A nurse is admitting a client who has been diagnosed with PTSD. Which of the following symptoms might the nurse expect to assess? (Select all that apply.)
1. Feelings of guilt that precipitate social isolation
2. Aggressive behavior that affects job performance
3. Relationship problems
4. High levels of anxiety
5. Escalating symptoms lasting less than one month
1, 2, 3, 4
Rationale: Characteristic symptoms of PTSD include re-experiencing the traumatic event, a sustained high level of anxiety or arousal, general numbing of responsiveness, nightmares, inability to remember certain aspects of the traumatic event, depression, guilt feelings, substance abuse, anger, and aggressive behaviors. The full-symptom picture must present for more than one month and cause significant interference with social, occupational, and other areas of functioning.
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A community psychiatric nurse facilitates medication compliance for a patient by having the health care provider prescribe depot medications every 3 weeks at the clinic. For this plan to be successful, which factor will be of critical importance?
a. The attitude of significant others toward the patient b. Nutrition services in the patient's neighborhood c. The level of trust between the patient and nurse d. The availability of transportation to the clinic
Which of the following statements accurately describes disease management (select all that apply)?
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The preceptor nurse is assisting a newly hired nurse with completion of hemodynamic assessment using a pulmonary artery catheter. Which action would require the preceptor to intervene?
1. Inflating the pressure bag to 300 mmHg 2. Infusing a vasoactive drug through the proximal injectate port 3. Obtaining a pulmonary artery wedge pressure reading through the distal port 4. Using iced normal saline to obtain a cardiac output