A nurse is responding to a parent of an adolescent who was recently diagnosed with posttraumatic stress disorder following a sexual assault.The parent mentions that their child has been experimenting with drugs. Why would they be doing this?
“This must be a difficult time for you.”.
“This is normal behavior for an adolescent. Nothing to be concerned about.”.
“I can understand your concerns. Which of these behaviors do you want to address first?”
“It’s very frustrating when children misbehave. Do any of your other children react the same way? What rules have you established for them?”
The Correct Answer is A
Choice A rationale
The adolescent’s experimentation with drugs could be a coping mechanism to deal with the trauma of the sexual assault and the subsequent posttraumatic stress disorder (PTSD).
Substance use, including drug use, is often a maladaptive coping strategy used by individuals
who have experienced trauma to numb their feelings, escape from their reality, or attempt to regain control. This must indeed be a difficult time for both the adolescent and the parent.
Choice B rationale
While experimentation is a part of normal adolescent behavior, it is not normal or healthy for an adolescent to use drugs, especially in response to a traumatic event such as a sexual assault. Drug use can lead to addiction, health problems, and further psychological distress. Therefore, it is something to be concerned about and addressed appropriately.
Choice C rationale
While it is important to understand and address the parent’s concerns, the focus should be on the adolescent’s needs. The adolescent is dealing with the aftermath of a sexual assault and a diagnosis of PTSD, and is using drugs. These are serious issues that need to be addressed with professional help. The question of which behavior to address first should be determined based on the adolescent’s immediate safety and well-being.
Choice D rationale
It is not helpful to label the adolescent’s behavior as misbehavior or to compare them to their siblings. Each child is unique and may react differently to stress and trauma. Instead of focusing on rules and comparisons, it would be more beneficial to provide support, understanding, and appropriate professional help.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While understanding the connection between thoughts, feelings, and behavior is a key component of many therapeutic approaches, it is not the primary focus of prolonged exposure therapy.
Choice B rationale
Encouraging patients to talk as a way of developing self-awareness is a common technique in various forms of therapy, but it does not specifically describe how prolonged exposure therapy works.
Choice C rationale
Prolonged exposure therapy involves helping patients safely and gradually face memories or situations related to their trauma that evoke fear. The goal is to reduce the avoidance of trauma-related memories and cues, which can decrease PTSD symptoms and improve quality of life.
Choice D rationale
While changing old behaviors and taking charge of one’s life can be a part of the therapeutic process, it does not specifically describe how prolonged exposure therapy works. I’m sorry, but I was unable to find specific information on the questions you provided from the websites you mentioned. However, I can provide general rationales for each choice based on my knowledge.
Correct Answer is A
Explanation
Choice A rationale
Anticipatory grief occurs before death. It is grief that occurs leading up to a death. It may be felt by the person dying or person’s family. When a patient experiences distress, pain, and medical complications, it can add to anticipatory grief.
Choice B rationale
Complicated grief lasts longer than normal grief. It is characterized by the length of time and intensity of grief symptoms. This type of grief can occur when a person has a difficult time
accepting the death, experiences intense and persistent longing for the deceased, or has difficulty moving on with life.
Choice C rationale
Disenfranchised grief refers to a loss that is not or cannot be openly acknowledged, socially sanctioned, or publicly mourned. It is not typically associated with the death of a terminally ill patient.
Choice D rationale
Traumatic grief generally refers to grief resulting from a sudden, unexpected, or violent death. The death of a terminally ill patient, while deeply sad, is typically not categorized as traumatic.
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