Unit V: PTSD NCLEX style practice QUESTIONS AND ANSWERS
A ( The nurse should question a prescription of alprazolam (Xanax) for acute anxiety if the client has a history of
alcohol dependence. Alprazolam is a benzodiazepine used in the treatment of anxiety and has an increased risk
for physiological dependence and tolerance. A client with a history of substance abuse may be more likely to
abuse other addictive substances and/or combine this drug with alcohol. ) - ansA client is prescribed
alprazolam (Xanax) for acute anxiety. What client history should cause a nurse to question this order?
A. History of alcohol dependence
B. History of personality disorder
C. History of schizophrenia
D. History of hypertension
A (The target clinical manifestation for a client with post-traumatic stress disorder is flashbacks. Ritualistic
behavior is associated with obsessive-compulsive disorder. Having a decreased energy level is associated with
depression. Hearing voices is associated with schizophrenia.) - ansWhen planning the care of a client who is
experiencing post-traumatic stress disorder, the nurse identifies which of the following as an appropriate goal?
The client will report:
A. A decrease in flashbacks and nightmares.
B. Spending less time on ritualistic behavior.
C. A decrease in hearing voices.
D. Having more energy.
B (Post-traumatic stress disorder is caused by the the experience of severe, specific trauma. Rape is a severely
traumatic event. Although the situations in options A, C, and D are certainly stressful, they are not at the level
of severe trauma) - ansA group of community nurses sees and plans care for various clients with different types
of problems. Which of the following clients would they consider the most vulnerable to post-traumatic stress
disorder?
A
A ( The nurse should question a prescription of alprazolam (Xanax) for acute anxiety if the client has a history of
alcohol dependence. Alprazolam is a benzodiazepine used in the treatment of anxiety and has an increased risk
for physiological dependence and tolerance. A client with a history of substance abuse may be more likely to
abuse other addictive substances and/or combine this drug with alcohol. ) - ansA client is prescribed
alprazolam (Xanax) for acute anxiety. What client history should cause a nurse to question this order?
A. History of alcohol dependence
B. History of personality disorder
C. History of schizophrenia
D. History of hypertension
A (The target clinical manifestation for a client with post-traumatic stress disorder is flashbacks. Ritualistic
behavior is associated with obsessive-compulsive disorder. Having a decreased energy level is associated with
depression. Hearing voices is associated with schizophrenia.) - ansWhen planning the care of a client who is
experiencing post-traumatic stress disorder, the nurse identifies which of the following as an appropriate goal?
The client will report:
A. A decrease in flashbacks and nightmares.
B. Spending less time on ritualistic behavior.
C. A decrease in hearing voices.
D. Having more energy.
B (Post-traumatic stress disorder is caused by the the experience of severe, specific trauma. Rape is a severely
traumatic event. Although the situations in options A, C, and D are certainly stressful, they are not at the level
of severe trauma) - ansA group of community nurses sees and plans care for various clients with different types
of problems. Which of the following clients would they consider the most vulnerable to post-traumatic stress
disorder?
A
