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 ["B","C","D","E"]

Explanation

Choice A reason: Volunteering at a community center is generally a positive activity and does not indicate a risk for suicide.

Choice B reason: A sudden decline in school performance can be a sign of underlying distress and may indicate a risk for suicide.

Choice C reason: While low parental expectations can contribute to a child's stress, they are not a direct indicator of suicide risk.

Choice D reason: A recent or impending move can be a significant life stressor and may increase the risk of suicide, especially if it leads to social isolation.

Choice E reason: The death of a parent, particularly at a young age, is a traumatic event that can significantly increase the risk of suicide.

A. Urinary retention and constipation. B. Fine hand tremors and pill rolling. C. Tongue thrusting and lip smacking. D. Facial grimacing and eye blinking. E. Involuntary pelvic rocking and hip thrusting movements.

Correct Answer is ["C","D","E"]

Explanation

Choice A reason: Urinary retention and constipation are not typically associated with tardive dyskinesia, which is characterized by involuntary movements.

Choice B reason: Fine hand tremors and pill rolling are more commonly associated with Parkinson's disease rather than tardive dyskinesia.

Choice C reason: Tongue thrusting and lip smacking are classic signs of tardive dyskinesia, often resulting from long-term use of antipsychotic medications.

Choice D reason: Facial grimacing and eye blinking are also indicative of tardive dyskinesia, reflecting involuntary facial movements.

Choice E reason: Involuntary pelvic rocking and hip thrusting movements can be manifestations of tardive dyskinesia, representing involuntary movements of the body.

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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 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.

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

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