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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. For a client with severe depression, a calm and direct approach is beneficial. Sitting with the client and offering simple, clear information can help establish trust and rapport.
B. Attending group therapy immediately might overwhelm the client, especially if they are newly admitted and experiencing severe depression.
C. Taking the client on a tour and introducing all staff members might be overwhelming or excessive for someone with severe depression.
D. While explaining unit policies is important, a direct informational approach might be more effective initially given the severity of the client's condition.
Correct Answer is C
Explanation
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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