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. Distinguishing between reality and fantasy shows intact cognition, not mental illness.
B. A persistent sad, hopeless mood suggests depression, a hallmark of mental illness when symptoms are severe and ongoing.
C. Occasional anxiety and insomnia can be normal stress responses, not necessarily mental illness.
D. Difficulty making a decision about work is a common life stressor, not a clear sign of mental illness.

A. Making a judgment about the patient's problem. B. Restating a feeling or thought the patient has expressed. C. Asking a direct question, such as "Did you feel angry?" D. Saying "I understand what you're saying"

Correct Answer is B

Explanation

A. Judging the patient can shut down communication and make the patient feel defensive rather than heard.

B. This technique, also called reflective listening, shows the patient that the nurse is actively listening and trying to understand their perspective, encouraging further expression.

C. Direct questions can be useful, but they may limit patient expression and can feel leading rather than supportive.

D. While intended to show empathy, this phrase can be perceived as dismissive if the nurse has not fully explored the patient’s feelings.

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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

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient

Correct Answer is B

Explanation

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

Correct Answer is B

Explanation

A patient's care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the patient may be hallucinating?

A patient diagnosed with schizophrenia has received fluphenazine decanoate twice a month for 3 years. The clinic nurse's notes that the patient grimaces and is constantly smacking his lips. The patient's neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect?

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