Two weeks ago, a soldier returned to the United States from active duty in a combat zone. The soldier was diagnosed with post-traumatic stress disorder (PTSD). Which comment by the soldier requires the nurse's immediate attention?

"I want to continue my education, but I'm not sure how I will fit in with other college students."

"It's good to be home. I missed my home, family, and friends."

"Sometimes I think I hear bombs exploding, but it's just the noise of traffic in my hometown."

"I saw my best friend get killed by a roadside bomb. I don't understand why it wasn't me."

Answer and Explanation

The Correct Answer is D

A. Concerns about returning to school reflect normal adjustment issues and do not indicate immediate danger.

B. Expressing happiness about being home is a positive statement and does not require urgent intervention.

C. Hypervigilance and startle responses are common symptoms of PTSD and should be monitored but are not immediately life-threatening.

D. Expressions of survivor’s guilt or thoughts questioning why one survived while others did not can indicate severe emotional distress and possible risk for self-harm or suicidal ideation. This statement requires immediate assessment and intervention by the nurse.

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Correct Answer is B

Explanation

A. Delirium is usually acute and reversible, especially when caused by an underlying condition like a UTI.

B. Delirium in elderly patients is often secondary to an acute illness such as a urinary tract infection. Treatment of the underlying cause typically resolves the confusion, so this statement provides accurate and reassuring information to the family.

C. While the provider can give a formal prognosis, the nurse can provide evidence-based, general information about delirium recovery.

D. While supportive, this does not address the family’s question about recovery.

A. "Give the dose in the morning to help prevent insomnia." B. "Limit caloric intake to prevent excessive weight gain." C. "Expect hyperactivity as a common adverse effect." D. "Avoid crowds due to the increased risk for infection."

Correct Answer is A

Explanation

A. Atomoxetine, a selective norepinephrine reuptake inhibitor (SNRI), can cause insomnia if taken late in the day; morning dosing reduces this risk.

B. Unlike some antipsychotics, atomoxetine is more commonly associated with appetite suppression and weight loss, not weight gain.

C. Atomoxetine is not a stimulant; it usually reduces hyperactivity and impulsivity.

D. Atomoxetine does not suppress the immune system; infection risk is not a concern.

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Two weeks ago, a soldier returned to the United States from active duty in a combat zone. The soldier was diagnosed with post-traumatic stress disorder (PTSD). Which comment by the soldier requires the nurse's immediate attention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An elderly patient is admitted with delirium secondary to a urinary tract infection. "The family asks whether the patient will recover?" What would be the nurses' best answer?

Correct Answer is B

Explanation

A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

Two weeks ago, a soldier returned to the United States from active duty in a combat zone. The soldier was diagnosed with post-traumatic stress disorder (PTSD). Which comment by the soldier requires the nurse's immediate attention?

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?

A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which finding is associated with the child disorder? The child

After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?

A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?

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

Select an example of a tort.

Which technique will best communicate to a patient that the nurse is interested in listening?