A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)

Feeling mildly anxious.

Showing emotional numbing such as feeling detached from others.

Occurring 2 weeks after the trauma.

Reexperiencing the trauma through dreams or recurrent and intrusive thoughts.

Being on guard, irritable, or experiencing hyperarousal.

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Feeling mildly anxious can be a normal reaction after a traumatic event and does not necessarily indicate PTSD.

Choice B reason: Emotional numbing and detachment from others are common symptoms of PTSD, reflecting an avoidance of reminders of the trauma.

Choice C reason: The timeframe of symptoms occurring specifically 2 weeks after the trauma is more indicative of acute stress disorder rather than PTSD.

Choice D reason: Reexperiencing the trauma through dreams or intrusive thoughts is a hallmark symptom of PTSD, often leading to significant distress.

Choice E reason: Hyperarousal, including being on guard and irritable, is a symptom of PTSD that involves an increased state of anxiety and heightened emotional response.

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Correct Answer is B

Explanation

Choice A reason: Memory loss is a hallmark symptom of dementia, often noticed as one of the first signs of cognitive decline associated with the condition.

Choice B reason: Individuals with dementia may experience difficulty with problem-solving or handling complex tasks, reflecting impaired executive function.

Choice C reason: Changes in mood or behavior, such as increased irritability or apathy, can occur in dementia due to changes in brain function affecting emotion regulation.

Choice D reason: Difficulty with language and communication, including finding the right words or following conversations, is common in dementia as it progresses.

A. "Did your husband say something to upset you?" B. "Tell me what is concerning you." C. "Your husband is making really good progress!" D. "Did something bad happen to your husband?"

Correct Answer is B

Explanation

The correct answer is: "Tell me what is concerning you."

Choice A reason:

Asking "Did your husband say something to upset you?" may seem accusatory and could lead the spouse to feel defensive. It does not open a dialogue for the spouse to express their concerns freely and can be perceived as leading the conversation in a negative direction.

Choice B reason:

"Tell me what is concerning you." is an open-ended statement that invites the spouse to share their feelings and concerns. It demonstrates empathy and active listening, which are key components of therapeutic communication. This response encourages the spouse to elaborate on their feelings and fosters a supportive environment.

Choice C reason:

Saying "Your husband is making really good progress!" is reassuring, but it does not address the spouse's current emotional state or concerns. It may come across as dismissive of the spouse's feelings and does not encourage further discussion about their worries.

Choice D reason:

Asking "Did something bad happen to your husband?" can increase anxiety and assumes a negative event has occurred. It is not a therapeutic response because it does not provide comfort or support to the spouse in a stressful situation.

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A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect?

Correct Answer is B

Explanation

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?

Correct Answer is B

Explanation

Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. With which types of personality disorders should the nurse use a matter-of-fact approach? (Select all that apply)

A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply.

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa and finds the client unconscious on the floor with a history of using laxatives, what is the most likely cause of the client's current state?

The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)

The nurse is attempting to develop empathy for a client but is not completely feeling empathetic. Which factor might be hindering the nurse from developing empathy for this client?