A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)

Feeling mildly anxious.

Showing emotional numbing such as feeling detached from others.

Occurring 2 weeks after the trauma.

Reexperiencing the trauma through dreams or recurrent and intrusive thoughts.

Being on guard, irritable, or experiencing hyperarousal.

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Feeling mildly anxious can be a normal reaction after a traumatic event and does not necessarily indicate PTSD.

Choice B reason: Emotional numbing and detachment from others are common symptoms of PTSD, reflecting an avoidance of reminders of the trauma.

Choice C reason: The timeframe of symptoms occurring specifically 2 weeks after the trauma is more indicative of acute stress disorder rather than PTSD.

Choice D reason: Reexperiencing the trauma through dreams or intrusive thoughts is a hallmark symptom of PTSD, often leading to significant distress.

Choice E reason: Hyperarousal, including being on guard and irritable, is a symptom of PTSD that involves an increased state of anxiety and heightened emotional response.

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Correct Answer is D

Explanation

Choice A reason: Acrophobia is the fear of heights, not water, and is considered a natural environment type of phobia.

Choice B reason: Aquaphobia is indeed the fear of water, but it is classified as a natural environment type of phobia, not situational.

Choice C reason: Acrophobia is incorrectly associated here; it is the fear of heights and not related to water.

Choice D reason: Aquaphobia is the correct term for an excessive fear of water, and it is identified as a natural environment type of phobia?.

A. Prior physical health followed by the need for two surgeries within the last three months. B. Constant worry about the undiagnosed presence of an illness. C. Sudden unexplained loss of peripheral sensation. D. Obsession over a fictitious defect in physical appearance.

Correct Answer is B

Explanation

Choice A reason: This choice does not typically relate to illness anxiety disorder, as the concern is usually about having an illness, not the aftermath of confirmed physical health issues.

Choice B reason: Constant worry about the undiagnosed presence of an illness is a hallmark of illness anxiety disorder, where individuals are preoccupied with having or acquiring a serious illness despite medical evaluation and reassurance.

Choice C reason: Sudden loss of peripheral sensation is more indicative of a neurological condition rather than illness anxiety disorder.

Choice D reason: An obsession over a fictitious defect in physical appearance is characteristic of body dysmorphic disorder, not illness anxiety disorder.

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A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

Correct Answer is D

Explanation

A nurse is assessing a client who has illness anxiety disorder. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response?

The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply.

A nurse in an acute care mental health facility is preparing to administer morning medication to a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

The nurse is leading a family therapy group with a client addicted to alcohol. Which statement made by the spouse indicates the need for additional education regarding alcoholism as a family illness?

The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. With which types of personality disorders should the nurse use a matter-of-fact approach? (Select all that apply)