Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (Select all that apply.)

An adult is trapped for 3 hours at an angle in an elevator after a portion of the supporting cable breaks.

An 8-year-old child watches an R-rated movie with both parents.

An adolescent is kidnapped and held for 2 years in the home of a sexual predator.

A young adult jumps from a bridge with a bungee cord with a best friend.

Answer and Explanation

Correct Answer : A,C

A.   Experiencing a life-threatening event such as being trapped can precipitate PTSD.
B.   Exposure to an R-rated movie, while potentially distressing, is not typically considered a traumatic event that leads to PTSD.
C.   Prolonged exposure to traumatic events like abduction and captivity often leads to PTSD due to the severe and chronic trauma experienced.
D.   This is not typically considered a traumatic event leading to PTSD as it's a voluntary, recreational activity that involves perceived safety measures.

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Correct Answer is A

Explanation

A. This statement refers to the "duty to warn," a legal obligation to protect third parties if a client expresses a serious threat of harm to others. It's a crucial exception to confidentiality.
B. This statement is inaccurate as there are scenarios where healthcare workers are legally required to provide information to the court.
C. This statement is not entirely accurate; there are legal boundaries and requirements for disclosing client information to attorneys.
D. Confidentiality extends even after a client's death in many situations, but there are exceptions based on state laws and ethical guidelines.

A. Allow no glass or metal on meal trays. B. Check the patient's whereabouts every 15 minutes and make frequent verbal contact. C. Remove all potentially harmful objects from the patient's possession. D. Maintain arm's length, one-on-one nursing observation around the clock.

Correct Answer is ["A","B","C"]

Explanation

A. This precaution helps eliminate potential means for self-harm.
B. Regular checks and verbal contact are essential to monitor the patient's safety and provide support.
C. Removing objects that could be used for self-harm is a key part of suicide precautions.
D. While this is an intensive level of observation, it might not be feasible at all times due to staffing limitations, making this choice less practical than the others.

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Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?

Correct Answer is A

Explanation

A patient with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the patient's plan of care? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?

What is the primary difference between somatic system disorders and dissociative disorders?

A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hr hold is over for which of the following conditions?

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 performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?

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?

A nurse teaching a patient about a tyramine-restricted diet would approve which meal?