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A nurse is assessing the client 2 months after the assault.

Exhibits

Based on the provider's diagnosis, which of the following client manifestations should the nurse expect?
Select the 4 potential findings the nurse should expect.

Hallucinations

Irritability

Feelings of emptiness

Echopraxia

Sleep disturbance

Guilt

Answer and Explanation

Correct Answer : B,C,E,F

Rationale for correct choices:

Irritability: Irritability is a common symptom of posttraumatic stress disorder (PTSD), often resulting from the heightened arousal and anxiety that individuals with PTSD experience after trauma. This is frequently seen in clients who have undergone significant emotional distress.
Feelings of emptiness: A sense of emptiness or detachment is often associated with PTSD. This is related to the emotional numbness and avoidance that individuals may experience as a result of trauma, leading them to feel disconnected or emotionally "empty."
Sleep disturbance: Sleep problems, such as insomnia or nightmares, are hallmark symptoms of PTSD. Clients often struggle with restful sleep due to anxiety, hypervigilance, or intrusive thoughts related to the traumatic event.
Guilt: Guilt is a common emotion experienced by individuals with PTSD, especially following trauma such as sexual assault. Survivors may blame themselves for not preventing the event, which can contribute to their emotional distress and symptoms of PTSD.

Rationale for incorrect choices:

Hallucinations: Hallucinations are not typically associated with PTSD. While PTSD can cause intense emotional reactions, hallucinations are more commonly seen in conditions such as schizophrenia or severe substance intoxication, not in PTSD.
Echopraxia: Echopraxia, which involves mimicking another person's movements, is generally associated with conditions such as autism or certain neurological disorders, not PTSD.

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Correct Answer is A

Explanation

A. "Cognitive behavioral therapy can help you confront the beliefs you have about gambling": Cognitive behavioral therapy (CBT) helps clients identify and change maladaptive thought patterns and beliefs related to gambling, making it the most appropriate therapeutic approach.
B. "Systematic desensitization can help you decrease your desire for gambling": Systematic desensitization is typically used for anxiety or phobias and involves gradual exposure to a feared object or situation. It is not a primary treatment for gambling disorder.
C. "Gamblers Anonymous can help you replace irresponsible gambling with controlled gambling": Gamblers Anonymous focuses on abstinence from gambling, not controlled gambling. The goal is to help individuals stop gambling altogether.
D. "Interpersonal therapy can help you identify relationships that may have led to your gambling": While interpersonal therapy can be beneficial for improving relationships, gambling disorder is more effectively addressed through CBT, which focuses on changing the client’s thoughts and behaviors related to gambling.

A. Aspiration B. Decreased heart rate C. Elevated blood pressure D. Muscle distress

Correct Answer is D

Explanation

A. Aspiration: Succinylcholine is used during electroconvulsive therapy (ECT) to induce muscle relaxation, but it does not specifically prevent aspiration. Aspiration risk is generally minimized by using an endotracheal tube and appropriate airway management during the procedure, not just succinylcholine.
B. Decreased heart rate: Succinylcholine is not used to manage heart rate. While ECT can cause heart rate fluctuations, other medications, like atropine, are typically used if bradycardia is a concern.
C. Elevated blood pressure: Succinylcholine does not address blood pressure regulation. ECT can cause temporary increases in blood pressure, but succinylcholine is used to relax muscles and does not manage blood pressure.
D. Muscle distress: Succinylcholine is given during ECT to relax muscles and prevent muscle contractions or "muscle distress" during the procedure. Without muscle relaxation, muscle contractions during the procedure could cause injury or severe discomfort.

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A nurse is assessing the client 2 months after the assault. Exhibits Based on the provider's diagnosis, which of the following client manifestations should the nurse expect? Select the 4 potential findings the nurse should expect.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is seeking treatment for gambling disorder. The client states, "I have gambled away all of my savings. I don't know what I am going to do." Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who has severe depression and is scheduled to receive electroconvulsive therapy. The nurse should recognize that the client will receive succinylcholine to prevent which of the following adverse effects?

Correct Answer is D

Explanation

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A nurse is assessing the client 2 months after the assault.

Exhibits

Based on the provider's diagnosis, which of the following client manifestations should the nurse expect?
Select the 4 potential findings the nurse should expect.