A client has presented to the emergency department distraught over his recent and worsening flashbacks and feelings of unreality. These symptoms are associated with which of the following?
A) Post-traumatic stress disorder (PTSD)
B) Schizophrenia
C) Agoraphobia
D) Obsessive-compulsive disorder (OCD)
Ans: A
Feedback:
Symptoms of PTSD include generalized anxiety, dissociation, intrusive thoughts or images of the trauma, flashbacks, nightmares, and other sleep disturbances. Additionally, the person feels a need to avoid situations or stimuli that elicit recollections of the trauma.
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A 30-year-old man is in the clinic for a physical and states that all his "uncles had heart attacks when they were young," which alerts the nurse to complete a genetic specific assessment
The nurse is aware that it is important to include which of the following as a part of a genetic specific assessment: A) A complete health history including genogram along with any history of cholesterol testing or screening and a complete physical exam. B) A limited health history along with a complete physical assessment with an emphasis on genetic abnormalities. C) A limited health history, focused physical exam, and safety-related education. D) A family history focused on the paternal family with focused physical exam and genetic profile.
Which of the following indicators best demonstrates that crisis intervention has been successful?
a. Patient reports that he is no longer distressed. b. Patient reports that his life is back to normal. c. Patient reports sleeping 6 hours or more per night. d. Patient has returned to previous work schedule.
Which strategy can the nurse use to facilitate communication during the health history with an older adult patient?
A) Limit open-ended questions. B) Have the room well-lit with minimal background noise. C) Conduct a full health history for the most recent information. D) Keep the pace of the history moving forward to reduce time.
Evolution of modern germ theory is credited to which of the following scientists?
A) Pasteur B) Harvey C) MacMahon D) Pugh