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?

Experiencing or witnessing a traumatic event can lead to the development of a trauma-related disorder.

Developing a trauma-related disorder is a result of genetics - people are born that way.

Developing a trauma-related disorder is due to a chemical imbalance in the brain.

Developing a traumatic disorder requires an experience of physical harm.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Experiencing or witnessing a traumatic event can indeed lead to the development of a trauma- related disorder. When a person’s natural coping mechanisms are overwhelmed by what they’re experiencing — physically, mentally, or both — their body does what it can to protect them. This includes short-term effects like emotional numbing or keeping them in a state of alertness. However, sometimes the effects of trauma linger, persisting throughout life, causing anxiety, trouble sleeping, and intrusive thoughts that can interfere with daily activities.
Choice B rationale
While genetics can play a role in the development of trauma-related disorders, it is not the sole cause. Trauma-related disorders typically develop after exposure to a traumatic or stressful event.
Choice C rationale
A chemical imbalance in the brain can be a result of trauma, but it is not the cause of trauma- related disorders. These disorders typically develop after exposure to a traumatic or stressful event.
Choice D rationale
Physical harm can indeed be traumatic and lead to the development of trauma-related disorders, but it is not a requirement. Trauma can also result from psychological, emotional, or environmental stressors.

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Correct Answer is B

Explanation

Choice A rationale
Community, Secondary prevention involves interventions that occur after the onset of disease or injury. This does not align with the ordinance, which is aimed at preventing the initiation of tobacco use.
Choice B rationale
Community, Primary prevention involves interventions that prevent the onset of disease or injury. This aligns with the ordinance, which is aimed at preventing the initiation of tobacco use among individuals under 18 years of age.
Choice C rationale
Individual, Secondary prevention would involve interventions targeted at individuals who have already started using tobacco, not at preventing the initiation of tobacco use.
Choice D rationale
Individual, Primary prevention would involve interventions targeted at individuals, not at the community level. The ordinance is a community-level intervention.

A. The milieu consists of the physical and psychosocial environmental factors. B. The gathering spaces should have the chairs positioned around the perimeter of the day room. C. Therapeutic milieu requires unstructured programming, allowing clients to focus on their interests. D. The clients can keep any personal items in their rooms.

Correct Answer is A

Explanation

Choice A rationale
The statement that the milieu consists of the physical and psychosocial environmental factors indicates an understanding of therapeutic milieu. The therapeutic milieu refers to the structured and safe environment that is created in a mental health setting to promote therapeutic interaction and healing.
Choice B rationale
The positioning of chairs around the perimeter of the day room does not necessarily indicate an understanding of therapeutic milieu. While the physical arrangement of the environment can contribute to the therapeutic milieu, it is not the defining aspect.
Choice C rationale
The statement that therapeutic milieu requires unstructured programming, allowing clients to focus on their interests, does not accurately reflect the concept of therapeutic milieu. While client interests are important, therapeutic milieu often involves structured activities designed to promote therapeutic interaction and healing.
Choice D rationale
The statement that clients can keep any personal items in their rooms does not necessarily indicate an understanding of therapeutic milieu. While personal items can contribute to a sense of comfort and safety, therapeutic milieu involves more than just the physical environment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?

Correct Answer is A

Explanation

A nurse is caring for a client who has posttraumatic stress disorder (PTSD). The nurse anticipates the provider might prescribe which of the following medications?

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?

A school nurse receives a telephone call from a parent who suspects their child has coronavirus-2 (SARS-COV-2). Which of the following instructions should the nurse give as secondary prevention?

A community health nurse is preparing a public service announcement about Lyme disease. Which of the following strategies should the nurse include as an example of secondary prevention?

A nurse is caring for a client who has been diagnosed with acute stress disorder. Which of the following client statements aligns with this diagnosis?

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 in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?

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 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?