A nurse is collecting data from a client whose husband died during a hurricane one year ago. The client reports having nightmares about the hurricane, persistent thoughts of blaming herself for her husband's death, and has stopped participating in her usual activities. The nurse should identify that the client is experiencing which of the following disorders?

Dependent personality disorder

Obsessive personality disorder

Post-traumatic stress disorder (PTSD)

Histrionic personality disorder

Answer and Explanation

The Correct Answer is C

A. Dependent personality disorder
This involves a pervasive fear of abandonment and need to be cared for, not trauma-related symptoms.

B. Obsessive personality disorder
This involves preoccupation with orderliness, perfectionism, and control, not trauma symptoms.

C. Post-traumatic stress disorder (PTSD)
Nightmares, intrusive thoughts, self-blame, and withdrawal from usual activities after a traumatic event are hallmark signs of ptsd.

D. Histrionic personality disorder
This disorder involves excessive emotionality and attention-seeking behavior, which is not the case here.

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Correct Answer is D

Explanation

A. “That kind of reaction is very rare after so long a time. It would be best to avoid the cemetery on dates that might trigger this type of reaction.”
This invalidates the patient’s emotions and implies judgment.

B. “I find that hard to believe. We all grieve the same way, and know that I would not react that way after such a long time.”
Dismissive and inappropriate; grief responses vary greatly.

C. “The fact that you reacted so strongly is concerning to me. This could be the beginning of some psychological issues.”
Pathologizes a normal anniversary reaction.

D. “What happens to you is understandable and common in people who have lost loved ones.”
Validates the patient's emotional experience and offers support.

A. "I will avoid drinking large amounts of fluids immediately before bedtime." B. "I will walk briskly for 30 minutes before bedtime." C. "I will limit having a glass of wine to just before bedtime." D. "I will do my muscle relaxation techniques in the afternoon."

Correct Answer is A

Explanation

A. "I will avoid drinking large amounts of fluids immediately before bedtime.":
This prevents nighttime awakenings for urination, which improves sleep continuity.

B. "I will walk briskly for 30 minutes before bedtime.":
Exercise is beneficial, but should be completed at least 2–3 hours before bedtime to avoid stimulation.

C. "I will limit having a glass of wine to just before bedtime.":
Alcohol may promote sleep initially but disrupts sleep later in the night and reduces sleep quality.

D. "I will do my muscle relaxation techniques in the afternoon.":
Relaxation techniques are most effective when done before bedtime to promote sleep readiness.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who generally copes well after losing a child many years ago but becomes depressed each year on the anniversary of the death. Which is the best statement by the nurse?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about promoting rest and sleep with a client who reports insomnia. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a client following a right mastectomy. Which of the following statements should indicate to the nurse that the client has a healthy body image?

A nurse provides a back massage as palliative care to an unconscious client who is grimacing and restless. Which of the following indicates a therapeutic response? (Select the 2 correct answers)

The patient concentrates on the mind numbing details of the spouses funeral to delay dealing with the overwhelming pain of the loss period which stage of grief is currently being experienced by the patient?

The MD orders an insulin drip to Infuse @ 8 units/hr. The insulin is supplied 100 units in 100 mL of NS. How many mL/hr will the nurse infuse the insulin?

A nurse is caring for a patient with a debilitating chronic illness. The patient mentions several times that faith would guide her healing. The nurse knows that faith can best be defined as?

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

The physician orders magnesium sulfate 1g. The magnesium is dissolved in 150 ml. bag, to be infused over 60 minutes. What is the ml/hr that the drug should be infused? (LABEL CORRECTLY USE UPPER CASE LETTERS, ROUND TO WHOLE NUMBER TO RECEIVE CREDIT).

The physician orders erythromycin 1.5 g in 250 mL of D5W to infuse over 2 hours. The drop factor is 15 drops per mL. How many drops per minute will the nurse administer to the patient? (LABEL CORRECTLY, USE UPPER CASE LETTERS, ROUND TO WHOLE NUMBER TO RECEIVE CREDIT