JERSEY COLLEGE PSYCH PREP U CHP 13 QUESTIONS AND
ANSWERS ELABORATIONS!!
The nurse is dialoguing with a client who has been referred after witnessing a
workplace accident several weeks ago that resulted in a coworker's death. What
assessment finding would support a diagnosis of posttraumatic stress disorder
(PTSD)?
Answers The client states that the client is often "awake for hours and hours each
night."
When presenting a discussion of posttraumatic stress disorder (PTSD) to a group
of emergency department nurses, the psychiatric-mental health nurse provides
examples of traumatic events that may precede PTSD. Which example would the
nurse most likely include? Select all that apply.
Answers Personal assault by a family member
Military combat mission where there were casualties
Surviving an EF 4 tornado
Following an assessment of a client with posttraumatic stress disorder (PTSD), the
nurse concludes that the client is at risk for suicide. What would be the immediate
goals of management for this client?
Answers The client will be physically safe.
The nurse is performing a physical health assessment of a client who has been
diagnosed with posttraumatic stress disorder (PTSD). What aspect of this
assessment should the nurse prioritize?
Answers Sleep assessment
,Which statement regarding posttraumatic stress disorder (PTSD) and children is
accurate?
Answers Best practices demonstrate that adolescents who have PTSD are at
increased risk of drug abuse.
The nurse is assessing an older adult client who was involved in a traffic accident.
The client's brother dies in the accident. Which are the priority assessment areas?
Select all that apply.
Answers Past exposure to trauma
Previous death of family members
Past sexual abuse history
A nurse's colleague expresses sympathy for a client who is traumatized following a
terrorist attack 1 week earlier. The colleague states, "I'm certain that the client has
posttraumatic stress disorder (PTSD)." What is the nurse's best response?
Answers "Acute stress disorder is a possibility, which might develop into PTSD."
The nurse is providing care for a client whose history of intimate partner violence
has resulted in posttraumatic stress disorder (PTSD). The client has few friends and
states that the client is estranged from the client's family. How can the nurse best
enhance the client's social support?
Answers Facilitate the client's participation in a support group
The nurse is performing a physical health assessment of a client who has been
diagnosed with posttraumatic stress disorder (PTSD). What aspect of this
assessment should the nurse prioritize?
, Answers Sleep assessment
A nurse is contributing to the interdisciplinary care plan for a client who has been
diagnosed with PTSD. Which should be included in the care plan?
Answers Vigilant monitoring for potential indications of self-harm
The nurse is preparing to give a group therapy session for clients with
posttraumatic stress disorder (PTSD). Which clients are most likely to be included
in the group therapy session? Select all that apply.
Answers A client who has lost the client's spouse and children in a natural disaster.
A client who is a victim of a car accident.
A client who has witnessed a murder.
A client who has been admitted for an appendectomy states, "I'm really afraid of
the surgery because my mother died when she was admitted for an emergency
surgery." When preparing to work with the client concerning this anxiety about the
surgery, the nurse recognizes what?
Answers The client is expressing fear about the surgery. The client's fear is the
body's physiologic and emotional response to a known danger.
A nurse is contributing to the interdisciplinary care plan for a client who has been
diagnosed with PTSD. Which should be included in the care plan?
Answers Vigilant monitoring for potential indications of self-harm
The nurse is interviewing a client who witnessed a fatal accident at the workplace
and was unable to save a colleague. What assessment findings would support a
diagnosis of posttraumatic stress disorder (PTSD)? Select all that apply.
Answers The client has nightmares about the accident
The client says the client is "unable to face that place again"
ANSWERS ELABORATIONS!!
The nurse is dialoguing with a client who has been referred after witnessing a
workplace accident several weeks ago that resulted in a coworker's death. What
assessment finding would support a diagnosis of posttraumatic stress disorder
(PTSD)?
Answers The client states that the client is often "awake for hours and hours each
night."
When presenting a discussion of posttraumatic stress disorder (PTSD) to a group
of emergency department nurses, the psychiatric-mental health nurse provides
examples of traumatic events that may precede PTSD. Which example would the
nurse most likely include? Select all that apply.
Answers Personal assault by a family member
Military combat mission where there were casualties
Surviving an EF 4 tornado
Following an assessment of a client with posttraumatic stress disorder (PTSD), the
nurse concludes that the client is at risk for suicide. What would be the immediate
goals of management for this client?
Answers The client will be physically safe.
The nurse is performing a physical health assessment of a client who has been
diagnosed with posttraumatic stress disorder (PTSD). What aspect of this
assessment should the nurse prioritize?
Answers Sleep assessment
,Which statement regarding posttraumatic stress disorder (PTSD) and children is
accurate?
Answers Best practices demonstrate that adolescents who have PTSD are at
increased risk of drug abuse.
The nurse is assessing an older adult client who was involved in a traffic accident.
The client's brother dies in the accident. Which are the priority assessment areas?
Select all that apply.
Answers Past exposure to trauma
Previous death of family members
Past sexual abuse history
A nurse's colleague expresses sympathy for a client who is traumatized following a
terrorist attack 1 week earlier. The colleague states, "I'm certain that the client has
posttraumatic stress disorder (PTSD)." What is the nurse's best response?
Answers "Acute stress disorder is a possibility, which might develop into PTSD."
The nurse is providing care for a client whose history of intimate partner violence
has resulted in posttraumatic stress disorder (PTSD). The client has few friends and
states that the client is estranged from the client's family. How can the nurse best
enhance the client's social support?
Answers Facilitate the client's participation in a support group
The nurse is performing a physical health assessment of a client who has been
diagnosed with posttraumatic stress disorder (PTSD). What aspect of this
assessment should the nurse prioritize?
, Answers Sleep assessment
A nurse is contributing to the interdisciplinary care plan for a client who has been
diagnosed with PTSD. Which should be included in the care plan?
Answers Vigilant monitoring for potential indications of self-harm
The nurse is preparing to give a group therapy session for clients with
posttraumatic stress disorder (PTSD). Which clients are most likely to be included
in the group therapy session? Select all that apply.
Answers A client who has lost the client's spouse and children in a natural disaster.
A client who is a victim of a car accident.
A client who has witnessed a murder.
A client who has been admitted for an appendectomy states, "I'm really afraid of
the surgery because my mother died when she was admitted for an emergency
surgery." When preparing to work with the client concerning this anxiety about the
surgery, the nurse recognizes what?
Answers The client is expressing fear about the surgery. The client's fear is the
body's physiologic and emotional response to a known danger.
A nurse is contributing to the interdisciplinary care plan for a client who has been
diagnosed with PTSD. Which should be included in the care plan?
Answers Vigilant monitoring for potential indications of self-harm
The nurse is interviewing a client who witnessed a fatal accident at the workplace
and was unable to save a colleague. What assessment findings would support a
diagnosis of posttraumatic stress disorder (PTSD)? Select all that apply.
Answers The client has nightmares about the accident
The client says the client is "unable to face that place again"
