vSIM: Randy Adams
1. "The memory problems are frustrating you.": The patient says, "I am having
trouble remembering things since I had the head injury, and that is really frustrating."
Which response by the nurse demonstrates the technique of restatement?
2. Dissociative reaction: A patient who has been diagnosed with posttraumatic
stress disorder related to explosive incidents in the military says, "Sometimes when
I hear a loud boom like the lid slamming down on a trash dumpster, I think I'm right
back in the attack. My heart races, and I hit the ground. It is terrifying." Which term
correctly identifies this patient's response?
3. "I will make you an appointment to talk with the provider for further evalu-
ation.": A patient has been complaining of nightmares after having a car accident
more than 4 weeks ago and tells the nurse, "I think I have PTSD." Which is the best
response by the nurse?
4. "Did you lose consciousness or black out as a result of the fall?": A patient
reports that he fell and struck his head and has a sore, swollen area on the back of
his head. Which assessment question is the most important for the nurse to ask?
5. Depression
Posttraumatic stress disorder
Drug and alcohol use
Suicidality: The nurse knows that the patient who is being treated in the emergency
room for traumatic injury should also be evaluated for which other comorbidities?
(Select all that apply.)
6. "Wear a helmet during bike riding.": The patient asks what can be done to help
prevent future concussions. Which statement is the nurse's best response?
7. Cognitive behavioral therapy
Exposure therapy
Cognitive processing therapy: Which of the following are effective treatments for
posttraumatic stress disorder (PTSD)? (Select all that apply.)
8. A patient with posttraumatic stress disorder (PTSD) reports that his wife has
left him and that he has been fired from his job because of angry outbursts.
Which statement is true regarding patients experiencing PTSD?: They have
difficulties with relationships.
9. Topiramate is titrated by increasing the dose gradually until the recom-
mended dose is reached: Randy reports that he is taking different doses of his
new medication, topiramate, over the next 2 weeks. Which is the correct rationale
for Randy's dosing regimen?
10. Hypervigilance: Randy indicates he prefers to sit where he can see the door to
the room. The nurses identifies this to be a sign of which condition?
1/2
1. "The memory problems are frustrating you.": The patient says, "I am having
trouble remembering things since I had the head injury, and that is really frustrating."
Which response by the nurse demonstrates the technique of restatement?
2. Dissociative reaction: A patient who has been diagnosed with posttraumatic
stress disorder related to explosive incidents in the military says, "Sometimes when
I hear a loud boom like the lid slamming down on a trash dumpster, I think I'm right
back in the attack. My heart races, and I hit the ground. It is terrifying." Which term
correctly identifies this patient's response?
3. "I will make you an appointment to talk with the provider for further evalu-
ation.": A patient has been complaining of nightmares after having a car accident
more than 4 weeks ago and tells the nurse, "I think I have PTSD." Which is the best
response by the nurse?
4. "Did you lose consciousness or black out as a result of the fall?": A patient
reports that he fell and struck his head and has a sore, swollen area on the back of
his head. Which assessment question is the most important for the nurse to ask?
5. Depression
Posttraumatic stress disorder
Drug and alcohol use
Suicidality: The nurse knows that the patient who is being treated in the emergency
room for traumatic injury should also be evaluated for which other comorbidities?
(Select all that apply.)
6. "Wear a helmet during bike riding.": The patient asks what can be done to help
prevent future concussions. Which statement is the nurse's best response?
7. Cognitive behavioral therapy
Exposure therapy
Cognitive processing therapy: Which of the following are effective treatments for
posttraumatic stress disorder (PTSD)? (Select all that apply.)
8. A patient with posttraumatic stress disorder (PTSD) reports that his wife has
left him and that he has been fired from his job because of angry outbursts.
Which statement is true regarding patients experiencing PTSD?: They have
difficulties with relationships.
9. Topiramate is titrated by increasing the dose gradually until the recom-
mended dose is reached: Randy reports that he is taking different doses of his
new medication, topiramate, over the next 2 weeks. Which is the correct rationale
for Randy's dosing regimen?
10. Hypervigilance: Randy indicates he prefers to sit where he can see the door to
the room. The nurses identifies this to be a sign of which condition?
1/2
