A client describes flashbacks of a terrifying car crash in which he saw his best friend die. Which disorder should the nurse suspect in this situation?

Panic disorder

Obsessive-compulsive disorder

Posttraumatic stress disorder

Agoraphobia

Answer and Explanation

The Correct Answer is C

A: Panic disorder involves unexpected and repeated episodes of intense fear.

B: Obsessive-compulsive disorder is characterized by unwanted repeated thoughts (obsessions) and actions (compulsions).
C: PTSD involves re-experiencing a traumatic event through flashbacks and nightmares, fitting the client’s description.

D: Agoraphobia is an anxiety disorder involving a fear of places and situations that might cause panic, helplessness, or embarrassment.

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Correct Answer is A

Explanation

A: Providing reassurance of presence can help stabilize the client's emotional state by ensuring safety and support.
B: While taking the client to a quiet room can be helpful, the first action should be to reassure her of your presence and support.

C: Inquiring about the cause of anxiety can be useful, but it should not be the first step when the client is actively hyperventilating.
D: Medication might be necessary, but initial reassurance and creating a safe environment take precedence.

A. "If you do not get out of bed, you will not receive your meal." B. "You really need to follow the rules of the unit and get out of bed." C. "I will help you sit up and get your slippers on." D. "You should rest in bed until you feel able to take part in unit activities."

Correct Answer is C

Explanation

A: This is coercive and inappropriate, potentially causing distress.

B: This does not address the client’s expressed feelings of fatigue and could feel dismissive.
C: This supportive approach helps the client engage in activity at her own pace, promoting participation without coercion.
D: This encourages avoidance, which may further reinforce depressive behaviors and social withdrawal.

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A client describes flashbacks of a terrifying car crash in which he saw his best friend die. Which disorder should the nurse suspect in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is has an anxiety disorder and who has begun to hyperventilate, wring her hands, and is pacing the fleer continually. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

Correct Answer is C

Explanation

Which of the following is a physical clinical finding of depression in older adults?

A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

A hospitalized client sees snakes on the walls of the hospital room and becomes anxious. This is an example of which of the following?

An older adult is given the diagnosis of depression and is started on medication. Which group of medications would be appropriate for the depressed older adult?

An elderly client with severe cardiovascular disease is given the diagnosis of dementia. Which type of dementia does the client most likely have?

A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?

A client is given the diagnosis of generalized anxiety disorder and is prescribed a benzodiazepine. The client should be instructed on which of the following?

A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?