When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

"On a regular basis, do you get enough restful sleep?"

"Can we discuss what triggered your angry outburst a few minutes ago?"

"Are you experiencing a flashback of the rape right now?"

"Am I correct to say that you try to avoid certain family members?"

Answer and Explanation

The Correct Answer is C

A.   Sleep disturbances are common in PTSD, but they might not address the current acute symptoms the client is experiencing.
B.   This question explores the immediate trigger for an outburst but might not directly address the PTSD symptoms related to the sexual assault.
C.   Inquiring about flashbacks directly relates to one of the hallmark symptoms of PTSD, especially given the recent severe anxiety related to the assault.
D.   Avoidance behavior is a symptom of PTSD, but the question about experiencing a flashback addresses more immediate distress.

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Correct Answer is C

Explanation

A. Relaxation strategies involve deliberate and often structured activities aimed at reducing tension and stress, which isn't depicted in the described behavior.
B. Withdrawal behaviors typically involve avoiding social interaction or retreating, which doesn't align with the observed actions.
C. The described behavior, including pacing, clenching fists, and staring at a staff member, indicates potential signs of aggression or agitation.
D. Working through angry feelings might involve communication or expression of emotions, but the described behavior leans more towards agitation and potential aggression.

A. Every client will be questioned concerning the impact the suicide had on him or her personally. B. All group therapy sessions will be held on the unit for at least a 72-hour period. C. Suicide precautions for a full 24 hours will be implemented for all clients. D. A client-focused psychological postmortem assessment will be conducted immediately.

Correct Answer is C

Explanation

A. While assessing the impact of a suicide attempt on others is important, the immediate focus following a successful suicide attempt in a mental health unit is to ensure the safety of all clients.
B. Restricting group therapy for 72 hours might impede the therapeutic process and does not directly address the safety of clients after a suicide attempt.
C. Following a suicide attempt, it's standard practice to heighten monitoring and implement suicide precautions for all clients to ensure their safety.
D. While assessing the situation is important, immediate intervention to prevent further harm to other clients is a priority following a suicide attempt. The psychological assessment might occur but would not be the primary intervention in this immediate crisis situation.

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When assessing for the subjective symptoms of posttraumatic stress disorder (PTSD), which question will the nurse ask a client hospitalized for severe anxiety related to a sexual assault by a family member as a teenager?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client has made a successful suicide attempt while hospitalized on a unit that specializes in the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?

Correct Answer is C

Explanation

A nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?

A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression?

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

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A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?

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A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?