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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A mother with a healthy pregnancy and delivery has a lower risk, though postpartum depression can still occur, it is not as likely as in cases with more risk factors.
B. A first-time mother with a supportive partner has protective factors such as a strong support system, reducing the risk of postpartum depression.
C. A history of depression and minimal social support are significant risk factors for postpartum depression. Previous mental health issues increase the likelihood of postpartum mood disorders, and lack of support makes coping more difficult.
D. A lack of a family history of mental illness does not eliminate the risk of postpartum depression, especially if other risk factors, such as previous depression or limited support, are present.
Correct Answer is B
Explanation
A. The behavior of picking up after others does not limit interaction time with others; it is driven by anxiety.
B. The compulsive behavior in OCD is often used as a coping mechanism to reduce anxiety. The client is attempting to neutralize or manage obsessive thoughts by performing these repetitive actions.
C. The behavior is not intended to focus attention on meaningful tasks but to alleviate distress.
D. While the behavior might seem to control the environment, the primary motivation is anxiety reduction, not manipulation of others.
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