Nokea
The nurse is caring for a client diagnosed with PTSD. The client is exhibiting withdrawal and ignoring problems and issues. The nurse recognizes this as which of the following?
- A. Social phobia
- B. Flashback
- C. Psychic numbing
- D. Guilt
Correct Answer: C
Rationale: Initially, a person diagnosed with PTSD avoids dealing with the tragedy and detaches from others using a technique termed psychic numbing. Social phobia is a fear of being in social places. Flashbacks are recurrent nightmares. Guilt may occur from emotional conflicts related to the traumatic experience.
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Which level of anxiety is constructive and prepares a person to take action in appropriate situations?
- A. Moderate
- B. Severe
- C. Mild
- D. Panic
Correct Answer: C
Rationale: Mild anxiety is constructive and prepares a person to take action in appropriate situations. In moderate anxiety, the person is more easily distracted. The attention span decreases in severe anxiety. In panic anxiety, the person exaggerates details.
Clients with obsessive-compulsive disorder (OCD) may exhibit what sign or symptom?
- A. Fear of situations in which they may capture the attention of others
- B. Delayed anxiety response
- C. Psychic numbing
- D. Performing ritualistic behaviors
Correct Answer: D
Rationale: Clients with OCD may feel compelled to perform the same act repeatedly for a specific number of times or in a prescribed sequence and acknowledge performing ritualistic behaviors. Persons with social phobia experience fear of situations in which they may capture the attention of others. Post-traumatic stress disorder (PTSD) is a condition that involves a delayed anxiety response. Initially, the affected person avoids dealing with the tragedy and detaches from others using a technique that is referred to as psychic numbing.
To develop a therapeutic relationship with an anxious client, the nurse looks for ways to build trust. What nursing intervention is most likely to help the nurse gain the client's trust?
- A. Leaving the client alone during a new experience.
- B. Giving support in nonverbal ways.
- C. Being available and attentive to the client's requirements.
- D. Giving detailed explanations and do not repeat them frequently.
Correct Answer: C
Rationale: Building trust is especially critical to developing a therapeutic relationship with an anxious client. Being available and attentive to the client's requirements contributes to this trust. The nurse should not leave an anxious client alone, especially during a new or potentially frightening experience. To manage an anxious client's restricted attention and concentration, directions or explanations must be simple, brief, and repeated frequently to implement adjusting teaching.
Following a severe automobile accident, the client reports insomnia and terrifying nightmares. The symptoms persist for months. Diagnostic testing reveals no physical basis for these recurrent symptoms. These symptoms suggest the client is experiencing which of the following?
- A. Exaggerated fear
- B. Panic attack
- C. Phobic disorder
- D. Post-traumatic stress disorder
Correct Answer: D
Rationale: Post-traumatic stress disorder (PTSD) is a condition of delayed anxiety response that can occur after an emotionally traumatic event. The circumstances of the event can be an actual or threatened injury to self or others. Exaggerated fear, panic attack, and phobic disorder are not indicated with insomnia and/or nightmares following a traumatic event.
The Beer's List is helpful in providing the nurse with a quick reference on potential risks and benefits for which likely group of clients?
- A. Infants and children
- B. Older adults
- C. Chemically dependent
- D. Complex medical problem clients
Correct Answer: B
Rationale: Beer's criterion has been used to identify drugs that may be inappropriately prescribed, ineffective, or cause adverse drug reactions in older adult clients. The Beer's criteria are very useful and help determine risk-associated situations for older adults and specific drugs that may be problematic. Chemical dependency and complex medical problems are not a consideration.