NUR 329 Exam 3 Review Fall 2023/2024 Questions and Answers.

NUR 329 Exam 3 Review Fall 2023/2024 Questions and Answers. On the topic of the Military and Military Families – (Chapter 38) 1. Be able to identify symptomatology that one might expect from a military person who has been deployed  Symptomology o Migraine headaches o Memory impairment o Hypervigilance o Insomnia o Jitteriness o Aggressive behaviors o Substance abuse  What priority assessment/s and interventions would be appropriate o Counseling and therapy o Medications o CBT and specialized therapy o Exposure therapy o Relaxation techniques o Adaptive disclosure o Cognitive processing therapy o Community-based care o Mental health promotion  1. John is being treated for PTSD symptoms, which began shortly after his retirement from the military. He has had nightmares, flashbacks of traumatic events from combat, and episodes of acute anxiety. His wife is asking the nurse how he could be developing PTSD at this time when he hasn’t been in a combat situation for over 10 years. Which of these teaching points are evidence-based pieces of information to share with John’s wife? Select all that apply. A. Retirement has been identified as a common precipitating factor for PTSD. B. PTSD symptoms may develop at any time after a trauma. C. PTSD is not the appropriate diagnosis, according to DSM-5, unless the trauma occurred greater than 5 years ago. D. This is probably not PTSD but rather a brief adjustment reaction to retirement.  2. Les has been referred to the VA clinic because he was recently fired from his job. His former employer reported that he was drinking on the job and had become physically aggressive with one of his coworkers. Which of the following statements during the intake assessment are consistent with common symptoms of PTSD? Select all that apply. A. “I’ve been drinking and smoking pot more frequently in the past few months.” B. “I’ve always thought I was too good for that job anyway.” C. “Sometimes I get so angry I just want to punch someone’s lights out.” D. “I haven’t been getting enough sleep because the nightmares keep waking me up.” E. “I don’t like authority figures.”  3. Jane has begun treatment for PTSD with symptoms of depression. The nurse is reviewing the physician’s orders. Which of these are evidence-based modalities for initial treatment of Jane’s illnesses? Select all that apply. A. Acupuncture B. Electroconvulsive therapy (ECT) C. Sertraline (Zoloft) D. Cognitive behavior therapy (CBT) E. Propranolol (Inderal) 2. Think about what life might be like for the family of military personnel  How military life affects everyone in the household o A pattern of rigidity, regimentation, and conformity in family life o Military spouses live with concept of “mission first” o Escalated misbehavior of the children  Infants: Decreased appetite, weight loss, irritability, apathy  Toddlers: may be sullen, tearful, throw temper tantrums, or develop sleep problems  Preschoolers: may exhibit regressive behaviors; may assume blame for parent’s departure  School-age: irritability, aggression, whininess, express fears about parent’s safety  Adolescents: rebellion, irritability, challenging authority, sexual acting out, drug or alcohol abuse. o Spousal loneliness o Spouses live in constant fear and anxiety associated with the life-threatening conditions facing his/her service member partner  4. Paula’s husband returned from active duty 1 month ago, and Paula is now seeing a counselor for relational conflict in her marriage. She tells the counselor she thinks her husband “can’t love anything as much as he loves the military” and that “he acts like he can’t wait to be redeployed.” Which of these common aspects about military culture might be contributing to her husband’s behavior? A. Military mission is advanced as the highest priority. B. Marriage is discouraged in the military. C. Redeployment is considered the highest honor. D. People who choose a military lifestyle often have asocial personality traits.