A nurse is facilitating a group session for clients who have posttraumatic stress disorder.
Which of the following client statements indicates progression toward positive outcomes?
"I feel guilty that my fellow soldiers died in combat and I survived."
"I keep having flashbacks about when I was attacked by my neighbor."
"I prefer to go through the recovery process independently."
"I think my experience has affected my ability to trust others."
The Correct Answer is B
Choice A rationale:
Expressing feelings of guilt and survivor's guilt is a common aspect of processing traumatic experiences and can be an important step in healing.
Choice B rationale:
Rationale: This statement indicates that the client is acknowledging and discussing the flashbacks related to the traumatic event. Progression toward positive outcomes in posttraumatic stress disorder (PTSD) often involves recognizing and addressing distressing symptoms.
Choice C rationale:
The preference for independence may indicate resistance to seeking support, which can hinder progress in addressing and managing PTSD symptoms.
Choice D rationale:
Recognizing that the traumatic experience has affected the ability to trust others reflects insight into the impact of the trauma on relationships, which is a step toward positive outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Exhibiting grief response behaviors may indicate the client is processing emotions related to the assault but may not necessarily indicate effectiveness of the plan of care.
Choice B rationale:
Stating a desire for revenge suggests unresolved anger and is not indicative of effective coping or progress.
Choice C rationale:
A sign of effectiveness in the plan of care for a client who has experienced sexual assault is the client's willingness to seek guidance and support in making important life decisions. This indicates a sense of trust in the nurse and a desire to move forward in a positive way.
Choice D rationale:
Demonstrating an increase in regressive behavior might indicate emotional distress but does not necessarily indicate effectiveness of the plan of care.
Correct Answer is A
Explanation
Choice A rationale:
Melanoma often originates from an existing mole or can develop as a new pigmented lesion on the skin.
Choice B rationale:
Melanoma lesions are typically asymmetrical, not symmetrical.
Choice C rationale:
Metastasis of melanoma is not rare and can occur if the disease is not diagnosed and treated early.
Choice D rationale:
Melanoma has multiple growth phases, including radial and vertical growth.
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