A nurse is facilitating a group session for clients who have posttraumatic stress disorder.

Which of the following client statements indicates progression toward positive outcomes?

"I feel guilty that my fellow soldiers died in combat and I survived."

"I keep having flashbacks about when I was attacked by my neighbor."

"I prefer to go through the recovery process independently."

"I think my experience has affected my ability to trust others."

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Expressing feelings of guilt and survivor's guilt is a common aspect of processing traumatic experiences and can be an important step in healing.

Choice B rationale:

Rationale: This statement indicates that the client is acknowledging and discussing the flashbacks related to the traumatic event. Progression toward positive outcomes in posttraumatic stress disorder (PTSD) often involves recognizing and addressing distressing symptoms.

Choice C rationale:

The preference for independence may indicate resistance to seeking support, which can hinder progress in addressing and managing PTSD symptoms.

Choice D rationale:

Recognizing that the traumatic experience has affected the ability to trust others reflects insight into the impact of the trauma on relationships, which is a step toward positive outcomes.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A rationale:

Agitation is a common manifestation of delirium, as the client experiences a disturbance in attention, awareness, and cognition. The client may become restless, irritable, or aggressive due to the altered mental state.

Choice B rationale:

Slow, flat speech is not a manifestation of delirium, but rather a sign of depression or dementia. Clients with delirium may have rapid, incoherent, or slurred speech, depending on the cause and severity of the condition.

Choice C rationale:

Visual hallucinations are another manifestation of delirium, as the client may perceive things that are not there or misinterpret sensory stimuli. The client may also have auditory or tactile hallucinations, which can contribute to the agitation and confusion.

Choice D rationale:

Confusion is a hallmark manifestation of delirium, as the client has difficulty with orientation, memory, and reasoning. The client may not recognize familiar people or places, or may have fluctuating levels of consciousness. The confusion may worsen at night or in low-light settings, which is known as sundowning syndrome.

Choice E rationale:

Rapid mood swings are also a manifestation of delirium, as the client may exhibit emotional lability, anxiety, depression, fear, or anger. The mood changes may be unpredictable and inappropriate to the situation.

A. "Keep the television on at a low volume in the background." B. "Decorate your partner's room with abstract paintings." C. "Reorient your partner daily to the day and time." D. "Use dim lighting in your home."

Correct Answer is A

Explanation

Choice A rationale:

Keeping the television on at a low volume in the background can provide sensory stimulation and a familiar environment for the client with Alzheimer's disease. It can also help decrease feelings of isolation and confusion.

Choice B rationale:

Abstract paintings may be confusing or agitating for a person with Alzheimer's disease. Familiar and recognizable decorations are more suitable.

Choice C rationale:

Reorienting the client daily to the day and time can be helpful, but it is not the priority teaching in this context.

Choice D rationale:

Using dim lighting is not recommended as it can contribute to confusion and disorientation in a person with Alzheimer's disease. Adequate lighting is important for safety and orientation.

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A nurse is facilitating a group session for clients who have posttraumatic stress disorder. Which of the following client statements indicates progression toward positive outcomes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","D","E"]

Explanation

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Correct Answer is A

Explanation

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A nurse is facilitating a group session for clients who have posttraumatic stress disorder.

Which of the following client statements indicates progression toward positive outcomes?