Question 1

The nurse is caring for a client who was diagnosed with posttraumatic stress disorder 4 months ago. Which should the nurse include in the client's plan of care?

Accepted Answer

A)The nurse should plan to provide the client with information on the treatments available for posttraumatic stress disorder. Information on exercise and activities of daily living will most likely not help the client's symptoms. Referral to the local employment agency may or may not be necessary.
B)The nurse should plan to provide the client with information on the treatments available for posttraumatic stress disorder. Information on exercise and activities of daily living will most likely not help the client's symptoms. Referral to the local employment agency may or may not be necessary.
C)The nurse should plan to provide the client with information on the treatments available for posttraumatic stress disorder. Information on exercise and activities of daily living will most likely not help the client's symptoms. Referral to the local employment agency may or may not be necessary.
D)The nurse should plan to provide the client with information on the treatments available for posttraumatic stress disorder. Information on exercise and activities of daily living will most likely not help the client's symptoms. Referral to the local employment agency may or may not be necessary.

Question 2

Which cause of multisystem trauma is the leading cause of injury death in the United States?

Accepted Answer

A)Poisonings are the leading cause of injury death in the United States, and all causes of fatal injuries are also causes of multisystem trauma. Motor vehicle crashes are also a major concern because of the significance of injuries sustained, but they are not the leading cause of injury death. Assault and natural disasters are not leading causes of injury death.
B)Poisonings are the leading cause of injury death in the United States, and all causes of fatal injuries are also causes of multisystem trauma. Motor vehicle crashes are also a major concern because of the significance of injuries sustained, but they are not the leading cause of injury death. Assault and natural disasters are not leading causes of injury death.
C)Poisonings are the leading cause of injury death in the United States, and all causes of fatal injuries are also causes of multisystem trauma. Motor vehicle crashes are also a major concern because of the significance of injuries sustained, but they are not the leading cause of injury death. Assault and natural disasters are not leading causes of injury death.
D)Poisonings are the leading cause of injury death in the United States, and all causes of fatal injuries are also causes of multisystem trauma. Motor vehicle crashes are also a major concern because of the significance of injuries sustained, but they are not the leading cause of injury death. Assault and natural disasters are not leading causes of injury death.

Question 3

A nurse is developing a plan of care for a client with traumatic injuries after a natural disaster. Which nursing intervention does the nurse include in the plan of care to reduce the risk of integumentary complications?

Accepted Answer

A)Assisting the client to turn at least every 2 hours is the most appropriate intervention for the nurse to include in the plan of care to reduce the risk of integumentary complications. Turning the client every 8 hours will not reduce the risk of integumentary complications. Encouraging exercise improves muscle tone, and encouraging coughing and deep breathing reduces the risk of respiratory complications, but neither helps reduce the risk of integumentary complications.
B)Assisting the client to turn at least every 2 hours is the most appropriate intervention for the nurse to include in the plan of care to reduce the risk of integumentary complications. Turning the client every 8 hours will not reduce the risk of integumentary complications. Encouraging exercise improves muscle tone, and encouraging coughing and deep breathing reduces the risk of respiratory complications, but neither helps reduce the risk of integumentary complications.
C)Assisting the client to turn at least every 2 hours is the most appropriate intervention for the nurse to include in the plan of care to reduce the risk of integumentary complications. Turning the client every 8 hours will not reduce the risk of integumentary complications. Encouraging exercise improves muscle tone, and encouraging coughing and deep breathing reduces the risk of respiratory complications, but neither helps reduce the risk of integumentary complications.
D)Assisting the client to turn at least every 2 hours is the most appropriate intervention for the nurse to include in the plan of care to reduce the risk of integumentary complications. Turning the client every 8 hours will not reduce the risk of integumentary complications. Encouraging exercise improves muscle tone, and encouraging coughing and deep breathing reduces the risk of respiratory complications, but neither helps reduce the risk of integumentary complications.

