiencing frequent episodes of intrusion. The nurse should consequently prioritize what assessment? You Selected: • Assessing the quantity and quality of the client's sleep Correct response: • Assessing the quantity and quality of the client's sleep Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 478. Question 5 See full question The family members of a military veteran are distraught that he has withdrawn • Monitoring the client for suicidal ideation Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 476. Question 8 See full question The nurse is performing a physical health assessment of a client who has been diagnosed with posttraumatic stress disorder (PTSD). What aspect of this assessment should the nurse prioritize? You Selected: • Sleep assessment Correct response: • Sleep assessment Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 478. Question 9 See full question A psychiatric nurse is assessing a client with post-traumatic stress disorder (PTSD). During the psychosocial component of the assessment, what assessment question should the nurse include? You Selected: • "How are your symptoms affecting your day-to-day routines?" Correct response: • "How are your symptoms affecting your day-to-day routines?" Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 477. Question 10 See full question A client who has been diagnosed with post-traumatic stress disorder is scheduled to begin stress inoculation training. The nurse should document what desired outcome related to this therapy? You Selected: • The client will demonstrate anxiety-reduction strategies Correct response: • Flashbacks Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 2 See full question What is the major difference between posttraumatic stress disorder (PTSD) and acute stress disorder? You Selected: • In PTSD, the symptoms occur 3 months or more after the trauma. Correct response: • In PTSD, the symptoms occur 3 months or more after the trauma. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 481. Question 3 See full question A client with a diagnosis of posttraumatic stress disorder (PTSD) has been brought to the emergency department (ED) by concerned family members, who state that the client is experiencing a “nervous breakdown.” The ED nurse should prioritize what aspect of care during the initial care of the client? You Selected: • Assessing the client’s risk for self-harm and ensuring safety Correct response: • Assessing the client’s risk for self-harm and ensuring safety Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 477. Question 4 See full question A psychiatric-mental health nurse is conducting a program for family members of clients diagnosed with posttraumatic stress disorder. When describing the concept of resilience, which information would the nurse most likely include? Select all that apply. You Selected: • Everyone who experiences a traumatic event can develop resilience. • As positive self-concept increases, resilience also increases over time. Correct response: • The stronger the resilience, the less likely the person will develop maladaptive behaviors. • As positive self-concept increases, resilience also increases over time. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 471. Question 5 See full question When presenting a discussion of posttraumatic stress disorder (PTSD) to a group of emergency department nurses, the psychiatric-mental health nurse provides examples of traumatic events that may precede PTSD. Which example would the nurse most likely include? Select all that apply. You Selected: • Surviving an EF 4 tornado • Personal assault by a family member • Military combat mission where there were casualties Correct response: • Personal assault by a family member • Military combat mission where there were casualties • Surviving an EF 4 tornado You Selected: • Best practices demonstrate that adolescents who have PTSD are at increased risk of drug abuse. Correct response: • Best practices demonstrate that adolescents who have PTSD are at increased risk of drug abuse. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 474. Question 9 See full question A client with posttraumatic stress disorder (PTSD) suffered injuries in a workplace fire several months ago and now admits that the client is reluctant to join family members on a camping trip. The client states, "The last place I want to be is sitting around a bonfire, pretending to have a good time." The nurse should recognize the characteristics of: You Selected: • avoidance. Correct response: • avoidance. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 10 See full question A client suffered a gunshot injury in a robbery and subsequently developed posttraumatic stress disorder (PTSD). What aspect of the client's current condition was confirm that the client is experiencing hyperarousal? You Selected: • The client is easily startled by sudden noises Correct response: • The client is easily startled by sudden noises Explanation: Reference: • Reduced anxiety Correct response: • Reduced anxiety Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 482. Question 14 See full question A client with a history of intimate partner violence has been diagnosed with posttraumatic stress disorder. The client is wholly unwilling to discuss any aspects of personal history or current mental status with the nurse. What is the nurse's best initial action? You Selected: • Make efforts to demonstrate empathy to the client Correct response: • Make efforts to demonstrate empathy to the client Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 478. Question 15 See full question The nurse is assessing a client who was sexually assaulted several months ago and who has subsequently developed posttraumatic stress disorder (PTSD). The nurse observes that the client's nonverbals are closed and the client is reluctant to engage with the nurse. How should the nurse best interpret this client's behavior? You Selected: • The client's trauma likely has an impact on the client's ability to trust Correct response: • The client's trauma likely has an impact on the client's ability to trust Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 474. Question 16 See full question A psychiatric nurse is assessing a client with post-traumatic stress disorder (PTSD). During the psychosocial component of the assessment, what assessment question should the nurse include? You Selected: • "How are your symptoms affecting your day-to-day routines?" Correct response: • "How are your symptoms affecting your day-to-day routines?" Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 476. Question 17 See full question A nurse's colleague expresses sympathy for a client who is traumatized following a terrorist attack 1 week earlier. The colleague states, "I'm certain that the client has posttraumatic stress disorder (PTSD)." What is the nurse's best response? You Selected: • "Acute stress disorder is a possibility, which might develop into PTSD." Correct response: • "Acute stress disorder is a possibility, which might develop into PTSD." Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 481. Question 18 See full question The nurse is assessing a new client and the client's 3 year-old child. During the interview, the child clamors to sit on the nurse's lap and repeatedly tries to lean into the nurse's chest. What is the nurse's best action? COMPLETED IN5m 30s CORRECTLY ANSWERED6 of 20 questions • Your selection and the correct area, market by the green box. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 475. Results • Take a Practice Quiz • See your Overall Performance • See your Quiz History Performance by chapter What's this? 1 Chapter 27: Trauma & Stress-Related: PTSD 3 quizzes taken Your mastery after this quiz 4.5 Class average View current mastery performance for all chapters Answer Key Question 1 See full question One major difference between posttraumatic stress disorder (PTSD) and the other anxiety disorders is that ... You Selected: • the person experiences acute anxiety with feelings of panic. Correct response: • symptoms begin after exposure to a traumatic stressor. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. Question 2 See full question A nurse is working with a patient who is experiencing large amounts of stress due to relational, financial, and physiologic factors. The nurse can best enhance this patient’s resilience by: You Selected: • helping the patient to think about herself in a positive way. Correct response: • helping the patient to think about herself in a positive way. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 471. Question 3 See full question • Client complains of excessive sleeping, usually 12 hours or more per day • Client reports reexperiences a traumatic image • Client relates no longer experiencing dreams Correct response: • Client reports reexperiences a traumatic image • Client states feelings that the event is reoccurring • Client reports feelings of being suspended in outer space and unable to find a way home Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 6 See full question The nurse's assessment of a child from a dysfunctional family background suggests that the child lacks resilience. What outcome should the nurse identify after performing appropriate interventions? You Selected: • The child states that the child is comfortable being alone for short periods of time Correct response: • The child demonstrates that the child is empowered to solve life problems Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 477. Question 7 See full question A client self-describes as being "upset for weeks" after witnessing a serious motor vehicle accident. Assessment reveals significant disruptions to the client's mood and sleep quality but not the degree that would suggest posttraumatic stress disorder (PTSD). What is the nurse's best action? You Selected: • Choose interventions that address the client's adjustment disorder Correct response: • Choose interventions that address the client's adjustment disorder Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 471. Question 8 See full question The nurse is reviewing the health record of a client who developed posttraumatic stress disorder (PTSD) following a spouse's cardiac arrest and death. The health record states that the client experienced derealization during the traumatic event. What assessment finding would substantiate this statement? You Selected: • The client states that the client cannot remember what happened during and immediately after the event Correct response: • The client states that the client cannot remember what happened during and immediately after the event Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 9 See full question What assessment finding would suggest to the nurse that the client with posttraumatic stress disorder (PTSD) is experiencing dissociation? You Selected: • The client states that usual coping mechanisms are ineffective Correct response: • The client is often "staring into space" and has no idea how much time has passed A client with post-traumatic stress disorder has undergone cognitive restructuring therapy. What statement by the client would most clearly suggest that therapy has had its intended effect? You Selected: • "I can now understand why this event was so traumatic for me." Correct response: • "I'm no longer blaming myself for what happened?" Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 475. Question 13 See full question A client has been diagnosed with posttraumatic stress disorder (PTSD) after being involved in a serious motor vehicle accident, which the client caused. Which information would the nurse most likely include when assessing the client's physical health? Select all that apply. You Selected: • Heart rate and blood pressure • Pain Correct response: • Quality and quantity of the client's sleep • Client's pattern of alcohol consumption • Client's use of over-the-counter medications • Pain • Heart rate and blood pressure Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 477. Question 14 See full question A client with post-traumatic stress disorder (PTSD) tells the nurse, "Every morning I wake up with a vicious hangover and swear I'll never drink like that again. Yet, every night I some how end up at the bar." The nurse should consider the possibility of what nursing diagnosis? You Selected: Question 17 See full question The pediatric nurse is caring for a child who comes from an abusive background and who has been diagnosed with reactive attachment disorder. What behavior should the nurse anticipate when planning this child's care? You Selected: • The child will be reluctant to engage with the nurse Correct response: • The child will be reluctant to engage with the nurse Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. Question 18 See full question A client who experienced serious and repeated traumas has been diagnosed with dissociative identity disorder after being rescued from an abuser. Before caring for this client, the nurse should be prepared for: You Selected: • wide variations in the personality that the client exhibits. Correct response: • wide variations in the personality that the client exhibits. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 483. Question 19 See full question The nurse is assessing a client who was diagnosed with posttraumatic stress disorder (PTSD) several months ago. During a comprehensive follow-up assessment, what areas should the nurse assess? Select all that apply. You Selected: • The client's use of alcohol or other drugs Correct response: • The client's use of alcohol or other drugs • Characteristics of the client's sleep • The effect of the client's PTSD on the family Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma and Stressor-Related Disorders, p. 473. Question 20 See full question A psychiatric-mental health nurse is assessing a client. The client reports night terrors. The nurse suspects that the client may be experiencing posttraumatic stress disorder (PTSD). As the nurse continues to assess the client, which information would help support the nurse's suspicions? Select all that apply. You Selected: • Statements about going out with others to keep safe. Correct response: • Description of dreams and recurrent intrusive thoughts related to the traumatic experience • Description of episodes where client reports an out-of-body experience • Evidence of being on guard, irritable, or experiencing hyperarousal Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Results COMPLETED IN15m 51s Correct response: • How would you describe the quality and quantity of your sleep since the incident? Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 5 See full question Which statement made by a client diagnosed with posttraumatic stress disorder (PTSD) leads the nurse to believe the client is experiencing dissociative symptoms? You Selected: • “I describe my feelings like I’m having an out-of-body experience.” Correct response: • “I describe my feelings like I’m having an out-of-body experience.” Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 6 See full question The nurse is working with two children who have been apprehended from a neglectful and abusive home. Initial assessments reveal that one child is much more traumatized than the other, despite similarities in their circumstances. The nurse should consider what possible explanation for their differing responses? You Selected: • The children have differing levels of resilience Correct response: • The children have differing levels of resilience Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. Question 7 See full question Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 10 See full question The psychiatric mental health nurse is working with a client who has been diagnosed with posttraumatic stress disorder (PTSD). Assessment reveals that the client is experiencing frequent episodes of intrusion. The nurse should consequently prioritize what assessment? You Selected: • Assessing the client's communication skills Correct response: • Assessing the quantity and quality of the client's sleep Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 478. Question 11 See full question The nurse is working with a client who is suspected of having posttraumatic stress disorder after witnessing a violent crime. What statement by the client's spouse would suggest that the client is experiencing hyperarousal? You Selected: • "My spouse always seems so irritated now, which isn't like my spouse." Correct response: • "My spouse always seems so irritated now, which isn't like my spouse." Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 12 See full question Which of the following individuals should the nurse screen most closely for signs and symptoms of post-traumatic stress disorder (PTSD)? You Selected: • A female client who has recently escaped from a relationship marked by intimate partner violence Correct response: • A female client who has recently escaped from a relationship marked by intimate partner violence Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 474. Question 13 See full question A client with posttraumatic stress disorder (PTSD) tells the nurse that the client's recent cognitive behavioral therapy has been difficult. The client states that the client's therapist has the client visualize the sights and sounds from the time that the client was assaulted. This client is likely receiving: You Selected: • exposure therapy. Correct response: • exposure therapy. