A soldier in a combat zone tells the nurse, "I saw a child get blown up over a year ago, and I still keep seeing bits of flesh everywhere. I see something red, and the visions race back to my mind."
Which phenomenon associated with posttraumatic stress disorder (PTSD) is the soldier describing?
a. Reexperiencing
b. Hyperarousal
c. Avoidance
d. Psychosis
ANS: A
Spontaneous or cued recurrent, involuntary, and intrusive distressing memories of the traumatic events are often associated with PTSD. The soldier has described intrusive thoughts and visions associated with reexperiencing the traumatic event. This description does not indicate psychosis, hypervigilance, or avoidance.
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The nurse is assessing the client's cardiovascular system. The nurse is preparing to assess the client for the presence of a lift or heave. Which directions should the nurse provide for the client? Select all that apply
1. "I am going to put you into a position where your feet are actually above your head." 2. "I need you to turn to your left side." 3. "Can you please turn onto your stomach?" 4. "I need you to sit up straight." 5. "I am going to elevate your head to a 30-degree angle while you lie on your back."
Four hours after the onset of pain from an MI, the nurse would expect an increase in which laboratory result?
a. Alkaline phosphatase (ALP) b. CK-MB c. Lactate dehydrogenase (LDH) d. Leukocyte count
What action should the nurse take if the employer begins to ask interview questions about work experience on the phone when the nurse calls to set up an interview?
a. Answer all questions asked by the employer pleasantly, accurately, and completely. b. Express willingness to discuss qualifications in detail during a scheduled interview. c. Mention being in a hurry now but give permission to receive a call back in an hour. d. Report the phone call to the civil liberties commission.
The nurse is preparing to provide patient care information to a group of unlicensed assistive personnel. Which type of care delivery system is this nurse most likely using to provide patient care?
A. Functional nursing B. Team nursing C. Primary nursing D. Case management