Question 4

The nurse suspects a client is experiencing posttraumatic stress disorder when which are noted during the assessment process? Select all that apply.

Accepted Answer

A)Risk factors for the development of posttraumatic stress disorder include watching others be harmed or killed, the presence of a preexisting mental illness, and the stress associated with the loss of employment. Engaging in hobbies and living with a spouse are not risk factors for the disorder.
B)Risk factors for the development of posttraumatic stress disorder include watching others be harmed or killed, the presence of a preexisting mental illness, and the stress associated with the loss of employment. Engaging in hobbies and living with a spouse are not risk factors for the disorder.
C)Risk factors for the development of posttraumatic stress disorder include watching others be harmed or killed, the presence of a preexisting mental illness, and the stress associated with the loss of employment. Engaging in hobbies and living with a spouse are not risk factors for the disorder.
D)Risk factors for the development of posttraumatic stress disorder include watching others be harmed or killed, the presence of a preexisting mental illness, and the stress associated with the loss of employment. Engaging in hobbies and living with a spouse are not risk factors for the disorder.
E)Risk factors for the development of posttraumatic stress disorder include watching others be harmed or killed, the presence of a preexisting mental illness, and the stress associated with the loss of employment. Engaging in hobbies and living with a spouse are not risk factors for the disorder.

Question 5

A client witnessed a violent bank robbery. Which assessment findings would indicate that the client is experiencing posttraumatic stress disorder (PTSD)? Select all that apply.

Accepted Answer

A)Aggressive behavior, alcohol abuse, and difficulty sleeping are clinical manifestations of posttraumatic stress disorder. Hypervigilance, not hypovigilance, is associated with PTSD. Hair pulling is not a symptom of PTSD.
B)Aggressive behavior, alcohol abuse, and difficulty sleeping are clinical manifestations of posttraumatic stress disorder. Hypervigilance, not hypovigilance, is associated with PTSD. Hair pulling is not a symptom of PTSD.
C)Aggressive behavior, alcohol abuse, and difficulty sleeping are clinical manifestations of posttraumatic stress disorder. Hypervigilance, not hypovigilance, is associated with PTSD. Hair pulling is not a symptom of PTSD.
D)Aggressive behavior, alcohol abuse, and difficulty sleeping are clinical manifestations of posttraumatic stress disorder. Hypervigilance, not hypovigilance, is associated with PTSD. Hair pulling is not a symptom of PTSD.
E)Aggressive behavior, alcohol abuse, and difficulty sleeping are clinical manifestations of posttraumatic stress disorder. Hypervigilance, not hypovigilance, is associated with PTSD. Hair pulling is not a symptom of PTSD.

Question 6

During the assessment, the nurse observes a client who was a victim of a home invasion abruptly stand up and begin to run out of the room in response to hearing a loud bang. Which should the nurse assume regarding the client's behavior?

Accepted Answer

A)Flashbacks are the recurrence of images, sounds, smells, or feelings from a traumatic event that are triggered by daily events such as a door banging. The client's reaction to hearing a loud bang from a door could have made the client recall being at home during the home invasion. The client most likely did not think that the assessment was concluded or that there was an earthquake. The client would not have abruptly begun to run out of the room if checking for the source of the loud noise.
B)Flashbacks are the recurrence of images, sounds, smells, or feelings from a traumatic event that are triggered by daily events such as a door banging. The client's reaction to hearing a loud bang from a door could have made the client recall being at home during the home invasion. The client most likely did not think that the assessment was concluded or that there was an earthquake. The client would not have abruptly begun to run out of the room if checking for the source of the loud noise.
C)Flashbacks are the recurrence of images, sounds, smells, or feelings from a traumatic event that are triggered by daily events such as a door banging. The client's reaction to hearing a loud bang from a door could have made the client recall being at home during the home invasion. The client most likely did not think that the assessment was concluded or that there was an earthquake. The client would not have abruptly begun to run out of the room if checking for the source of the loud noise.
D)Flashbacks are the recurrence of images, sounds, smells, or feelings from a traumatic event that are triggered by daily events such as a door banging. The client's reaction to hearing a loud bang from a door could have made the client recall being at home during the home invasion. The client most likely did not think that the assessment was concluded or that there was an earthquake. The client would not have abruptly begun to run out of the room if checking for the source of the loud noise.

