A trauma survivor is requesting sleep medication because of "bad dreams." The nurse is concerned that the patient may be experiencing post-traumatic stress disorder (PTSD). Which question is a priority for the nurse to ask the patient?
a. "Are you reliving your trauma?"
b. "Are you having chest pain?"
c. "Can you describe your phobias?"
d. "Can you tell me when you wake up?"
ANS: A
People who have PTSD often have flashbacks, recurrent and intrusive recollections of the event. The other answers involve assessment of problems not specific to PTSD.
You might also like to view...
A child is being treated for dehydration with intravenous fluids. The child currently weighs 13 kg and is estimated to have lost 7% of his normal body weight. The nurse is double-checking the IV rate the physician has ordered
The formula the physician used was for maintenance fluids: 1,000 mL for 10 kg of body weight plus 50 cc for every kg over 10 for 24 hours. Replacement fluid is the percentage of lost bodyweight × 10 per kg of body weight. According to the calculation for maintenance plus replacement fluid, what should this child's hourly IV rate for 24 hours be? 1. 88 2. 86 3. 81 4. 83
A client with candidiasis is prescribed Nystatin oral suspension. What should the nurse instruct the client about this medication?
1. Drink the medication through a straw. 2. Dilute the medication with water. 3. Swish the medication throughout the mouth and swallow. 4. Swish the medication throughout the mouth and spit out the excess.
During a recent visit to the clinic, a woman who presents with erythema of the nipple and areola on the right breast states that she discovered it several weeks ago and is fearful of what will be found. The nurse suspects:
A) Peau d' orange B) Nipple inversion C) Paget's disease D) Acute mastitis
The most common type of headache is a vascular headache, such as a migraine
Indicate whether the statement is true or false.