A client, who was diagnosed with Post Traumatic Stress Disorder (PTSD), is now experiencing flashbacks and is displaying irritable behavior. The nurse would:

leave the client alone to work out the problem, then tell the physician about the incident.

tell the client to return to room and write their thoughts in a journal.

give the prescribed flumazenil 5 mg IM

remain with the client and ensure safety.

Answer and Explanation

The Correct Answer is D

a. Leave the client alone: Leaving the client alone during a flashback could be dangerous.
b. Journaling: While journaling can be helpful for managing PTSD, it's not appropriate during a crisis situation.
c. Flumazenil: Flumazenil is used to reverse benzodiazepine overdose, not for PTSD flashbacks.
d. remain with the client and ensure safety: A PTSD flashback can be overwhelming and lead to self-harm or aggression. The nurse's priority is to ensure the client's safety and the safety of others.

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Correct Answer is D

Explanation

a. "We can keep the scatter (throw) rug in the bathroom for safety." This is incorrect because scatter rugs are a fall hazard and should be removed.
b. "One family member should provide all care for the client when at home." This is incorrect because caregiving should ideally be a shared responsibility to prevent caregiver burnout.
c. "We should leave food by the bedside in case the client gets hungry." This is incorrect because it can pose choking hazards and does not address proper supervision for eating.
d. "We can use respite care for short term relief for caregiving." This is correct as it shows understanding of the importance of respite care to prevent caregiver burnout and ensure sustained quality care for the client.

A. Clinically significant distress in occupational functioning. B. Sudden unexpected travel or confused wandering. C. An inability to recall their parent's contact information. D. Occasional periods of forgetfulness

Correct Answer is B

Explanation

a. Clinically significant distress in occupational functioning. While distress in occupational functioning may occur, it is not specific to dissociative fugue and is more broadly associated with various mental health disorders.
b. Sudden unexpected travel or confused wandering. This choice is correct because dissociative fugue is characterized by sudden, unexpected travel away from one's home or usual place of work, with an inability to recall some or all of one's past.
c. An inability to recall their parent's contact information. While memory loss is part of dissociative fugue, the focus is on broader, more significant amnesia than just inability to recall specific information like contact details.
d. Occasional periods of forgetfulness. This does not capture the severity or the specific nature of the amnesia involved in dissociative fugue.

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A client, who was diagnosed with Post Traumatic Stress Disorder (PTSD), is now experiencing flashbacks and is displaying irritable behavior. The nurse would:

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Naxlex Comprehensive Predictor Exams

The nurse is giving discharge instructions to the family of a client diagnosed with a neurocognitive disorder. The nurse includes the client's family. Which statement by the family would indicate that teaching has been effective? The family states:

Correct Answer is D

Explanation

The nurse is providing care for a client diagnosed with dissociative fugue. Which behaviors would the nurse expect to see with this client?

Correct Answer is B

Explanation

During a client intake assessment, the nurse asks both physiological and psychosocial questions. The client angrily responds, "I'm here for my heart, not my head problems." What is the nurse's best response?

A client, who was diagnosed with Post Traumatic Stress Disorder (PTSD), is now experiencing flashbacks and is displaying irritable behavior. The nurse would:

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