Question 7

Which diagnostic test might the healthcare team use to determine the full extent of an abuse victim's injuries if the victim complains of abdominal pain?

Accepted Answer

A)An ultrasound or CT scan of the abdomen can check for abdominal or organ injuries. An MRI of the spine will show spinal injuries. X-rays can detect fractured bones. Blood tests may be used to detect sexually transmitted diseases.
B)An ultrasound or CT scan of the abdomen can check for abdominal or organ injuries. An MRI of the spine will show spinal injuries. X-rays can detect fractured bones. Blood tests may be used to detect sexually transmitted diseases.
C)An ultrasound or CT scan of the abdomen can check for abdominal or organ injuries. An MRI of the spine will show spinal injuries. X-rays can detect fractured bones. Blood tests may be used to detect sexually transmitted diseases.
D)An ultrasound or CT scan of the abdomen can check for abdominal or organ injuries. An MRI of the spine will show spinal injuries. X-rays can detect fractured bones. Blood tests may be used to detect sexually transmitted diseases.

Question 8

A client lost consciousness after being hit by a falling piece of equipment on a work site. What type of injury should the nurse assess this client for as the highest priority?

Accepted Answer

A)Loss of consciousness is a sign of traumatic brain injury, and any injury to the brain should be assessed with highest priority. Fractured bones and spinal cord injury may also need to be assessed depending on the location of the injury and the client's other clinical manifestations, but these would be a lower priority than assessing for traumatic brain injury. Whiplash usually results from a motor vehicle crash, so assessing for whiplash would be low in priority.
B)Loss of consciousness is a sign of traumatic brain injury, and any injury to the brain should be assessed with highest priority. Fractured bones and spinal cord injury may also need to be assessed depending on the location of the injury and the client's other clinical manifestations, but these would be a lower priority than assessing for traumatic brain injury. Whiplash usually results from a motor vehicle crash, so assessing for whiplash would be low in priority.
C)Loss of consciousness is a sign of traumatic brain injury, and any injury to the brain should be assessed with highest priority. Fractured bones and spinal cord injury may also need to be assessed depending on the location of the injury and the client's other clinical manifestations, but these would be a lower priority than assessing for traumatic brain injury. Whiplash usually results from a motor vehicle crash, so assessing for whiplash would be low in priority.
D)Loss of consciousness is a sign of traumatic brain injury, and any injury to the brain should be assessed with highest priority. Fractured bones and spinal cord injury may also need to be assessed depending on the location of the injury and the client's other clinical manifestations, but these would be a lower priority than assessing for traumatic brain injury. Whiplash usually results from a motor vehicle crash, so assessing for whiplash would be low in priority.

Question 9

The nurse at a local hospital is conducting a safety workshop for expectant parents addressing newborn injury prevention and car seat safety. Which statement made by a parent indicates a need for further teaching?

Accepted Answer

A)Infants should always ride in a rear-facing car seat, even if it is a convertible seat suitable for an infant. Therefore, the statement relating to the infant facing forward is incorrect and indicates a need for further instruction. The other statements are correct and indicate no need for further education.
B)Infants should always ride in a rear-facing car seat, even if it is a convertible seat suitable for an infant. Therefore, the statement relating to the infant facing forward is incorrect and indicates a need for further instruction. The other statements are correct and indicate no need for further education.
C)Infants should always ride in a rear-facing car seat, even if it is a convertible seat suitable for an infant. Therefore, the statement relating to the infant facing forward is incorrect and indicates a need for further instruction. The other statements are correct and indicate no need for further education.
D)Infants should always ride in a rear-facing car seat, even if it is a convertible seat suitable for an infant. Therefore, the statement relating to the infant facing forward is incorrect and indicates a need for further instruction. The other statements are correct and indicate no need for further education.

