Nokea
Which of the following interventions would be most effective for friends and family members to implement in order to boost the self-esteem of a person who has just experienced trauma or abuse?
- A. To identify a list of support people or activities in the community
- B. To remind them to calm down when they appear to be experiencing a flashback
- C. To encourage them to tell their story repeatedly to everyone they meet
- D. To help them to refocus their view of themselves from being victims to being survivors
Correct Answer: D
Rationale: Reframing the person as a survivor rather than a victim fosters empowerment and boosts self-esteem, unlike social support lists or unhelpful flashback interventions.
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Which of the following outcomes would take priority for a client who has survived trauma or abuse?
- A. The client will demonstrate healthy, effective ways of dealing with the stress.
- B. The client will be physically safe.
- C. The client will establish a social support system in the community.
- D. The client will distinguish between ideas of self-harm and taking action on those ideas.
- E. The client will express emotions nondestructively.
Correct Answer: B,D
Rationale: Ensuring physical safety and distinguishing self-harm thoughts from actions are top priorities to prevent immediate harm, surpassing other therapeutic goals.
Which of the following statements about posttraumatic stress disorder is accurate?
- A. Estimates are that the disorder is very rare.
- B. Estimates are that up to 60% of people at risk develop PTSD.
- C. Only 20% of victims of rape develop PTSD.
- D. PTSD symptoms usually begin at the time of the trauma
Correct Answer: B
Rationale: Up to 60% of at-risk individuals may develop PTSD, making it relatively common, with symptoms typically starting after a delay, not immediately, and higher prevalence in specific trauma cases.
Which of the following should be an action of a nurse who is having feelings of judgment regarding a client's contributory behavior to an automobile accident that resulted in deaths?
- A. Discussing the nurse's personal feelings with a peer or a counselor
- B. Acknowledging the judgment regarding the client's contributory behavior to the client
- C. Sharing the client's horror and encouraging him or her to avoid thinking about it
- D. Letting the client know that he or she is now traumatized beyond repair
Correct Answer: A
Rationale: Discussing personal feelings with a peer or counselor helps the nurse remain nonjudgmental, supporting the client effectively without confirming their trauma as irreparable.
Which of the following are events that a person may experience, witness, or be confronted by that may trigger posttraumatic stress disorder (PTSD)?
- A. Being a survivor of a tsunami that resulted in thousands of deaths
- B. Being stranded at the office during a typical winter storm that was anticipated
- C. Being a marine in a combat situation where the entire platoon was wiped out except for one person
- D. Being hidden in a closet and hearing the entire family murdered by someone who broke into the home
- E. Watching televised segments of the moment when the plane hit the second tower on 9/11
Correct Answer: A,C,D,E
Rationale: PTSD triggers involve exposure to actual or threatened death or serious injury, such as surviving a tsunami, combat, or hearing a family murder, or witnessing 9/11, but not a typical, anticipated storm.
Three years after the death of her father in an ICU, the infection prevention nurse was visiting an ICU in a different hospital to complete a chart review. At one point, the nurse looked at a bed where the patient who had the same diagnosis as her father had and saw her father's facial features on the patient and had a sense of panic. In a few moments, the nurse realized that the patient in the bed was not her father. Which of these manifestations of PTSD was this nurse experiencing?
- A. A flashback
- B. Emotional numbing
- C. Hyperarousal
- D. A dream
Correct Answer: A
Rationale: The nurse experienced a flashback, reliving the trauma by perceiving her father's features, triggered by a similar ICU setting, distinct from numbing, hyperarousal, or dreaming.