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 476. Question 14 See full question A combat veteran with posttraumatic stress disorder has been admitted to the psychiatric unit after consuming a large number of antidepressants and drinking half a quart of whiskey 2 days earlier. What aspect of care should the nurse prioritize? You Selected: • Mobilizing the client's social support network Question 17 See full question A police officer was diagnosed with posttraumatic stress disorder after attending to a violent crime scene. What aspect of the client's current health status would most likely warrant inpatient treatment? You Selected: • The client alluded to "ending this misery" in a conversation with a colleague Correct response: • The client alluded to "ending this misery" in a conversation with a colleague Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 476. Question 18 See full question A client has developed posttraumatic stress disorder (PTSD) after a violent sexual assault committed by a close family member. When planning this client's care, the nurse should follow what guideline? You Selected: • The nurse should avoid touching the client during interactions unless necessary Correct response: • The nurse should avoid touching the client during interactions unless necessary Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 482. Question 19 See full question A client who is a bus driver was involved in an accident in which two of her passengers died. The client blames herself for their death even though she was exonerated in the follow-up investigation. To help the client see the event more realistically, the nurse should: You Selected: • discuss the possibility of benzodiazepines with the primary care provider. Correct response: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 482. Question 5 See full question A psychiatric-mental health nurse who works with a large number of female clients experiencing posttraumatic stress disorder (PTSD) is reading a research article about sexual revictimization and PTSD. Which area would the nurse identify as being a major cause for concern in this group? You Selected: • Acting out more sexual bondage with strangers Correct response: • Increased substance use across all age groups Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 474. Question 1 See full question A psychiatric–mental health nurse is teaching the family members of a client about strategies for engaging with their family member who has recently been diagnosed with posttraumatic stress disorder (PTSD). The nurse should encourage the client’s family to: You Selected: • anticipate that the client is likely to be irritable and withdrawn at times. Correct response: • anticipate that the client is likely to be irritable and withdrawn at times. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 480. Question 2 See full question A client with a diagnosis of posttraumatic stress disorder (PTSD) has been brought to the emergency department (ED) by concerned family members, who state that the client is experiencing a “nervous breakdown.” The ED nurse should prioritize what aspect of care during the initial care of the client? You Selected: • Assessing the client’s risk for self-harm and ensuring safety Correct response: • Assessing the client’s risk for self-harm and ensuring safety Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 477. Question 3 See full question Which statement made by a client diagnosed with posttraumatic stress disorder (PTSD) leads the nurse to believe the client is experiencing dissociative symptoms? You Selected: • “I describe my feelings like I’m having an out-of-body experience.” Correct response: • “I describe my feelings like I’m having an out-of-body experience.” Explanation: Dissociation is a disruption in the normally occurring linkages among subjective awareness, feelings, thoughts, behavior, and memories. A person who dissociates is making himself or herself “disappear.” That is, the person has the feeling of leaving his or her body and observing what happens to him or her from a distance and being detached from others. During trauma, dissociation enables a person to observe the event while experiencing no or only limited pain and to protect himself or herself from awareness of the full impact of the traumatic event. Flashbacks are common with PTSD; loud noises associated with the trauma cause flashbacks. Guilt is common for survivors. Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 473. Question 4 See full question The nurse is working with a client who has been experiencing nightmares, hyperarousal and negative thoughts following a bomb threat at the client's workplace. The nurse's colleague states, "It turned out to be just a threat, not a bombing, so technically she can't have posttraumatic stress disorder (PTSD)." What is the nurse's best response? You Selected: • "PTSD is a real possibility, even though the bombing never actually took place." Correct response: • "PTSD is a real possibility, even though the bombing never actually took place." Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 472. Question 5 See full question The nurse is preparing to perform the initial interview of a client who has been diagnosed with posttraumatic stress disorder (PTSD). What action should the nurse prioritize during this interaction? You Selected: • Establishing therapeutic rapport with the client Correct response: • Establishing therapeutic rapport with the client Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 482. Question 1 See full question Which individual is most likely to be diagnosed with posttraumatic stress disorder (PTSD)? You Selected: • A middle-aged woman with a history of anxiety who suffered a random physical assault Correct response: • A middle-aged woman with a history of anxiety who suffered a random physical assault Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 27: Trauma- and Stressor-Related Disorders, p. 474. Question 2 See full question When presenting a discussion of posttraumatic stress disorder (PTSD) to a group of emergency department nurses, the psychiatric-mental health nurse provides examples of traumatic events that may precede PTSD. Which example would the nurse most likely include? Select all that apply. You Selected: • Surviving an EF 4 tornado • Military combat mission where there were casualties • Personal assault by a family member Correct response: • Personal assault by a family member • Military combat mission where there were casualties • Surviving an EF 4 tornado