NURS 275 Exam 4 UPDATED
QUESTIONS AND CORRECT ANSWERS
A nurse is assessing a client who experienced sexual assault. Which of the following findings
indicate the client is experiencing an emotional reaction of rape trauma syndrome? (Select all
that apply)
A. Genitourinary soreness
B. Difficulties with low self esteem
C. Sleep disturbances
D. Emotional outbursts
E. Difficulty making decisions - CORRECT ANSWER D, E
A nurse is discussing the care of a client following a sexual assault with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of teaching?
A. "I will administer prophylactic treatment for sexually transmitted infections, like
chlamydia"
B. "I am not required to obtain informed consent before the sexual assault nurse examiner
collects forensic evidence" - CORRECT ANSWER A
A nurse is caring for a client who was recently sexually assaulted. The client sates, "I never
should have been out on the street alone at night." Which of the following responses should
the nurse make?
A. "Your actions had nothing to do with what happened"
B. "You should focus on recovery rather than blaming yourself for what happened"
C. "You believe this wouldn't have happened if you hadn't been out alone"
D. "Why do feel that you should not have been alone on the street at night?" - CORRECT
ANSWER C
,A community health nurse is leading a discussion about rape with a neighborhood task force.
Which of the following statements by a neighborhood citizen indicates an understanding of
the teaching?
A. "Rape is a crime of passion"
B. "Acquaintance rape often involves alcohol"
C. "Young adults are the typical victims o sexual assault"
D. "The majority of rapists are unknown to the victims" - CORRECT ANSWER B
Sertraline is a... - CORRECT ANSWER SSRI
FDA approved drug for PTSD - CORRECT ANSWER SSRIs
Adverse effects are headache, nausea, anxiety and dry mouth - CORRECT
ANSWER SNRI
List three adverse reactions to an SSRI - CORRECT ANSWER 1. Black box warning
2. SI
3. Insomnia
4. Decreased sex drive
5. Serotonin syndrome
6. Agitation
List three adverse reactions to an SNRI - CORRECT ANSWER 1. Can't take when
pregnant
2. Can't take with hepatic disease
3. Can't take with alcohol
4. No abrupt cessation
,Assessment tool used to assess for PTSD in children - CORRECT ANSWER Child
dissociative checklist
Trauma symptoms checklist for children
Children sexual behavior inventory combined with developmental assessment
List three symptoms of PTSD in children - CORRECT ANSWER Reduction in play
Self blame
Detachment
Estrangement
Mood changes
Sleep disturbances
Hyper-vigilance
Loss of concentration
The stage where children catch up on developmental and social skills - CORRECT
ANSWER Stage 3
Most important treatment evaluation in children - CORRECT ANSWER Ensuring
child is safe
Having these during the night could be a sign of PTSD - CORRECT
ANSWER Nightmares
A screening tool used to help identify signs and symptoms of PTSD - CORRECT
ANSWER Primary care PTSD screen
PTSD checklist
Avoid talking about trauma, activities, people, places that bring up memories of the traumatic
event - CORRECT ANSWER Avoidance
, Elevated state of constantly assessing potential threats around you - CORRECT
ANSWER Hypervigilance
Dissociative experiences - CORRECT ANSWER Flashbacks
Describe the kind of care nurses should use when caring for a client who experienced trauma
- CORRECT ANSWER Trauma informed care
List three frequent places nurses will use trauma informed care - CORRECT
ANSWER Homeless shelters
Inpatient mental health facilities
Child welfare practice
Primary health care settings
Emergency departments
List three coping strategies nurses can do to help combat PTSD - CORRECT
ANSWER Number of support system
Stress relief activities
Coworker relationships
List three reactions of nurses' reaction to stress - CORRECT ANSWER Burnout
Compassion fatigue
Compassion satisfaction
List three reasons why nurses are exposed to traumatic events - CORRECT
ANSWER Years in nursing
Years in current role
Percent direct patient care
Hours per shift
Hours per week
QUESTIONS AND CORRECT ANSWERS
A nurse is assessing a client who experienced sexual assault. Which of the following findings
indicate the client is experiencing an emotional reaction of rape trauma syndrome? (Select all
that apply)
A. Genitourinary soreness
B. Difficulties with low self esteem
C. Sleep disturbances
D. Emotional outbursts
E. Difficulty making decisions - CORRECT ANSWER D, E
A nurse is discussing the care of a client following a sexual assault with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an
understanding of teaching?