Question 10

A client is admitted to the emergency department with an incomplete spinal cord injury after a fall from a roof. Which prescription does the nurse anticipate to decrease inflammation and nerve damage?

Accepted Answer

A)Methylprednisolone (Medrol)is given to clients with spinal cord injuries to decrease inflammation and prevent nerve damage. Hydrocodone (Vicodin)is a pain relief medication. Ibuprofen (Motrin)is an anti-inflammatory given to clients to reduce swelling, such as joint swelling. Xylocaine (Lidocaine)is injected into the affected muscle to relieve pain and muscle spasms, such as muscle spasms related to whiplash.
B)Methylprednisolone (Medrol)is given to clients with spinal cord injuries to decrease inflammation and prevent nerve damage. Hydrocodone (Vicodin)is a pain relief medication. Ibuprofen (Motrin)is an anti-inflammatory given to clients to reduce swelling, such as joint swelling. Xylocaine (Lidocaine)is injected into the affected muscle to relieve pain and muscle spasms, such as muscle spasms related to whiplash.
C)Methylprednisolone (Medrol)is given to clients with spinal cord injuries to decrease inflammation and prevent nerve damage. Hydrocodone (Vicodin)is a pain relief medication. Ibuprofen (Motrin)is an anti-inflammatory given to clients to reduce swelling, such as joint swelling. Xylocaine (Lidocaine)is injected into the affected muscle to relieve pain and muscle spasms, such as muscle spasms related to whiplash.
D)Methylprednisolone (Medrol)is given to clients with spinal cord injuries to decrease inflammation and prevent nerve damage. Hydrocodone (Vicodin)is a pain relief medication. Ibuprofen (Motrin)is an anti-inflammatory given to clients to reduce swelling, such as joint swelling. Xylocaine (Lidocaine)is injected into the affected muscle to relieve pain and muscle spasms, such as muscle spasms related to whiplash.

Question 11

A client was admitted to the hospital after a crush injury to the chest. The client sustained multiple rib fractures, a collapsed lung, and several skin abrasions. After the client is stabilized, which nursing intervention would be a priority for this client?

Accepted Answer

A)The client has thoracic injuries and might be reluctant to deep breathe and cough because of pain. The nurse needs to ensure that the client breathes deeply and coughs every 2 hours to mobilize secretions and prevent respiratory complications. Monitoring urine output and assessing vital signs are important but not the priority at this time. The client may be able to perform active range of motion for all extremities, so this intervention may or may not be indicated.
B)The client has thoracic injuries and might be reluctant to deep breathe and cough because of pain. The nurse needs to ensure that the client breathes deeply and coughs every 2 hours to mobilize secretions and prevent respiratory complications. Monitoring urine output and assessing vital signs are important but not the priority at this time. The client may be able to perform active range of motion for all extremities, so this intervention may or may not be indicated.
C)The client has thoracic injuries and might be reluctant to deep breathe and cough because of pain. The nurse needs to ensure that the client breathes deeply and coughs every 2 hours to mobilize secretions and prevent respiratory complications. Monitoring urine output and assessing vital signs are important but not the priority at this time. The client may be able to perform active range of motion for all extremities, so this intervention may or may not be indicated.
D)The client has thoracic injuries and might be reluctant to deep breathe and cough because of pain. The nurse needs to ensure that the client breathes deeply and coughs every 2 hours to mobilize secretions and prevent respiratory complications. Monitoring urine output and assessing vital signs are important but not the priority at this time. The client may be able to perform active range of motion for all extremities, so this intervention may or may not be indicated.

Question 12

A client is brought into the emergency department after being assaulted. The provider suspects that the client has a spinal cord injury. Which diagnostic tests does the nurse anticipate based on the data collected? Select all that apply.

