A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with posttraumatic stress disorder (PTSD). The nurse's highest priority is to screen this soldier for which problem?
Schizophrenia
Major depressive disorder
Bipolar disorder
Dementia
The Correct Answer is B
A. While both schizophrenia and PTSD are mental health disorders, the priority in this context for a soldier with a history of combat exposure is to screen for conditions that commonly arise from traumatic experiences, such as PTSD and major depressive disorder.
B. PTSD and major depressive disorder can often co-occur, especially in individuals exposed to trauma. Given the soldier's history of combat exposure and PTSD diagnosis, screening for major depressive disorder is crucial due to its frequent association with PTSD and its potential severity.
C. Bipolar disorder may share some symptoms with PTSD, but given the context of returning from combat and the diagnosis of PTSD, the priority would be to focus on screening for
conditions more directly linked to trauma.
D. Dementia is less likely to be directly related to combat exposure in a returning soldier. While it's essential to assess the soldier's overall mental health, the immediate concern in this scenario would be mental health conditions more commonly associated with trauma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Relaxation strategies involve deliberate and often structured activities aimed at reducing tension and stress, which isn't depicted in the described behavior.
B. Withdrawal behaviors typically involve avoiding social interaction or retreating, which doesn't align with the observed actions.
C. The described behavior, including pacing, clenching fists, and staring at a staff member, indicates potential signs of aggression or agitation.
D. Working through angry feelings might involve communication or expression of emotions, but the described behavior leans more towards agitation and potential aggression.
Correct Answer is D
Explanation
A. While social support is essential, sudden changes in behavior warrant assessment and understanding before taking the client outside the facility.
B. Monitoring might be necessary but does not directly address the reason behind the sudden change in behavior.
C. This approach may reinforce the behavior without addressing the underlying cause.
D. This intervention is crucial for assessment and understanding the sudden shift in the client's mood, which could provide insight into the effectiveness of the treatment or other factors contributing to the change.
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