A 28-year-old client is admitted to the psychiatric unit following a motor vehicle accident. The client reports experiencing recurrent flashbacks, intrusive thoughts, and hypervigilance. The nurse suspects the client is experiencing symptoms of PTSD. Which assessment finding further supports this suspicion?

Binge eating and weight gain

Nightmares, difficulty concentrating, and irritability

Purging the last meal

Decreased energy and fatigue

Answer and Explanation

The Correct Answer is B

A. Binge eating and weight gain are more commonly associated with eating disorders or other psychological conditions, not PTSD.

B. Nightmares, difficulty concentrating, and irritability are key symptoms of PTSD, reflecting the psychological impact of trauma. These are consistent with the intrusive and arousal symptoms associated with PTSD.

C. Purging is associated with eating disorders, not PTSD.

D. Decreased energy and fatigue are common symptoms of depression, not specifically indicative of PTSD, although they can be seen in both conditions.

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Correct Answer is B

Explanation

A. Propranolol: Propranolol is a beta-blocker that can be used to treat physical symptoms of anxiety, such as a racing heart. While it may help reduce physiological symptoms, it does not address the psychological components of anxiety and is not commonly prescribed for acute anxiety episodes like test-taking anxiety. Propranolol is more effective for individuals with performance anxiety (e.g., public speaking).

B. Lorazepam: Lorazepam is a benzodiazepine that works by depressing the central nervous system, providing rapid relief of acute anxiety symptoms. It is often used for short-term management of anxiety and can effectively reduce symptoms such as racing heart and trembling hands, making it appropriate for episodic anxiety like test-taking anxiety. However, it is typically prescribed for short-term use due to its potential for dependence.

C. Sertraline: Sertraline is a selective serotonin reuptake inhibitor (SSRI) used for chronic anxiety and depression, but it is not effective for acute episodic anxiety. SSRIs are typically prescribed for long-term management of anxiety disorders, rather than immediate symptom relief.

D. Buspirone: Buspirone is an anxiolytic medication used for generalized anxiety disorder (GAD) but has a delayed onset of action and is not effective for acute, episodic anxiety relief. It is more suitable for long-term management rather than immediate symptom control.

A. A semi-private room with a roommate who has a similar diagnosis B. A private room close to the nursing station C. A seclusion room until the client's activity level becomes more subdued. D. A private room in a quiet location on the unit

Correct Answer is B

Explanation

A. A semi-private room may not provide enough structure or prevent overstimulation, which could exacerbate manic behavior.

B. A private room close to the nursing station is ideal for a client in the manic phase of bipolar disorder. The nurse can monitor the client's behavior more closely while providing a quiet, private space to prevent overstimulation from other clients.

C. A seclusion room should not be the first option unless the client is a danger to themselves or others, and the client's activity level can usually be managed with more supportive measures.

D. A private room in a quiet location is not ideal because the nurse needs to be able to monitor the client closely and intervene if necessary, which would be more difficult in a remote area.

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Naxlex Comprehensive Predictor Exams

A nursing student reports experiencing test-taking anxiety, including physical symptoms like a racing heart and trembling hands before exams. Which medication would the healthcare provider likely prescribe for episodic and acute symptom relief?

Correct Answer is B

Explanation

A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

Correct Answer is B

Explanation

A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?

A nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following client prescriptions should the nurse realize is expected to reduce the client's mania?

A nurse is caring for a client who has been diagnosed with obsessive compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines?

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identity that these manifestations indicate which of the following?

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?