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Exam (elaborations)

MH_ VSim Randy Adams.

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MH_ VSim Randy Adams.

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MH: VSim Randy Adams

1. Flashbacks from war episode,
Feelings of guilt,
Sleep disturbances: 1
Randy Adams is being screened for posttraumatic stress disorder (PTSD). Based
on the assessment, what information is most relevant? (Select all that apply.)
2. Headache,
Sensitivity to light, Difficulty remembering, Sensitivity to noise: Randy Adams
is being treated for a postconcussive injury following his car accident. What cue(s)
are indicative of this injury? (Select all that apply.)
3. sleep disturbances
nightmares: Based on the assessment, the nurse determines that Randy Adams
is likely experiencing PTSD. The nurse determines that
Choose Answer..
is a priority concern due to
4. Allow the patient to sit where he feels comfortable during group therapy.,
Teach deep breathing and relaxation techniques, Develop a collaborative part-
nership with the patient: The nurse concludes that Randy Adams is experiencing
PTSD. Which of the following intervention(s) are indicated? (Select all that apply.)
5. 'Be sure that Randy attends his scheduled appointments at the VA.', 'Reg-
ular exercise, such as walks or yoga, may be helpful.', 'Monitor Randy's
medication compliance.': The nurse informs Randy Adams and Joy about the
results of the PTSD screening. Joy asks the nurse, 'How can I help once Randy
gets home?' How should the nurse respond? (Select all that apply.)
6. Identifies the traumatic event, Participates in treatment, Experiences de-
creased physical symptoms: The nurse is evaluating the immediate outcomes
of Randy Adams's treatment progress. In this initial phase, which of the following
outcome(s) are first observed by the nurse? (Select all that apply.)
7. 'Did you lose consciousness or black out as a result of the fall?': A patient
reports that they fell and struck their head and have a sore, swollen area on the back
of the head. Which assessment question is the most important for the nurse to ask?
8. '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?
9. Suicidality, Drug and alcohol use, Depression, Posttraumatic stress disor-
der: 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.)


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