Accepted Answer

A)Both MRIs and CT scans can be used to assess spinal cord injuries, among other injuries. An x-ray will be performed for potential fractured bones. An ultrasound is performed if internal bleeding is suspected. A PET scan is used to look for disease within the main organs of the body.
B)Both MRIs and CT scans can be used to assess spinal cord injuries, among other injuries. An x-ray will be performed for potential fractured bones. An ultrasound is performed if internal bleeding is suspected. A PET scan is used to look for disease within the main organs of the body.
C)Both MRIs and CT scans can be used to assess spinal cord injuries, among other injuries. An x-ray will be performed for potential fractured bones. An ultrasound is performed if internal bleeding is suspected. A PET scan is used to look for disease within the main organs of the body.
D)Both MRIs and CT scans can be used to assess spinal cord injuries, among other injuries. An x-ray will be performed for potential fractured bones. An ultrasound is performed if internal bleeding is suspected. A PET scan is used to look for disease within the main organs of the body.
E)Both MRIs and CT scans can be used to assess spinal cord injuries, among other injuries. An x-ray will be performed for potential fractured bones. An ultrasound is performed if internal bleeding is suspected. A PET scan is used to look for disease within the main organs of the body

Question 13

Which of the following is a common element of abuse experienced by the victim?

Accepted Answer

A)Common elements of abuse include humiliation, intimidation, and physical injury. Injury associated with abuse is not accidental. Feelings of control and use of manipulation tactics are related to the perpetrator, not the victim.
B)Common elements of abuse include humiliation, intimidation, and physical injury. Injury associated with abuse is not accidental. Feelings of control and use of manipulation tactics are related to the perpetrator, not the victim.
C)Common elements of abuse include humiliation, intimidation, and physical injury. Injury associated with abuse is not accidental. Feelings of control and use of manipulation tactics are related to the perpetrator, not the victim.
D)Common elements of abuse include humiliation, intimidation, and physical injury. Injury associated with abuse is not accidental. Feelings of control and use of manipulation tactics are related to the perpetrator, not the victim.

Question 14

What would the nurse working in the emergency department identify as clinical priorities for the treatment of a client with a gunshot wound? Select all that apply.

Accepted Answer

A)Clinical priorities for the treatment of gunshot wound are the following: maintain airway and assist ventilation as necessary, control hemorrhage, prevent hypothermia. Also necessary is a rapid, recurrent assessment of the client's neurologic status, as well as prevention of infection. While obtaining the client's medical history is important, this action would not be priority and would take place after the priority assessment and treatment. Once the safety of the client is assured, then the nurse will manage the client's emotional state and obtain the medical history.
B)Clinical priorities for the treatment of gunshot wound are the following: maintain airway and assist ventilation as necessary, control hemorrhage, prevent hypothermia. Also necessary is a rapid, recurrent assessment of the client's neurologic status, as well as prevention of infection. While obtaining the client's medical history is important, this action would not be priority and would take place after the priority assessment and treatment. Once the safety of the client is assured, then the nurse will manage the client's emotional state and obtain the medical history.
C)Clinical priorities for the treatment of gunshot wound are the following: maintain airway and assist ventilation as necessary, control hemorrhage, prevent hypothermia. Also necessary is a rapid, recurrent assessment of the client's neurologic status, as well as prevention of infection. While obtaining the client's medical history is important, this action would not be priority and would take place after the priority assessment and treatment. Once the safety of the client is assured, then the nurse will manage the client's emotional state and obtain the medical history.
D)Clinical priorities for the treatment of gunshot wound are the following: maintain airway and assist ventilation as necessary, control hemorrhage, prevent hypothermia. Also necessary is a rapid, recurrent assessment of the client's neurologic status, as well as prevention of infection. While obtaining the client's medical history is important, this action would not be priority and would take place after the priority assessment and treatment. Once the safety of the client is assured, then the nurse will manage the client's emotional state and obtain the medical history.
E)Clinical priorities for the treatment of gunshot wound are the following: maintain airway and assist ventilation as necessary, control hemorrhage, prevent hypothermia. Also necessary is a rapid, recurrent assessment of the client's neurologic status, as well as prevention of infection. While obtaining the client's medical history is important, this action would not be priority and would take place after the priority assessment and treatment. Once the safety of the client is assured, then the nurse will manage the client's emotional state and obtain the medical history.

