A week ago an individual witnessed the explosion of a fuel tanker, after which a "ball of fire" came directly at her
She literally "ran for her life." She now reports feeling numb and not being able to respond spon-taneously to others. She feels estranged and detached from others. Whenever anyone mentions the experience, she responds, "I need to avoid thinking about it." The nurse taking her history would assess that the client's risk for developing posttraumatic stress syndrome is:
1. High to moderate
2. Moderate
3. Low to moderate
4. Nonexistent
ANS: 1
The client's coping mechanisms are characterized by avoidance. These defenses are not condu-cive to resolution. Unless the experience can be detoxified and integrated, PTSD is likely to de-velop.
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An 11-year-old child stays home from school to care for his siblings while his mother works, is demeaned by his father, and has negative self-perceptions. Which intervention(s) would be appropriate? Select all that apply
a. Crisis intervention b. Create a safety plan. c. Refer to family therapy. d. Refer for case management. e. Provide emotional support. f. Provide positive feedback.
A nurse is applying silver sulfadiazine to a client's burn. Which of the following would be important for the nurse to do? Select all that apply
A) Clean and remove debris from the burned area before application B) Allow air drafts over the burn area to speed the healing process C) Apply a 1/2-inch-thick layer of cream to the burn D) Wear sterile gloves when applying the cream to the burn E) Warn client of burning sensation during and shortly following application
Which of the following should the nurse recognize as untrue about sexuality and aging?
a. male erections may take longer to achieve and not be as full as in younger years b. male orgasm may not occur with each encounter c. sexual desire will permanently disappear after years without a partner d. decreased vaginal lubrication is often a problem for women
The nurse counsels a group of young track athletes that to prevent heatstroke they should: (Select all that apply.)
a. drink plenty of fluids with high sugar content. b. wear lightweight, loose clothing. c. practice in the early morning. d. rest frequently in cool places. e. wear dark-colored clothing to block sun rays.