A nurse is assisting with the plan of care for a client who was recently diagnosed with a trauma-related disorder. Which of the following client goals should the nurse include?

The client will develop effective coping strategies by discharge.

The client will identify triggers for traumatic reexperiencing by discharge.

The client will participate in developing their plan of care.

The client will avoid discussion of traumatic experience.

The client will identify appropriate resources to help in restoring normal routines.

The client will use exact medical language when explaining trauma.

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: Developing effective coping strategies is a central goal in trauma-related disorders. Coping skills such as relaxation techniques, grounding exercises, and cognitive reframing help the client manage intrusive symptoms, reduce distress, and regain a sense of control. This goal is realistic and measurable by discharge, making it appropriate for the plan of care.

Choice B reason: Identifying triggers for traumatic reexperiencing is essential because it allows the client to anticipate and manage situations that may provoke flashbacks, nightmares, or heightened anxiety. Recognizing triggers is the first step toward implementing coping strategies and preventing retraumatization. This goal supports self-awareness and long-term recovery.

Choice C reason: Participation in developing the plan of care empowers the client and fosters collaboration. Trauma survivors often feel a loss of control, so involving them in care planning helps restore autonomy and builds trust. This goal also ensures that interventions are individualized and client-centered.

Choice D reason: Avoiding discussion of the traumatic experience is not therapeutic. While pacing disclosure is important, avoidance perpetuates symptoms and prevents healing. Trauma-informed care encourages safe, gradual exploration of experiences rather than avoidance, so this goal is inappropriate.

Choice E reason: Identifying appropriate resources to restore normal routines is a valid goal because trauma often disrupts daily functioning. Accessing community support, therapy, and social resources helps the client reintegrate into normal life and promotes resilience. This goal is practical and supports long-term recovery.

Choice F reason: Using exact medical language when explaining trauma is unrealistic and unnecessary. Clients are not expected to adopt medical terminology; instead, they should be encouraged to express their experiences in their own words. This goal does not support therapeutic communication or recovery.

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

Explanation

Choice A reason: Blood pressure is a vital sign measurement and not a symptom of schizophrenia. It does not reflect the psychiatric manifestations of the disorder. Negative symptoms are characterized by deficits in normal emotional and behavioral functioning, not changes in vital signs. Therefore, blood pressure is unrelated to the assessment of negative symptoms.

Choice B reason: Lack of motivation is a hallmark negative symptom of schizophrenia. It reflects avolition, which is the inability to initiate or persist in goal-directed activities. This symptom often leads to difficulties in maintaining daily routines, attending therapy, or engaging in social interactions. It is directly linked to the functional impairment seen in clients with schizophrenia.

Choice C reason: Hallucinations are considered positive symptoms of schizophrenia, not negative symptoms. Positive symptoms involve the presence of abnormal experiences, such as auditory or visual hallucinations, delusions, or disorganized speech. While distressing, hallucinations represent an addition to normal functioning rather than a deficit, so they do not fall under the category of negative symptoms.

Choice D reason: Lack of energy is a negative symptom because it reflects diminished emotional and physical drive. This symptom contributes to the client’s inability to participate in activities, maintain self-care, or engage socially. It is often associated with anhedonia and avolition, both of which are central to negative symptomatology.

Choice E reason: Withdrawn behavior is another negative symptom. Social withdrawal indicates reduced ability or desire to interact with others, often due to flat affect, lack of motivation, or diminished emotional responsiveness. This symptom significantly impacts the client’s quality of life and ability to maintain relationships, making it a key indicator of negative symptoms in schizophrenia.

A. Haloperidol B. Sertraline C. Olanzapine D. Prazosin

Correct Answer is B

Explanation

Choice A reason: Haloperidol is a typical antipsychotic used for schizophrenia and severe agitation, not for PTSD. It is not considered first-line treatment.

Choice B reason: Sertraline, a selective serotonin reuptake inhibitor (SSRI), is first-line therapy for PTSD. SSRIs help reduce symptoms such as intrusive thoughts, hyperarousal, and avoidance behaviors by regulating serotonin levels.

Choice C reason: Olanzapine is an atypical antipsychotic used for schizophrenia and bipolar disorder. It may be used adjunctively in PTSD but is not first-line.

Choice D reason: Prazosin is used to treat nightmares associated with PTSD but is not considered first-line overall. It is often prescribed as an adjunct to SSRIs.

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A nurse is assisting with the plan of care for a client who was recently diagnosed with a trauma-related disorder. Which of the following client goals should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

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

Explanation

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Correct Answer is B

Explanation

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