Question 15

The nurse is planning care for a client with multiple lower extremity fractures sustained from a motor vehicle crash. Which is an appropriate client goal for the nurse to include in the plan of care?

Accepted Answer

A)The client has sustained multiple lower extremity fractures. A goal of care for this client is for the client to regain mobility. An adequate urine output is important, but healing the client's fractures needs to be a goal of care. Participating in self-care activities and being discharged to home are also important; however, because the client sustained multiple fractures to the lower extremities, one goal of care must be focused on the client regaining mobility.
B)The client has sustained multiple lower extremity fractures. A goal of care for this client is for the client to regain mobility. An adequate urine output is important, but healing the client's fractures needs to be a goal of care. Participating in self-care activities and being discharged to home are also important; however, because the client sustained multiple fractures to the lower extremities, one goal of care must be focused on the client regaining mobility.
C)The client has sustained multiple lower extremity fractures. A goal of care for this client is for the client to regain mobility. An adequate urine output is important, but healing the client's fractures needs to be a goal of care. Participating in self-care activities and being discharged to home are also important; however, because the client sustained multiple fractures to the lower extremities, one goal of care must be focused on the client regaining mobility.
D)The client has sustained multiple lower extremity fractures. A goal of care for this client is for the client to regain mobility. An adequate urine output is important, but healing the client's fractures needs to be a goal of care. Participating in self-care activities and being discharged to home are also important; however, because the client sustained multiple fractures to the lower extremities, one goal of care must be focused on the client regaining mobility.

Question 16

If a pregnant woman sustains multisystem trauma, in which order should assessment occur?

Accepted Answer

A)If a pregnant woman sustains multisystem trauma, the best treatment for the fetus is resuscitation of the mother. Therefore, the mother should be assessed first, then the fetus. Once both have been assessed and stabilized, then the secondary assessment of the mother should be performed.
B)If a pregnant woman sustains multisystem trauma, the best treatment for the fetus is resuscitation of the mother. Therefore, the mother should be assessed first, then the fetus. Once both have been assessed and stabilized, then the secondary assessment of the mother should be performed.
C)If a pregnant woman sustains multisystem trauma, the best treatment for the fetus is resuscitation of the mother. Therefore, the mother should be assessed first, then the fetus. Once both have been assessed and stabilized, then the secondary assessment of the mother should be performed.
D)If a pregnant woman sustains multisystem trauma, the best treatment for the fetus is resuscitation of the mother. Therefore, the mother should be assessed first, then the fetus. Once both have been assessed and stabilized, then the secondary assessment of the mother should be performed.

Question 17

Which theory states that individuals learn violent tendencies through association with others and a reinforcement of abusive behaviors?

Accepted Answer

A)Social learning theory explains that individuals learn violent tendencies through association with others and a reinforcement of the abusive behavior. Psychopathology theory suggests that some individuals who experience personality disorders and mental illnesses participate in family violence as a result of these illnesses. Neurobiology theory asserts that genetics plays a role in anger modulation and emotion control. Environmental theory is not related to the etiology of abuse.
B)Social learning theory explains that individuals learn violent tendencies through association with others and a reinforcement of the abusive behavior. Psychopathology theory suggests that some individuals who experience personality disorders and mental illnesses participate in family violence as a result of these illnesses. Neurobiology theory asserts that genetics plays a role in anger modulation and emotion control. Environmental theory is not related to the etiology of abuse.
C)Social learning theory explains that individuals learn violent tendencies through association with others and a reinforcement of the abusive behavior. Psychopathology theory suggests that some individuals who experience personality disorders and mental illnesses participate in family violence as a result of these illnesses. Neurobiology theory asserts that genetics plays a role in anger modulation and emotion control. Environmental theory is not related to the etiology of abuse.
D)Social learning theory explains that individuals learn violent tendencies through association with others and a reinforcement of the abusive behavior. Psychopathology theory suggests that some individuals who experience personality disorders and mental illnesses participate in family violence as a result of these illnesses. Neurobiology theory asserts that genetics plays a role in anger modulation and emotion control. Environmental theory is not related to the etiology of abuse.

