A nurse is providing care to a client who has acute stress disorder.
Which of the following client statements is consistent with this disorder?.

"I was in a car crash 2 weeks ago and I have nightmares when I sleep.”.

"I was in a terrible car crash 2 years ago and I have been unable to drive a car since then.”.

"I was physically abused when I was a child and have frequent flashbacks since then.”.

"My parents fought a lot when I was a child.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.

Choice B rationale:

This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.

Choice C rationale:

Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.

Choice D rationale:

The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.

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Correct Answer is B

Explanation

Choice A rationale:

Being the smallest child in class is not directly related to the traumatic experience of a wildfire.

Choice B rationale:

Making small fires in the backyard could be a sign of trauma related to the wildfire.

Choice C rationale:

Being rude to siblings is not directly related to the traumatic experience of a wildfire.

Choice D rationale:

Insisting on having their own way when playing with friends is not directly related to the traumatic experience of a wildfire.

A. Blood pressure. B. Lack of motivation. C. Change in behavior. D. Lack of energy. E. Withdrawn.

Correct Answer is ["B","D","E"]

Explanation

Choice A rationale:

Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.

Choice B rationale:

Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.

Choice C rationale:

Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.

Choice D rationale:

Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.

Choice E rationale:

Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions. .

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A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?.

Correct Answer is B

Explanation

A nurse is caring for a client who has schizophrenia. Nurses' Notes. Vital Signs. Day 1 1030: Vital Signs. Temperature 37°C (98.6° F). Heart rate 72/min. Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

Correct Answer is ["B","D","E"]

Explanation

A nurse is screening children and adolescents for exposure to adverse childhood experiences (ACES). Which of the following clients is considered to have experienced an ACE?.

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?.

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?.

A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?

A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences?.

A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?.

A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?.

A nurse is planning discharge for a client who has schizophrenia and reports "I don't have a place to live.”. Which of the following referrals should the nurse request from the provider?.

A nurse is providing care to a client who has acute stress disorder.
Which of the following client statements is consistent with this disorder?.