Nokea
A soldier returned 1 year ago from Afghanistan and was diagnosed with posttraumatic stress disorder (PTSD). Which social event would most likely be disturbing for this soldier?
- A. Halloween festival with neighborhood children
- B. Singing carols around a Christmas tree
- C. Family outing to the seashore
- D. Fireworks display on July 4th
Correct Answer: D
Rationale: Exploding noises associated with fireworks are most likely to provoke exaggerated responses for this soldier. The distractors are not associated with offensive sounds.
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A family member asks the nurse, 'Do you think stress and physical illness are connected? Since my father's death, my mother has had shingles and the flu, but she's usually not one who gets sick.' Which answer by the nurse best reflects current knowledge about long term effects of stress?
- A. It is probably a coincidence. Emotions and physical responses travel on different tracts of the nervous system.'
- B. You may be paying more attention to your mother since your father died and noticing more things such as minor illnesses.'
- C. So far, research on emotions or stress and becoming ill more easily is unclear. We do not know for sure if there is a link.'
- D. Negative emotions and stress may interfere with the body's ability to protect itself and can increase the likelihood of infection.'
Correct Answer: D
Rationale: The correct answer best explains the research. Research supports a link between negative emotions and/or prolonged stress and impaired immune system functioning. Activation of the immune system signals the central nervous system to initiate myriad responses to stress. Prolonged stress suppresses the immune system and lowers resistance to infections.
A soldier returned home last year after deployment to a war zone. The soldier's spouse reports, 'We were going to start a family but now he won't talk about it. He will not look at children. I wonder if we're going to make it as a couple.' What response best addresses the spouse's concerns?
- A. Posttraumatic stress disorder often changes a person's sexual functioning.'
- B. I encourage you to continue to participate in social activities where children are present.'
- C. Have you talked with your spouse about these reactions? Sometimes we just need to confront behavior.'
- D. Posttraumatic stress disorder often strains relationships. I will suggest some community resources for help and support.'
Correct Answer: D
Rationale: Posttraumatic stress disorder (PSTD) precipitates changes that often lead to divorce. Providing support to both the veteran and spouse is important. Confrontation will not be effective. Although providing information is important, ongoing support is more effective.
A professor's 4-year-old child has a temperature of 101.6°F, diarrhea, and complains of stomach pain. The professor is scheduled to teach three classes today. Which actions by the professor demonstrate effective parenting? (Select all that apply.)
- A. Telephoning a grandparent to stay with the child at home for the day
- B. Telephoning a colleague to teach his classes and staying home with the sick child
- C. Taking the child to the university and keeping the child in a private office for the day
- D. Taking the child to a day care center and hoping day care workers will not notice the child is sick
- E. Giving the child one dose of ibuprofen (Motrin) and taking the child to the day care center
Correct Answer: A,B
Rationale: The correct responses demonstrate fulfillment of the role as a parent. The distractors indicate the professor has not cared for the sick child in an effective way. Taking the child to a day care center exposes other children to a potential infection. Taking the child to one's office does not keep the child comfortable or provide for the child while the professor is teaching.
A soldier served in combat zones in Iraq in 2010 and was deployed to Afghanistan in 2014. When is it most important for the nurse to screen for signs and symptoms of posttraumatic stress disorder (PTSD)?
- A. Immediately upon return to the United States from Afghanistan
- B. Before departing Afghanistan to return to the United States
- C. Two years after returning from Afghanistan
- D. Screening should be ongoing
Correct Answer: D
Rationale: PTSD can have a long lag time?months to years. Screening should be ongoing.
A nurse talks with the caregiver of a combat veteran diagnosed with severe traumatic brain injuries. The caregiver says, 'I don't know how much longer I can do it. My whole life is consumed with taking care of my partner.' Which response best addresses the needs of the caregiver?
- A. How are you taking care of yourself?'
- B. Let's review your partner's diagnostic results.'
- C. I have some web-based programs for you to visit.'
- D. Your partner is lucky to have someone so devoted.'
Correct Answer: A
Rationale: The caregiver is the focus of the nurse's attention. The caregiver is suffering. The nurse must be empathetic and assess how the caregiver is caring for self. Reassurance and isolated computer activities do not help. The partner is already aware of the diagnostic results.