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?”

Answer and Explanation

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.

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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.

A. Quality education includes coverage for some medical expenses. B. Individuals who attain a quality education are more likely to secure a job that pays a living wage. C. With a quality education, patients have increased access to virtual visits with primary care physicians. D. Individuals who desire a quality education are required to purchase healthy lunches at school.

Correct Answer is A

Explanation

Choice A rationale
Quality education does not typically include coverage for medical expenses. Education and healthcare are generally considered separate entities, with different funding and administration.
Choice B rationale
Individuals who attain a quality education are indeed more likely to secure a job that pays a living wage. Education often provides the skills and knowledge necessary for higher-paying

jobs, which can lead to improved health outcomes through increased access to healthcare, healthier lifestyles, and better living conditions.
Choice C rationale
While technology and virtual healthcare services are increasingly being integrated into various aspects of society, quality education does not inherently provide increased access to virtual visits with primary care physicians.
Choice D rationale
The requirement to purchase healthy lunches at school is not a characteristic of quality education. While nutrition is important for overall health and academic performance, it is not a defining factor of the quality of education.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with post-traumatic stress disorder who is considering prolonged exposure therapy. The patient asks, “How does this therapy work?” Which of the following responses accurately describes this type of therapy?

Correct Answer is C

Explanation

A nurse is preparing a presentation for a local public health conference about the correlation between quality education and health outcomes. What information should the nurse include in the presentation?

Correct Answer is A

Explanation

A nurse is working to build rapport and trust with new patients. Which of the following actions should the nurse take?

A nurse is examining the records of several patients. Which patient should the nurse identify as eligible for Medicaid coverage?

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

A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?

A nurse is caring for a school-age child who witnessed a violent crime. Each time the child recalls the event, the details differ from previous recollections. Which of the following trauma-related symptoms is the child experiencing?

A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

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?