A. "I will administer prophylactic treatment for sexually transmitted infections, like
chlamydia"
B. "I am not required to obtain informed consent before the sexual assault nurse examiner
collects forensic evidence" - CORRECT ANSWER A
A nurse is caring for a client who was recently sexually assaulted. The client sates, "I never
should have been out on the street alone at night." Which of the following responses should
the nurse make?
A. "Your actions had nothing to do with what happened"
B. "You should focus on recovery rather than blaming yourself for what happened"
C. "You believe this wouldn't have happened if you hadn't been out alone"
D. "Why do feel that you should not have been alone on the street at night?" - CORRECT
ANSWER C
,A community health nurse is leading a discussion about rape with a neighborhood task force.
Which of the following statements by a neighborhood citizen indicates an understanding of
the teaching?
A. "Rape is a crime of passion"
B. "Acquaintance rape often involves alcohol"
C. "Young adults are the typical victims o sexual assault"
D. "The majority of rapists are unknown to the victims" - CORRECT ANSWER B
Sertraline is a... - CORRECT ANSWER SSRI
FDA approved drug for PTSD - CORRECT ANSWER SSRIs
Adverse effects are headache, nausea, anxiety and dry mouth - CORRECT
ANSWER SNRI
List three adverse reactions to an SSRI - CORRECT ANSWER 1. Black box warning
2. SI
3. Insomnia
4. Decreased sex drive
5. Serotonin syndrome
6. Agitation
List three adverse reactions to an SNRI - CORRECT ANSWER 1. Can't take when
pregnant
2. Can't take with hepatic disease
3. Can't take with alcohol
4. No abrupt cessation
,Assessment tool used to assess for PTSD in children - CORRECT ANSWER Child
dissociative checklist
Trauma symptoms checklist for children
Children sexual behavior inventory combined with developmental assessment
List three symptoms of PTSD in children - CORRECT ANSWER Reduction in play
Self blame
Detachment
Estrangement
Mood changes
Sleep disturbances
Hyper-vigilance
Loss of concentration
The stage where children catch up on developmental and social skills - CORRECT
ANSWER Stage 3
Most important treatment evaluation in children - CORRECT ANSWER Ensuring
child is safe
Having these during the night could be a sign of PTSD - CORRECT
ANSWER Nightmares
A screening tool used to help identify signs and symptoms of PTSD - CORRECT
ANSWER Primary care PTSD screen
PTSD checklist
Avoid talking about trauma, activities, people, places that bring up memories of the traumatic
event - CORRECT ANSWER Avoidance
, Elevated state of constantly assessing potential threats around you - CORRECT
ANSWER Hypervigilance
Dissociative experiences - CORRECT ANSWER Flashbacks
Describe the kind of care nurses should use when caring for a client who experienced trauma
- CORRECT ANSWER Trauma informed care
List three frequent places nurses will use trauma informed care - CORRECT
ANSWER Homeless shelters
Inpatient mental health facilities
Child welfare practice
Primary health care settings
Emergency departments
List three coping strategies nurses can do to help combat PTSD - CORRECT
ANSWER Number of support system
Stress relief activities
Coworker relationships
List three reactions of nurses' reaction to stress - CORRECT ANSWER Burnout
Compassion fatigue
Compassion satisfaction
List three reasons why nurses are exposed to traumatic events - CORRECT
ANSWER Years in nursing
Years in current role
Percent direct patient care
Hours per shift
Hours per week
