PTSD & TRAUMA
A PTSD symptom in which the client feels as though the traumatic event is happening again
Flashback
The defining symptom of mania
Elevated or irritable mood with increased energy
A false, fixed belief not based in reality
Delusion
According to Maslow, this is always the first priority in mental health nursing
Safety
The first nursing action when a client reports hallucinations
Assess for risk to self or others
The nurse’s priority during a PTSD flashback
Reorient the client to the present and maintain safety
Why sleep is a priority nursing concern in acute mania
Lack of sleep worsens manic symptoms
Hearing voices when no one is present
Auditory hallucination
A manic client has not slept in 3 days. According to Maslow, which need is unmet?
Physiological need (sleep)
Why psychomotor agitation is considered a medical emergency
It increases the risk for injury and escalation
PTSD behavior characterized by constant scanning of the environment
Hypervigilance
The safest nutrition option for a client in acute mania
High-calorie finger foods
Hallucinations that require immediate nursing intervention
Command hallucinations
Why safety takes priority over therapeutic communication during acute psychosis
The client is at risk for harm
The correct nursing response to a delusional statement
Acknowledge feelings without reinforcing the belief
Why clients with PTSD may react strongly to loud noises or sudden movements A disorder is defined by odd beliefs and eccentric behaviors.
Increased startle response
Excessive, restless movement seen in acute mania
Psychomotor agitation
The phase of schizophrenia marked by hallucinations, delusions, and disorganized thinking
Active phase
A nurse should see which client FIRST after receiving report?
The client at greatest risk for injury or harm
A nursing action that should be avoided when caring for a paranoid client
Arguing or challenging beliefs
The MOST important nursing goal when caring for a client with PTSD
Safety
Why insight and responsibility are NOT expected during acute mania
Judgment and insight are impaired
The priority nursing focus for a client experiencing acute psychosis
Safety
Why insight-based interventions are inappropriate during acute psychiatric episodes
The client lacks the ability to process insight due to impaired cognition
The most important nursing intervention for a client with self-inflicted injuries
Ensure safety and control bleeding