Mark which behaviors might be related to alcohol intoxication, acute phase of rape- trauma syndrome, or both. Tick only 1 box.

Numbness

Poor decision making

Crying

Disbelief

Irritability

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"c"},"D":{"answers":"A"},"E":{"answers":"A"}}

Numbness: Rape-trauma syndrome: Numbness can be a symptom of the acute phase of rape trauma syndrome, where individuals may experience emotional detachment or a sense of being emotionally overwhelmed.
- Poor decision making: Alcohol intoxication: Poor decision making is a common symptom of alcohol intoxication due to impaired judgment and cognitive function caused by alcohol consumption.
- Crying: occurs in both alcohol intoxication and rape-trauma syndrome. Crying is a common emotional response during the acute phase of rape-trauma syndrome as individuals may experience intense feelings of sadness, fear, or helplessness. Crying may also occur in individuals experiencing alcohol intoxication, especially if they become emotionally overwhelmed or as a result of disinhibition caused by alcohol consumption. - Disbelief: Disbelief or denial is a typical reaction in the acute phase of rape-trauma syndrome as individuals may struggle to come to terms with the reality of the traumatic event. - Irritability: Irritability can result from alcohol intoxication due to its effects on mood regulation and inhibition.
- Difficulty concentrating: Difficulty concentrating is a common symptom of alcohol intoxication due to its sedative effects on cognitive function. Individuals in the acute phase of rape-trauma syndrome may also experience difficulty concentrating as a result of heightened emotional arousal and intrusive thoughts related to the traumatic event.

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Correct Answer is B

Explanation

A. While initiating a non-threatening conversation with the client may be a goal of therapeutic communication, the main goal of this particular technique is to allow the client to identify his own behaviors by observing the nurse's demonstration.
B. The main goal of this therapeutic technique is to allow the client to observe his own behaviors by seeing them demonstrated by the nurse, which can facilitate insight and self-awareness.
C. Dialoguing about the ineffectiveness of his interactions may occur after the client has identified his behaviors, but it is not the primary goal of this specific technique.
D. Discussing the client's feelings when he responds may be part of the therapeutic process but is not the main goal of this particular technique, which focuses on self-observation and insight.

A. Nausea and vomiting. B. Short-term memory loss. C. Five-pound (2.3 kg) weight gain. D. Depressed affect.

Correct Answer is A

Explanation

A. Nausea and vomiting could indicate potential lithium toxicity, which requires immediate medical attention to prevent serious complications.
B. Short-term memory loss is a known side effect of lithium therapy but may not require immediate medical attention unless severe or persistent.
C. Weight gain is a common side effect of lithium, but a five-pound (2.3 kg) gain may not be considered significant enough to warrant immediate medical attention unless it occurs rapidly or is accompanied by other symptoms.
D. Depressed affect is a symptom of depression and may be related to the client's underlying condition but may not require immediate medical attention unless it poses a risk to the client's safety.

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Mark which behaviors might be related to alcohol intoxication, acute phase of rape- trauma syndrome, or both. Tick only 1 box.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?

Correct Answer is A

Explanation

Which intervention(s) should the nurse include in the plan of care for an adolescent client who is depressed? Select all that apply.

The nurse wants to teach the client about the long-term phase symptoms of rape-trauma syndrome. What symptoms are consistent with long-term rape trauma? Select all that apply.

A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?

A client requests permission for the spouse to remain in the room during the admission assessment. While interviewing the client, the nurse notes a discrepancy between the client's verbal and nonverbal communication. Which action should the nurse take?

A preschool-aged girl tells the school nurse that her hair hurts. The nurse finds that the child's hair has been arranged to cover several small bald spots. Which finding indicates to the nurse that the hair loss is not disease related?

A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?

A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The nurse also determine the client is homeless and is exhibiting suspiciousness. This client's plan of care should include what priority problem?

A client engages in repeated checks of door and window locks and behavior that prevents the client from arriving on time and interfering with the ability to function effectively. Which action should the nurse take?