The nurse is caring for a war veteran who states, "It should have been me that died. I'll never forgive myself for leaving my buddy when he needed me." The nurse recognizes this statement is most associated with which of the following diagnoses?
a. Obsessive-compulsive disorder
b. Generalized anxiety
c. Bipolar depression
d. Post-traumatic stress disorder (PTSD)
ANS: D
A condition that is associated with PTSD is survivor guilt, which is the feeling of guilt expressed by those who have survived a tragedy. A survivor of an airline crash may say, "Why me? Why did I make it? I should have died too!" Survival guilt is not associated with A, B, or C.
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The stresses of providing care for people who are ill have created a need for a nursing student to relax. Which of the following techniques should the student choose in order to manage stress?
A) Avoid talking about school or clinical when at home. B) Take time to do physical activity of some kind each day. C) Schedule enough time for watching television and having two or three alcoholic drinks each evening. D) Try to socialize with nursing instructors outside of school and clinical.
The nurse is discharging a patient home after mastoid surgery. What should the nurse include in discharge teaching?
A) "Try to induce a sneeze every 4 hours to equalize pressure." B) "Be sure to exercise to reduce fatigue." C) "Avoid sleeping in a side-lying position." D) "Don't blow your nose for 2 to 3 weeks."
A 6-year-old child is brought into the healthcare facility by his family with complaints that he appears to be very sad, depressed, and exhibiting a drastic change in personal appearance
The healthcare provider diagnoses the child with childhood schizophrenia. What nursing considerations should be kept in mind when caring for such a client? A) Encourage supportive counseling for the family. B) Encourage hospitalization over home care. C) Talk to the client rather than listening. D) Stop medications when symptoms disappear.
Explain why using the 90-90-90 position is important when the patient is up in a chair or wheelchair.
What will be an ideal response?