A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?

"I was in a terrible car crash 2 years ago and I have been unable to drive a car since then

"My parents fought a lot when I was a child. Now when I hear people yelling or fighting. I feel like I left my body."

"I was in a car crash 2 weeks ago and I have nightmares when sleep

"I was physically abused when I was a child and have frequent flashbacks since then.

Answer and Explanation

The Correct Answer is C

A. This statement describes a long-term reaction to a traumatic event, which is more consistent with post-traumatic stress disorder (PTSD) rather than acute stress disorder (ASD), which occurs within 3 days to 4 weeks of a traumatic event.
B. This statement refers to dissociation related to a past trauma but doesn’t specifically indicate the timeframe for acute stress disorder, which typically involves symptoms that occur shortly after a trauma.
C. Acute stress disorder occurs within 3 days to 4 weeks of a traumatic event and can include symptoms like nightmares, intrusive thoughts, and flashbacks. This statement is consistent with ASD, which is characterized by immediate reactions to a traumatic event.
D. This statement suggests long-term PTSD symptoms (such as flashbacks) after childhood trauma, not acute stress disorder. PTSD typically develops after the symptoms persist for more than a month.

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Correct Answer is D

Explanation

A. While problem-solving ability may decline slightly with age, the ability to solve novel problems does not necessarily remain entirely stable and can be impacted by other factors such as cognitive health and education.
B. Long-term memory does not necessarily worsen in older adulthood. It is often short-term memory that experiences more noticeable decline. Long-term memory for events and information learned in the past may remain relatively intact.
C. Short-term memory tends to decline with age, making it more difficult to retain new information or recall it quickly.
D. The ability to learn continues throughout life, though it may require more effort or different strategies, such as repetition or mnemonic devices. Older adults are capable of learning new skills and information, even though the process may change with age.

A. Warms the finger before puncturing the finger to obtain a drop of blood. B. Chooses a puncture site in the center of the finger pad C. Washes hands with soap and water to cleanse the site to be used, D. Tells the nurse that the result of 110 mg/dl indicates good control of diabetes.

Correct Answer is B

Explanation

A. Warming the finger before puncturing it can help increase blood flow and make the process easier. This is an appropriate technique for self-monitoring of blood glucose (SMBG).
B. The center of the finger pad is not the best site for blood glucose testing. The side of the fingertip should be used instead to avoid discomfort and to prevent injury to the nerve endings found in the center of the pad.
C. Washing hands with soap and water is the proper technique for cleansing the hands before performing SMBG to reduce the risk of contamination.
D. A blood glucose level of 110 mg/dL is within the normal range for a non-diabetic person, and could indicate good control for a diabetic. This would be considered an appropriate response, especially if the reading is taken before meals.

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A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An elderly client expresses concern about the possibilities of memory loss and cognitive decline in older adulthood. Which of the following statements by the nurse is correct?

Correct Answer is D

Explanation

The nurse has been teaching a patient with diabetes mellitus how to perform self-monitoring of blood glucose (SMBG). During evaluation of the patient's technique, the nurse identifies a need for additional teaching when the patient does what?

Correct Answer is B

Explanation

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