A nurse is caring for a patient who reports a recent increase in stressors.
Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?

Right vs wrong

Justified vs unjustified

Good vs bad

Adaptive vs maladaptive

Answer and Explanation

The Correct Answer is D

Choice A rationale
While understanding the concepts of right and wrong can be important in many aspects of nursing care, it may not be particularly helpful in this context. The patient’s stressors are not necessarily related to moral or ethical dilemmas.
Choice B rationale
The concepts of justified and unjustified might be relevant in some contexts, but they may not provide the necessary context to understand and deliver nursing care for this patient. These

concepts are more related to the evaluation of actions or decisions, rather than understanding a patient’s experience of stress.
Choice C rationale
Good and bad are subjective terms that can vary greatly between individuals. While these concepts might be relevant in some contexts, they may not provide the necessary context to understand and deliver nursing care for this patient.
Choice D rationale
The concepts of adaptive and maladaptive are directly relevant to understanding a patient’s response to stress. Adaptive strategies are those that help an individual cope effectively with stress, while maladaptive strategies are those that do not help, or that may even exacerbate the stress.

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Correct Answer is A

Explanation

Choice A rationale
Post-traumatic play is a way for children to re-enact the traumatic event, and it is a common reaction among children who have experienced trauma. The child in the question mimicking shooting a gun with their hand whenever someone enters the room or tries to interact with them could be an example of this.
Choice B rationale
There is no recognized PTSD symptom or manifestation known as “Men formation.”.
Choice C rationale

Depersonalization involves experiencing a sense of being detached or disconnected from oneself, observing oneself from an outside perspective, or experiencing a sense of unreality. This does not seem to apply to the child’s behavior in the question.
Choice D rationale
Time skewing refers to a shift in the perception of time, which is not evident in the child’s behavior in the question.

A. Generalized anxiety disorder B. Panic disorder C. Agoraphobia D. Separation anxiety disorder .

Correct Answer is A

Explanation

Choice A rationale
The symptoms described by the patient are indicative of Generalized Anxiety Disorder (GAD). GAD is characterized by excessive anxiety and worry about a number of events or activities.
The worry is out of proportion to the actual circumstance and is difficult to control.
Choice B rationale
Panic disorder is characterized by recurrent unexpected panic attacks, which are abrupt surges of intense fear or discomfort that reach a peak within minutes.
Choice C rationale
Agoraphobia involves fear and avoidance of situations where escape might be difficult or help might not be available in the event of developing panic-like symptoms.
Choice D rationale
Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached.

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A nurse is caring for a patient who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 9-year-old child who mimics shooting a gun with their hand whenever someone enters the room or tries to interact with them. This is an example of which manifestation of post-traumatic stress disorder?

Correct Answer is A

Explanation

A nurse is providing care to a patient who is experiencing excessive anxiety and worry in response to various situations, and is unable to control their worry. Which of the following conditions should the nurse identify these symptoms as indicative of?

Correct Answer is A

Explanation

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A nurse is caring for a patient who reports a recent increase in stressors.
Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this patient?