A nurse assigned to a mental health hotline receives a call from a nurse who has been working on a Covid-19 unit.
The caller states, “I just don’t think I can be a nurse anymore.”. Which of the following types of trauma should the nurse recognize this person is experiencing?

Secondary trauma

Acute trauma

Complex trauma

Chronic trauma

Answer and Explanation

The Correct Answer is A

Choice A rationale

Secondary trauma, also known as vicarious trauma or compassion fatigue, is a type of trauma that can occur in individuals who help or want to help others (like healthcare workers) experiencing a traumatic event. This can include feelings of fear, hopelessness, and difficulties in functioning, similar to those experienced by the person who underwent the actual trauma.
Choice B rationale
Acute trauma is typically associated with a single, severe traumatic event, not the ongoing stress of working in a high-stress environment like a Covid-19 unit.
Choice C rationale
Complex trauma refers to a type of trauma that occurs repeatedly and cumulatively, usually over a period of time and within specific relationships and contexts. It is not typically used to describe the experiences of healthcare workers in a pandemic.
Choice D rationale
Chronic trauma refers to the experience of multiple traumatic events. It is often used to describe situations such as ongoing child abuse, domestic violence, or war. It is not the most accurate term to describe the experiences of healthcare workers in a pandemic.

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Correct Answer is C

Explanation

The correct answer is Choice C

Choice A rationale: A reluctance to leave the house for over a year suggests a struggle with grief and possibly depression but does not specifically indicate traumatic grief. It reflects difficulty in moving forward but lacks the intense guilt associated with traumatic grief.

Choice B rationale: Inability to cry due to a perceived need to be strong reflects emotional suppression and societal expectations. It does not directly point to traumatic grief, which often involves more severe symptoms like intense guilt and preoccupation with the deceased.

Choice C rationale: Feeling that one should have been killed instead of a friend indicates severe survivor guilt, a core component of traumatic grief. This statement reflects an intense emotional reaction and an inability to reconcile the loss, leading to profound distress and dysfunction.

Choice D rationale: Flashbacks and physical symptoms like a racing heart suggest post-traumatic stress disorder (PTSD) rather than traumatic grief. PTSD involves re-experiencing traumatic events, whereas traumatic grief focuses more on the loss and associated guilt

A. Have the child carefully repeat the events of the trauma. B. Assess the child without their caregiver present. C. Have toys or drawing materials available for the child. D. Focus on the physical domain of health.

Correct Answer is C

Explanation

Choice A rationale
Having the child carefully repeat the events of the trauma is not always the best strategy. Repeatedly recounting traumatic events can potentially retraumatize the child.
Choice B rationale
Assessing the child without their caregiver present can be beneficial in some cases, especially if there is a suspicion of abuse by the caregiver. However, in the context of school violence, it might be more beneficial to have a trusted adult present to provide comfort and support.
Choice C rationale
Having toys or drawing materials available for the child is a good strategy. Play and art can be therapeutic for children and can provide a non-threatening way for them to express their feelings and experiences.
Choice D rationale

Focusing solely on the physical domain of health may not provide a comprehensive understanding of the child’s experience. While physical health is important, understanding the child’s emotional and psychological responses to the violence is also crucial.

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A nurse assigned to a mental health hotline receives a call from a nurse who has been working on a Covid-19 unit. The caller states, “I just don’t think I can be a nurse anymore.”. Which of the following types of trauma should the nurse recognize this person is experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat. Which statement by the client indicates that they are experiencing traumatic grief?

Correct Answer is C

Explanation

A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?

Correct Answer is C

Explanation

A nurse is participating in a hospital committee to discuss the rationing of care and resources during a pandemic. Which of the following behaviors should the nurse identify as important in providing ethical and empathetic nursing care?

A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

A nurse is working to build rapport and trust with new patients. Which of the following actions should the nurse take?

A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?

A nurse is caring for a client who states, “My mother and my mother’s mother have all been in abusive relationships. We believe this is because of what happened to our people 100 years ago with slavery.”. Which response by the nurse demonstrates understanding of the client’s trauma?

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A nurse manager is evaluating the performance of a newly licensed nurse after performing a client interview. Which of the following nonverbal actions by the newly licensed nurse should be identified as appearing too relaxed?

A nurse in a long-term care facility notices two residents arguing in the day room over a game they are playing. Which of the following interventions should the nurse use first?

A nurse assigned to a mental health hotline receives a call from a nurse who has been working on a Covid-19 unit.
The caller states, “I just don’t think I can be a nurse anymore.”. Which of the following types of trauma should the nurse recognize this person is experiencing?