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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Diarrhea is not commonly associated with pramipexole use.

Choice B rationale:

Drowsiness is a common adverse effect of pramipexole and can impair the client's ability to perform tasks that require alertness.

Choice C rationale:

Tachypnea (rapid breathing) is not typically associated with pramipexole use.

Choice D rationale:

Bradycardia (slow heart rate) is not a common adverse effect of pramipexole.

A. Observe the client for 1 hr following meals. B. Encourage the client to gain 2.27 kg (5 lb) per week. C. Allow the client to exercise for less than 1 hr per day. D. weigh the client in the morning every other day. E. weigh the client in the morning every other day.

Correct Answer is A

Explanation

Choice A rationale:

Monitoring the client for a period of time after meals helps prevent behaviors such as purging or excessive exercise, which individuals with anorexia nervosa might engage in to compensate for food intake.

Choice B rationale:

Encouraging a specific weight gain is not the initial priority. Weight restoration should be approached carefully and gradually to avoid refeeding syndrome.

Choice C rationale:

Allowing the client to exercise for less than 1 hr per day is a potential intervention, but the priority is to observe the client after meals to prevent harmful behaviors.

Choice D rationale:

Weighing the client in the morning every other day is an important monitoring step, but it is not the initial intervention during admission.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has Parkinson's disease and a new prescription for pramipexole. The nurse should monitor the client for which of the following findings as an adverse effect of this medication?

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Correct Answer is A

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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?