A client witnessed a violent bank robbery. Which assessment findings would indicate that the client is experiencing posttraumatic stress disorder?
Select all that apply.
A) Fear of returning to sleep
B) Excessive sleeping
C) Terrifying nightmares
D) Aggressive behavior
E) Hair pulling
Answer: A, C, D
Aggressive behavior, terrifying nightmares, and fear of returning to sleep are physical characteristics of posttraumatic stress disorder. Excessive sleeping and hair pulling are not symptoms of posttraumatic stress disorder.
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The nurse is assessing the client's nail. When assessing the lunula, which location does the nurse use?
1. A. 2. B. 3. C. 4. D.
The nurse is reviewing the results of laboratory tests conducted on a client admitted with a respiratory disorder. Which laboratory finding would be most significant for this client?
A) Hemoglobin level 12 mg/dL B) Oxygen saturation 96% C) Serum sodium 140 mg/dL D) Blood pH 7.32
The nurse is planning interventions to assist a client with anxiety. The intervention that would be the least beneficial would be:
a. relieving pain. b. guided imagery. c. teaching progressive muscle relaxation. d. encouraging the client to be stoic.
A student has just completed an especially stressful week of work, class, and clinical. She decides that to help reduce stress, a treat of a really funny movie is in order. What kind of coping mechanism has this student chosen? (Select all that apply.)
a. Relaxation b. Catharsis c. Reframing d. Distraction e. Adrenaline rush