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Q&A VERIFIED ANSWERS GRADED
A+
nurse is assessing a client who experienced sexual assault. Which of the following
A
findings indicate the client is experiencing an emotional reaction of rape trauma
syndrome? (Select all that apply)
. Genitourinary soreness
A
B. Difficulties with low self esteem
C. Sleep disturbances
D. Emotional outbursts
E. Difficulty making decisions
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?
. "I will administer prophylactic treatment for sexually transmitted infections, like
A
chlamydia"
B. "I am not required to obtain informed consent before the sexual assault nurse
examiner collects forensic evidence"
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?
. "Your actions had nothing to do with what happened"
A
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?"
C
, community health nurse is leading a discussion about rape with a neighborhood task
A
force. Which of the following statements by a neighborhood citizen indicates an
understanding of the teaching?
. "Rape is a crime of passion"
A
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"
B
Sertraline is a...
SSRI
FDA approved drug for PTSD
SSRIs
Adverse effects are headache, nausea, anxiety and dry mouth
SNRI
List three adverse reactions to an SSRI
1. Black box warning
2. SI
3. Insomnia
4. Decreased sex drive
5. Serotonin syndrome
6. Agitation
List three adverse reactions to an SNRI
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
Child dissociative checklist
Trauma symptoms checklist for children
Children sexual behavior inventory combined with developmental assessment
List three symptoms of PTSD in children
Reduction in play
Self blame
Detachment
Estrangement
Mood changes
Sleep disturbances
Hyper-vigilance
Loss of concentration
, he stage where children catch up on developmental and social skills
T
Stage 3
Most important treatment evaluation in children
Ensuring child is safe
Having these during the night could be a sign of PTSD
Nightmares
A screening tool used to help identify signs and symptoms of PTSD
Primary care PTSD screen
PTSD checklist
Avoid talking about trauma, activities, people, places that bring up memories of the
traumatic event
Avoidance
Elevated state of constantly assessing potential threats around you
Hypervigilance
Dissociative experiences
Flashbacks
Describe the kind of care nurses should use when caring for a client who experienced
trauma
Trauma informed care
List three frequent places nurses will use trauma informed care
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
Number of support system
Stress relief activities
Coworker relationships
List three reactions of nurses' reaction to stress
Burnout
Compassion fatigue
Compassion satisfaction
List three reasons why nurses are exposed to traumatic events
Years in nursing
Years in current role
Percent direct patient care
Hours per shift
Hours per week
This stage stops self destructive behavior
, tage 1
S
This stage the client will start finding comfort in others
Stage 2
This stage the client will improve attention and decrease dissociation of event
Stage 2
This stage the nurse will need to educate the client about trauma and its negative
effects
Stage 1
This stage the client will undergo social skills training
Stage 3
A nurse working on an acute mental health unit is caring for a client who has PTSD.
Which of the following findings should the nurse expect? (Select all that apply)
. Difficulty concentrating on tasks
A
B. Obsessive need to talk about the traumatic event
C. Negative self image
D. Recurring nightmares
E. Diminished reflexes
A, C, D
A nurse is involved in a serious and prolonged mass casualty incident in the ED. Which
of the following strategies should the nurse use to help prevent developing a trauma
related disorder? (Select all that apply)
. Avoid thinking about the incident when it is over
A
B. Take breaks during the incident for food and water
C. Debrief with others following the incident
D. Avoid displays of emotion in the days following the incident
E. Take advantage of offered counseling
B, C, E
A nurse is caring for a client who is to begin taking fluoxetine for treatment of panic
disorder. Which of the following statements indicates the client understands the use of
this med?
. "I will take this med at bedtime"
A
B. "I will follow a low sodium diet while taking this med"
C. "I will need to discontinue this med slowly"
D. "I will be at risk for weight loss with long term use of this med"
C