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?"
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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Related Questions
Correct Answer is C
Explanation
A. Restraining the client should be a last resort and is not the initial action to take when managing an agitated client.
B. Seclusion should also be considered as a last resort, and de-escalation techniques should be attempted before secluding the client.
C. Speaking calmly and providing simple directions can help de-escalate the situation by promoting a calm environment and reducing stimuli that may exacerbate the client's agitation.
D. While medication might be necessary in some cases, it's not the first action to take when a client becomes agitated.
Correct Answer is C
Explanation
A. This is not the primary reason for the counseling. The decision-making recommendation is
more related to the effects of the electroconvulsive therapy and the need for the patient to recover from its associated side effects.
B. While readjustment to a work schedule might be a consideration, the primary reason for counseling against major decisions for a month is related to the potential side effects of
electroconvulsive therapy.
C. Temporary memory impairments and confusion are potential side effects of electroconvulsive therapy, which might interfere with decision-making abilities, hence the advice to refrain from major decisions.
D. Antidepressant medications causing confusion related to dietary limitations with tyramine is not directly relevant to the counseling against making major decisions after electroconvulsive therapy.
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