A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat.
Which statement by the client indicates that they are experiencing traumatic grief?

“It has been more than a year, and I still don’t want to leave the house.”.

“I can’t cry when I talk about my friend because I’m supposed to be strong.”.

“I should have been the one who was killed instead of my friend.”.

“When I have flashbacks, it feels like my heart is going to beat through my chest.”.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C

Choice A rationale: A reluctance to leave the house for over a year suggests a struggle with grief and possibly depression but does not specifically indicate traumatic grief. It reflects difficulty in moving forward but lacks the intense guilt associated with traumatic grief.

Choice B rationale: Inability to cry due to a perceived need to be strong reflects emotional suppression and societal expectations. It does not directly point to traumatic grief, which often involves more severe symptoms like intense guilt and preoccupation with the deceased.

Choice C rationale: Feeling that one should have been killed instead of a friend indicates severe survivor guilt, a core component of traumatic grief. This statement reflects an intense emotional reaction and an inability to reconcile the loss, leading to profound distress and dysfunction.

Choice D rationale: Flashbacks and physical symptoms like a racing heart suggest post-traumatic stress disorder (PTSD) rather than traumatic grief. PTSD involves re-experiencing traumatic events, whereas traumatic grief focuses more on the loss and associated guilt

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Correct Answer is C

Explanation

Choice A rationale
While it’s true that some mutations can allow a virus to survive longer in the environment, this doesn’t necessarily increase the virus’s communicability, or its ability to spread from person to person.
Choice B rationale
A mutation that causes more severe disease can make an illness more dangerous, but it doesn’t necessarily make the virus more communicable. In fact, viruses that cause severe disease can sometimes be less communicable, because severely ill individuals are less likely to be moving around and spreading the virus.
Choice C rationale
The new mutation spreads easier from one individual to another. This is the definition of increased communicability. When a virus mutates in a way that allows it to spread more easily between individuals, this can lead to more cases of the disease, especially if the population is not immune to the new strain.
Choice D rationale

A mutation that requires a larger amount of the virus to cause disease would actually decrease the virus’s communicability. If more viral particles are needed to cause an infection, the virus would be less likely to spread from person to person.

A. Post-traumatic play B. Men formation C. Depersonalization D. Time skewing .

Correct Answer is A

Explanation

Choice A rationale
Post-traumatic play is a way for children to re-enact the traumatic event, and it is a common reaction among children who have experienced trauma. The child in the question mimicking shooting a gun with their hand whenever someone enters the room or tries to interact with them could be an example of this.
Choice B rationale
There is no recognized PTSD symptom or manifestation known as “Men formation.”.
Choice C rationale

Depersonalization involves experiencing a sense of being detached or disconnected from oneself, observing oneself from an outside perspective, or experiencing a sense of unreality. This does not seem to apply to the child’s behavior in the question.
Choice D rationale
Time skewing refers to a shift in the perception of time, which is not evident in the child’s behavior in the question.

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A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat. Which statement by the client indicates that they are experiencing traumatic grief?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus. Which of the following information should the nurse include to describe the effect of communicability of a virus?

Correct Answer is C

Explanation

A nurse is caring for a 9-year-old child who mimics shooting a gun with their hand whenever someone enters the room or tries to interact with them. This is an example of which manifestation of post-traumatic stress disorder?

Correct Answer is A

Explanation

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A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat.
Which statement by the client indicates that they are experiencing traumatic grief?