A 39-year-old male ICU nurse presents to the PMHNP with symptoms of posttraumatic stress disorder (PTSD) after working in New Orleans during the COVID-19 pandemic. He has nightmares and experiences depressive symptoms. In general, he says he feels detached from life and emotionally numb. He tries not to think about the patients who died, but he often cannot stop their faces from “popping” into his head at any time. What modality would be most appropriate for this patient presentation?
Eye movement desensitization and reprocessing (EMDR)
Primal scream therapy
Hypnotherapy
Psychodrama
The Correct Answer is A
Choice A reason: EMDR is an evidence-based psychotherapy specifically indicated for PTSD. It involves processing traumatic memories using bilateral stimulation to reduce distress and emotional reactivity.
Choice B reason: Primal scream therapy is largely unscientific and lacks strong evidence for PTSD treatment; it focuses on emotional catharsis but does not systematically address trauma.
Choice C reason: Hypnotherapy may help with relaxation or suggestion but is not the primary evidence-based treatment for PTSD and does not reliably reduce flashbacks or nightmares.
Choice D reason: Psychodrama involves role-playing past events but is less structured and evidence-supported compared to EMDR in PTSD treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Installation is the phase where positive cognitions are strengthened after desensitization, not for initial trauma activation.
Choice B reason: Desensitization is the phase where the client processes the trauma through bilateral stimulation to reduce distress, after assessment has been done.
Choice C reason: This is correct. The assessment phase involves identifying the target memory, activating it through visualization, noting associated thoughts and emotions, and establishing a baseline for emotional and physical reactions to guide the subsequent processing phases.
Choice D reason: Closure occurs at the end of the session to ensure the client is stable and safe, not for memory activation or baseline assessment.
Correct Answer is B
Explanation
Choice A reason: Heparin is indicated for cerebral thrombosis to prevent clot propagation in ischemic strokes.
Choice B reason: This is correct. Heparin is contraindicated in hemorrhagic stroke because it increases the risk of further bleeding in the brain.
Choice C reason: Heparin is commonly used for prophylaxis of embolic events in high-risk patients, such as those undergoing surgery or prolonged immobilization.
Choice D reason: Heparin is a first-line therapy for pulmonary embolism to prevent clot extension and reduce morbidity and mortality.
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