Trauma
.A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago. The nurse should identify that the client is experiencing which of the following stress-related disorders?
A. Posttraumatic stress disorder (PTSD)
B. Acute stress disorder (ASD)
C. Episodic acute stress
D. Irritable bowel syndrome (IBS)
What is Posttraumatic stress disorder (PTSD)
PTSD is a prolonged reaction to stress following a traumatic event. PTSD lasts longer than one month. Manifestations of PTSD can include flashbacks and nightmares of the trauma.
A nurse is caring for a client who has ADHD. Which of the following findings should the nurse expect to observe?
What are symptoms such as difficulty focusing, impulsive behavior, and hyperactivity?
This part of the autonomic nervous system is stimulated in a client experiencing severe anxiety when going to work, activating the "fight or flight" response.
What is the sympathetic nervous system
Which of the following conditions is considered a reversible neurocognitive disorder?
A. Alzheimer's disease
B. Parkinson's disease
C. Delirium
D. Vascular dementia
What is Delirium
.A nurse is teaching a group of newly licensed nurses about personality disorders. Which of the following information should be included?
A. Personality disorders often manifest from childhood emotional trauma.
B. Strict parental guidelines contribute to the development of personality disorders.
C. Personality disorders are often seen in children under the age of 10.
D. Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders.
What is Personality disorders often manifest from childhood emotional trauma.
This is the priority nursing action when caring for a client exhibiting symptoms of emotional and physical trauma.
What is "Ensure that the client is safe"
A nurse is assessing a 10-year-old child who has an autism spectrum disorder. Which of the following findings are expected?
A. Continuous rocking of the body
B. Difficulty reading instructions for a game.
C. Difficulties in remembering facts and numbers
D. Difficulties in mastering the rules of spelling
What is Continuous rocking of the body
A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?
A. Anxiety
B. Pacing
C. Alert
D. Restless
What is Anxiety
Which of the following is a characteristic feature of neurocognitive disorders?
A. Gradual onset and progression of cognitive decline
B. Abrupt onset and rapid improvement of cognitive function.
C. Stable cognitive function without any decline
D. Intermittent and fluctuating cognitive decline
What is Gradual onset and progression of cognitive decline
A nurse is caring for a client who lost all his possessions in a house fire and states, "I have no idea what I am going to do. I cannot think right now." Which of the following actions should the nurse take?
A. Identify other housing options and sources of transportation.
B. Notify the facility chaplain to request scheduling an appointment.
C. Confirm that everything will be all right because belongings can be replaced.
D. Maintain eye contact with client and summarize the client's feelings.
What is Maintain eye contact with client and summarize the client's feelings.
A nurse is caring for a client who has recently experienced a mental health crisis which resulted in the client being physically restrained. Which of the following statements by the client indicates the client is indicating that the crisis has passed?
A. "I cannot face my family. But I don't think I can get up and walk around."
B. "This is a joke. You are all a joke. I just got to get out of here now."
C. "I just need to sleep. If you could just give me something to help me sleep, I would be okay."
D. "I am feeling calmer and am hungry. I think I'm ready to talk about what happened."
What is "I am feeling calmer and am hungry. I think I'm ready to talk about what happened."
A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?
A. Hyperkalemia
B. Dental decay
C. Amenorrhea
D. Lower than normal expected reference range of body weight
What is Dental decay
After admitting a client with panic-level anxiety to an inpatient mental health unit, what is the most therapeutic nursing action to take immediately?
A. Suggest that the client rest in bed.
B. Remain with the client for a while
C. Medicate the client with a sedative.
D. Have the client join a therapy group.
What is Remain with the client for a while
A patient with mild to moderate Alzheimer's disease is prescribed donepezil (Aricept). The nurse knows that donepezil belongs to which class of medication used to treat Alzheimer's disease?
A. Antidepressants
B. Antipsychotics
C. Anticonvulsants
D. Cholinesterase inhibitors
What is Cholinesterase inhibitors
.A nurse is teaching a class about stress. The nurse should include that which of the following is an example of acute stress?
A. Experiencing racism
B. Experiencing poverty
C. Being part of a dysfunctional family
D. Being a victim of a crime
What is Being a victim of a crime
.A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?
A. "I was physically abused when I was a child and have frequent flashbacks since then."
B. "I was in a car crash 2 weeks ago and I have nightmares when I sleep."
C. "I was in a terrible car crash 2 years ago and I have been unable to drive a car since then."
D. "My parents fought a lot when I was a child. Now, when I hear people yelling or fighting, I feel like I left my body."
What is "I was in a car crash 2 weeks ago and I have nightmares when I sleep."
.A nurse is caring for a client who has an eating disorder. The nurse should identify that eating disorders are challenging to treat due to which of the following factors?
A. The treatment of an eating disorder depends primarily on psychotropic medication.
B. Eating disorders have an abrupt onset.
C. Clients who have an eating disorder struggle with eating, which is necessary to live.
D. Clients who have an eating disorder must be treated on an inpatient basis.
What is Clients who have an eating disorder struggle with eating, which is necessary to live.
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
A. "It sounds like you're having a difficult time."
B. "Have you talked to your parents about this yet?"
C. "Why do you think you are so anxious?"
D. "How long has this been going on?"
What is "It sounds like you're having a difficult time."
.A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?
A. Traumatic brain injury
B. Prion disease
C. HIV infection
D. Lewy body disease
What is Lewy body disease
A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?
A. Splitting
B. Denial
C. Reaction formation
D. Regression
What is splitting. Splitting is a behavior that involves describing people as all good or all bad and is a manipulative behavior to get the client's own way. If the collaborative team tolerated this behavior, it could cause friction amongst the treatment team.
This class of medications is considered first-line treatment for symptoms of posttraumatic stress disorder (PTSD), particularly depression and anxiety.
What are SSRIs (selective serotonin reuptake inhibitors) i.e. Sertraline
A nurse has attended an in-service regarding the care of adolescent clients who have behavioral disruptive disorders. Which statement by the nurse indicates an understanding of these disorders?
A. "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression."
B. "Behavioral disruptive disorders are characterized by acts of self-directed harm and aggression."
C. "Behavioral disruptive disorders are generally diagnosed in children and adolescents who often outgrow the behaviors later in life."
D. "Disruptive behavioral disorders are generally first diagnosed in early young adulthood."
What is "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression."
A nurse is caring for a client who has been diagnosed with factitious disorder. Which of the following behaviors is most characteristic of this disorder?
A. The client intentionally falsifies medical symptoms or induces injury to assume the role of a sick person.
B. The client frequently complains of physical symptoms to avoid work or responsibilities.
C. The client is reluctant to share personal information, especially regarding medical history.
D. The client experiences significant distress about their chronic illness and seeks multiple opinions for treatment.
What is The client intentionally falsifies medical symptoms or induces injury to assume the role of a sick person.
Rationale: Factitious disorder involves the intentional production or feigning of physical or psychological symptoms for the purpose of assuming the sick role, not for external gain.
A nurse is discussing Alzheimer's disease medications with a patient's family. Which statement by the family indicates a need for further education?
A. "Donepezil can cure Alzheimer's disease if taken regularly."
B. "We should monitor for side effects such as dizziness and confusion with memantine."
C. "The medications may help with symptoms, but they won't stop the progression of the disease."
D. "Memantine is used for severe stages of Alzheimer's disease."
What is "Donepezil can cure Alzheimer's disease if taken regularly."
What are these examples of: witnessing domestic violence, living with substance abuse in the household, or suffering from neglect or physical abuse during childhood?
What is Adverse Childhood Experiences (ACEs).