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 D

Explanation

Choice A rationale
Minimizing contact with a patient who is angry can create a barrier in the nurse-patient relationship. It’s important for nurses to address the patient’s anger and work through it rather than avoid it.
Choice B rationale
While it’s crucial to explain the importance of treatments, language barriers can make this difficult. The nurse should use a translator or other resources to ensure the patient fully understands.
Choice C rationale
Using clinical terminology can confuse patients who are not familiar with medical jargon. It’s better to use simple, understandable language.
Choice D rationale
Fulfilling promises builds trust and rapport. By allowing a patient to visit with family members, the nurse shows they are reliable and trustworthy.

A. It is a gene variant that increases the risk for development of a specific mental illness. B. It is a gene variant that is responsible for an individual’s resilience to stress. C. It is a gene variant that is responsible for the development of a specific mental illness. D. It is a gene variant that determines an individual’s likelihood of recovering from mental illness.

Correct Answer is A

Explanation

Choice A rationale
A vulnerability gene is a gene variant that increases the risk for development of a specific mental illness. It does not guarantee that an individual will develop the illness, but it does increase their susceptibility.
Choice B rationale
A gene variant that is responsible for an individual’s resilience to stress is not typically referred to as a vulnerability gene. Resilience genes are thought to provide some protection against the development of mental illnesses.
Choice C rationale
A gene variant that is responsible for the development of a specific mental illness is not typically referred to as a vulnerability gene. While certain gene variants can increase the risk of developing a mental illness, they are usually not the sole cause. Mental illnesses are typically the result of a complex interplay of genetic, environmental, and psychological factors.
Choice D rationale

A gene variant that determines an individual’s likelihood of recovering from mental illness is not typically referred to as a vulnerability gene. Recovery from mental illness is influenced by a variety of factors, including the individual’s access to effective treatment, their level of social support, and their personal resilience.

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

Correct Answer is D

Explanation

A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?

Correct Answer is A

Explanation

Which of the following clients is eligible for the Medicare program?

A nurse is caring for a patient with post-traumatic stress disorder who is considering prolonged exposure therapy. The patient asks, “How does this therapy work?” Which of the following responses accurately describes this type of therapy?

A school nurse receives a telephone call from a parent who suspects their child has coronavirus-2 (SARS-COV-2). Which of the following instructions should the nurse give as secondary prevention?

A nurse is caring for an adolescent who has been subjected to abuse and neglect since early childhood. This is an example of which type of trauma?

A nurse is educating a client diagnosed with prolonged grief disorder about the significance of cognitive behavioral therapy (CBT). Which of the following statements from the client indicates a comprehension of the teaching?

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?

A nurse is caring for a child whose guardians report that the child consistently cannot speak during class and other social situations. Which of the following anxiety disorders should the nurse identify that the child is experiencing?

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 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?