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A nurse is caring for a client following a suicide attempt. Which of the following
statements by the nurse reflects a trauma-informed approach?
a. "This must be difficult. Can you tell me about what has happened to you?"
b. "You are new to the unit. Why are you here?"
c. "You sit alone. Do you really want to be here?"
d. "You seem in pain, Why did you try to harm yourself." - ANSWER -a. "This
must be difficult. Can you tell me about what has happened to you?"
A nurse is providing care for an adolescent who sustained injuries in assault.
Which of the following actions should the nurse take first?
a. Identify the adolescent's coping strategies and skills
b. Explore the adolescent's feelings about the assault
c. Provide a safe, secure environment for the adolescent
d. Provide the adolescent with information on support groups - ANSWER -c.
Provide a safe, secure environment for the adolescent
A nurse is analyzing assessment data for a group of clients. Which of the
following clients is at greatest risk of developing PTSD?
a. A 23-year-old client who has a tibial fracture following a motor vehicle accident
b. A 72-year-old client who lost their partner to metastatic breast cancer
c. A 29-year-old client who has Type 1 diabetes mellitus and is postoperative
following an appendectomy
d. A 36-year-old client who has a maxillofacial fracture caused by their partner -
ANSWER -d. A 36-year-old client who has a maxillofacial fracture caused by
their partner
A nurse is providing care to a 4-year-old client who has been recently diagnosed
with reactive attachment disorder. Which of the following statements by the nurse
accurately describes this disorder?
, a. "The child developed reactive attachment disorder because they were bitten by a
dog 2 weeks ago."
b. "This child displays inappropriate attachment and is overly familiar with a
stranger."
c. "Reactive attachment disorder can occur when there is an absence of adequate
caregiving, including the child going many hours without being held or touched as
an infant."
d. "The child has recurring nightmares and often displays outbursts of anger even
when they are not provoked by others." - ANSWER -c. "Reactive attachment
disorder can occur when there is an absence of adequate caregiving, including the
child going many hours without being held or touched as an infant."
A nurse overhears a coworker say, "I get that some people have a hard childhood,
but eventually they need to get over it." Which of the following responses should
the nurse make?
a. "People who hav experienced adverse childhood events are only found in
vulnerable populations."
b. "It is completely genetics and biology; some people are just unable to get over
their past and move on."
c. "People who experience adverse childhood events are changed biologically and
genetically"
d. "It is only people who experience trauma later in life who will really struggle." -
ANSWER -c. "People who experience adverse childhood events are changed
biologically and genetically"
A nurse is preparing educational material for guardians on trauma prevention and
developing childhood resilience. Which of the following techniques should the
nurse include? SATA
a. Foster a hopeful perspective of the future
b. Encourage development of thinking and learning
c. Provide secure and supportive relationships and places
d. Ignore tantrums
e. Discourage expression of anger
f. Insist the child verbalizes emotional needs - ANSWER -a, b, c
A nurse is developing education for a parenting class about adverse childhood
events (ACEs). Which of the following statements should the nurse include in the
education?