The nurse interviewing a patient with suspected posttraumatic stress disorder should be alert to findings indicating the patient: Select all that apply
a. experiences flashbacks or re-experiences trauma.
b. demonstrates hypervigilance or distrusts.
c. feels detached, estranged, or empty inside.
d. feels driven to repeat ritualistic behaviors.
e. avoids people and places that arouse painful memories.
f. experiences symptoms suggestive of a heart attack.
A, B, C, E
These assessment findings are consistent with the symptoms of posttraumatic stress disorder according to the DSM-IV-TR. Ritualistic behaviors are expected in obsessive-compulsive disorder, and panic disorder can include episodes resembling heart attacks.
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Of the following recommended interviewing techniques, which one is the most basic? (That is, without that intervention, the others will all be less effective.)
1) Beginning with neutral topics 2) Individualizing your approach 3) Minimizing note taking 4) Using active listening
A client visits the clinic and tells the nurse about being under a great deal of stress on the job for the last month. Using Lazarus's model to evaluate the client's stress experience, the nurse should ask the client:
A) "What effect is the stress having on your job performance?" B) "How would you describe the social support network within your family?" C) "What is the specific event that you find most stressful?" D) "When did you first become aware of experiencing this stress?"
An instructor is teaching about differentiated parent and adult child relationships. Students are instructed to give an example of a well-differentiated parent and adult child relationship. Which student example meets the instructor requirement?
A. An adult child considers, but is not governed by, the advice of his or her parents. B. An adult child appears to listen, but ignores, the advice of his or her parents. C. An adult child respects and is governed by the wishes of his or her parents. D. An adult child never requests advice or feedback from his or her parents.
How was the concept of health defined originally?
a. Balance and harmony b. Maximum self-actualization c. Absence of disease d. Total well-being