A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships.
We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?

“I am sorry about the trauma you and your family experienced.”.

“Did this trauma occur when you were a young child?”

“It must be difficult to appear that you are…”

“I understand the impact of historical trauma on your family.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While expressing empathy is important, this response does not demonstrate an understanding of the concept of historical trauma. Historical trauma refers to the cumulative emotional and psychological wounding of an individual or generation caused by a traumatic experience or event.

Choice B rationale
This response is not appropriate as it attempts to pinpoint the trauma to a specific time in the client’s life. The client is referring to a historical trauma that affected their ancestors and continues to impact their family.
Choice C rationale
This response is vague and does not address the client’s statement about the impact of historical trauma on their family.
Choice D rationale
This is the correct response. By stating that they understand the impact of historical trauma, the nurse acknowledges the long-term effects of traumatic events that occurred in the past and continue to affect the client’s family.

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Correct Answer is C

Explanation

Choice A rationale

Being credible, collaborative, and consistent are important qualities for a nurse, but they do not specifically address the ethical and empathetic aspects of nursing care during a pandemic.
Choice B rationale
Being transparent and honest are important, but politeness does not necessarily equate to empathy. Furthermore, this choice does not address the collaborative aspect of nursing care, which is crucial during a pandemic.
Choice C rationale
Being transparent, collaborative, and consistent are all important behaviors for providing ethical and empathetic nursing care during a pandemic. Transparency ensures that patients and their families are fully informed about their care, collaboration ensures that all members of the healthcare team are working together for the benefit of the patient, and consistency ensures that care is reliable and dependable.
Choice D rationale
While honesty and caring are important, consistency alone does not necessarily equate to ethical and empathetic care. This choice does not address the importance of transparency and collaboration in nursing care during a pandemic.

A. “It has been more than a year, and I still don’t want to leave the house.”. B. “I can’t cry when I talk about my friend because I’m supposed to be strong.”. C. “I should have been the one who was killed instead of my friend.”. D. “When I have flashbacks, it feels like my heart is going to beat through my chest.”.

Correct Answer is C

Explanation

The correct answer is Choice C

Choice A rationale: A reluctance to leave the house for over a year suggests a struggle with grief and possibly depression but does not specifically indicate traumatic grief. It reflects difficulty in moving forward but lacks the intense guilt associated with traumatic grief.

Choice B rationale: Inability to cry due to a perceived need to be strong reflects emotional suppression and societal expectations. It does not directly point to traumatic grief, which often involves more severe symptoms like intense guilt and preoccupation with the deceased.

Choice C rationale: Feeling that one should have been killed instead of a friend indicates severe survivor guilt, a core component of traumatic grief. This statement reflects an intense emotional reaction and an inability to reconcile the loss, leading to profound distress and dysfunction.

Choice D rationale: Flashbacks and physical symptoms like a racing heart suggest post-traumatic stress disorder (PTSD) rather than traumatic grief. PTSD involves re-experiencing traumatic events, whereas traumatic grief focuses more on the loss and associated guilt

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A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships. We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is participating in a hospital committee to discuss the rationing of care and resources during a pandemic. Which of the following behaviors should the nurse identify as important in providing ethical and empathetic nursing care?

Correct Answer is C

Explanation

A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat. Which statement by the client indicates that they are experiencing traumatic grief?

Correct Answer is C

Explanation

A nurse on a mental health unit is preparing to document an incident involving a client. Which considerations by the nurse will ensure competency in the documentation?

A nurse is manning a phone line for trauma and crisis support. A client on the phone inquires, “Could you explain how trauma-related disorders develop?” Which response should the nurse provide?

A nurse is caring for a patient with post-traumatic stress disorder who is considering prolonged exposure therapy. The patient asks, “How does this therapy work?” Which of the following responses accurately describes this type of therapy?

A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

A nurse in a long-term care facility notices two residents arguing in the day room over a game they are playing. Which of the following interventions should the nurse use first?

A nurse is caring for a client who is worried about developing a mental health disorder due to their childhood experiences. Which of the following family characteristics is a protective factor against adverse childhood experiences?

A nurse is caring for a client who has generalized anxiety disorder. The nurse should identify that which of the following statements describes anxiety as transdiagnostic in nature?

A community health nurse is reviewing a new county ordinance that prohibits the sale of tobacco to anyone under 18 years of age. Which of the following levels of prevention should the nurse recognize this ordinance as?

A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships.
We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?