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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Valbenazine is a medication approved by the FDA for treating tardive dyskinesia.
Choice B rationale:
Diphenhydramine is an antihistamine and is not used to treat tardive dyskinesia.
Choice C rationale:
Naloxone is used to reverse opioid overdose, not tardive dyskinesia.
Choice D rationale:
Fluoxetine is an antidepressant and does not treat tardive dyskinesia.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
While monitoring blood pressure is important, it is not an immediate concern in this context.
Choice B rationale:
Hallucinations are a serious symptom of schizophrenia and require immediate follow-up.
Choice C rationale:
Insomnia can exacerbate the symptoms of schizophrenia and should be addressed promptly.
Choice D rationale:
Delusions, like hallucinations, are a serious symptom of schizophrenia and require immediate follow-up.
Choice E rationale:
While monitoring appetite is important, it is not an immediate concern in this context.
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