A soldier returned 3 months ago from a combat zone and was diagnosed with post-traumatic stress disorders (PTSD). Which social event would be most disturbing for this soldier?

Singing carols around a Christmas tree.

A family outing to the seashore.

Fireworks display on New Year's Eve.

Halloween festival with neighborhood children.

Answer and Explanation

The Correct Answer is C

A. Singing carols is calm, unlikely to trigger combat-related flashbacks.
B. A seashore outing is generally peaceful and not typically a PTSD trigger.
C. Fireworks mimic gunfire and explosions, which can easily trigger flashbacks, hypervigilance, and distress in combat veterans with PTSD.
D. Halloween can be stimulating, but not as direct a combat reminder as fireworks.

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Correct Answer is A

Explanation

A. Aripiprazole is an atypical antipsychotic with a lower risk of weight gain, metabolic syndrome, and hypertension compared with olanzapine or clozapine, making it suitable for a patient who is overweight and hypertensive. It effectively treats positive symptoms such as auditory hallucinations and may improve social functioning.

B. Olanzapine is effective for schizophrenia but is associated with significant weight gain, hyperlipidemia, and worsening hypertension, making it less appropriate for this patient.

C. Clozapine is reserved for treatment-resistant schizophrenia due to risks of agranulocytosis, myocarditis, and metabolic side effects; it is not first-line for this patient.

D. Ziprasidone has a lower risk of metabolic side effects than olanzapine or clozapine, but it carries a risk of QT prolongation, which may be concerning in hypertensive patients with potential cardiac risks.

A. "If you tell me what is troubling you, I can help you solve your problems." B. "It makes me sad to see you going through such a difficult experience." C. "You must have been very upset when you tried to hurt yourself." D. "Suicide is a drastic solution to a problem that may not be such a serious matter."

Correct Answer is C

Explanation

A. This focuses on problem-solving rather than acknowledging the patient’s feelings, which is not empathy.

B. This expresses the nurse’s feelings, not the patient’s, so it reflects sympathy rather than empathy.

C. This statement acknowledges the patient’s emotional experience and communicates understanding from the patient’s perspective, which demonstrates empathy.

D. This is judgmental and dismissive, showing neither empathy nor support.

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A soldier returned 3 months ago from a combat zone and was diagnosed with post-traumatic stress disorders (PTSD). Which social event would be most disturbing for this soldier?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse advocate?

Correct Answer is A

Explanation

Which statement shows a nurse has empathy for a patient who made a suicide attempt?

Correct Answer is C

Explanation

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