A nurse assigned to a mental health hotline receives a call from a nurse who has been working on a Covid-19 unit.
The caller states, “I just don’t think I can be a nurse anymore.”. Which of the following types of trauma should the nurse recognize this person is experiencing?
Secondary trauma
Acute trauma
Complex trauma
Chronic trauma
The Correct Answer is A
Choice A rationale
Secondary trauma, also known as vicarious trauma or compassion fatigue, is a type of trauma that can occur in individuals who help or want to help others (like healthcare workers) experiencing a traumatic event. This can include feelings of fear, hopelessness, and difficulties in functioning, similar to those experienced by the person who underwent the actual trauma.
Choice B rationale
Acute trauma is typically associated with a single, severe traumatic event, not the ongoing stress of working in a high-stress environment like a Covid-19 unit.
Choice C rationale
Complex trauma refers to a type of trauma that occurs repeatedly and cumulatively, usually over a period of time and within specific relationships and contexts. It is not typically used to describe the experiences of healthcare workers in a pandemic.
Choice D rationale
Chronic trauma refers to the experience of multiple traumatic events. It is often used to describe situations such as ongoing child abuse, domestic violence, or war. It is not the most accurate term to describe the experiences of healthcare workers in a pandemic.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While voice tremors can be a symptom of anxiety, they are not specifically associated with panic level anxiety. Voice tremors could be due to a variety of factors, including nervousness, fear, or certain medical conditions.
Choice B rationale
Shakiness can be a symptom of anxiety, but it is not specific to panic level anxiety. It could be a physical response to fear, stress, or even low blood sugar.
Choice C rationale
Depersonalization, a feeling of being detached or disconnected from oneself, is a common symptom of panic level anxiety. Individuals may feel as if they are observing themselves from an outside perspective.
Choice D rationale
Poor concentration can be a symptom of many mental health conditions, including anxiety. However, it is not specific to panic level anxiety and can be influenced by a variety of factors, such as stress, lack of sleep, or certain medications.
Correct Answer is A
Explanation
Choice A rationale
The client must be calm and cooperative. This is the most important criterion for removing physical restraints. Restraints are used to prevent patients from causing harm to themselves or others. Once the patient is calm and cooperative, it indicates that the risk of harm has decreased. The goal is always to use the least restrictive measures and to remove restraints as soon as possible.
Choice B rationale
The provider who prescribed the restraints must be present to assess the client before the restraints can be removed. This is not necessarily true. While a provider’s order is required to initiate restraints, the decision to remove them can often be made by the nurse based on their assessment of the patient.
Choice C rationale
The client must verbalize remorse for their behavior. This is not a requirement for removing restraints. The primary concern is the safety of the patient and others, not whether the patient expresses remorse.
Choice D rationale
The client only verbalizes anger toward the staff. If the client is still expressing anger, it may not be safe to remove the restraints. However, verbalizing anger alone is not a sufficient reason to keep a patient in restraints.
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