Question 18

The nurse is reviewing the effectiveness of care provided to a client diagnosed with posttraumatic stress disorder. Which outcomes would indicate the interventions in the plan of care have been effective? Select all that apply.

Accepted Answer

A)Evidence of effective intervention for posttraumatic stress disorder would be the client being able to sleep throughout the night and verbalizing future plans with family and friends. The client who is unable to enter a car with fewer than three people, keeps all of the lights on in the home, or takes sedatives four times a day is exhibiting behavior that indicates interventions have not been successful.
B)Evidence of effective intervention for posttraumatic stress disorder would be the client being able to sleep throughout the night and verbalizing future plans with family and friends. The client who is unable to enter a car with fewer than three people, keeps all of the lights on in the home, or takes sedatives four times a day is exhibiting behavior that indicates interventions have not been successful.
C)Evidence of effective intervention for posttraumatic stress disorder would be the client being able to sleep throughout the night and verbalizing future plans with family and friends. The client who is unable to enter a car with fewer than three people, keeps all of the lights on in the home, or takes sedatives four times a day is exhibiting behavior that indicates interventions have not been successful.
D)Evidence of effective intervention for posttraumatic stress disorder would be the client being able to sleep throughout the night and verbalizing future plans with family and friends. The client who is unable to enter a car with fewer than three people, keeps all of the lights on in the home, or takes sedatives four times a day is exhibiting behavior that indicates interventions have not been successful.
E)Evidence of effective intervention for posttraumatic stress disorder would be the client being able to sleep throughout the night and verbalizing future plans with family and friends. The client who is unable to enter a car with fewer than three people, keeps all of the lights on in the home, or takes sedatives four times a day is exhibiting behavior that indicates interventions have not been successful.

Question 19

A client tells the nurse about continually reliving a situation of being robbed and shot by a gunman. Which nursing diagnosis is the priority for this client?

Accepted Answer

A)The client is reliving a traumatic event and has nightmares of being shot. This information would support the diagnosis of Post-Trauma Syndrome. The other diagnoses might be appropriate; however, Post-Trauma Syndrome would be the priority diagnosis at this time.
B)The client is reliving a traumatic event and has nightmares of being shot. This information would support the diagnosis of Post-Trauma Syndrome. The other diagnoses might be appropriate; however, Post-Trauma Syndrome would be the priority diagnosis at this time.
C)The client is reliving a traumatic event and has nightmares of being shot. This information would support the diagnosis of Post-Trauma Syndrome. The other diagnoses might be appropriate; however, Post-Trauma Syndrome would be the priority diagnosis at this time.
D)The client is reliving a traumatic event and has nightmares of being shot. This information would support the diagnosis of Post-Trauma Syndrome. The other diagnoses might be appropriate; however, Post-Trauma Syndrome would be the priority diagnosis at this time.

Question 20

An older adult man is transported to the emergency department after a motor vehicle crash. Which risk factors for the older adult could have contributed to the crash? Select all that apply.

Accepted Answer

A)Older adults are at risk of motor vehicle crashes due to preexisting health conditions and decreased sensory perceptions. Younger adults are at risk of motor vehicle crashes due to unsafe driving practices, speeding, and texting or other distractions.
B)Older adults are at risk of motor vehicle crashes due to preexisting health conditions and decreased sensory perceptions. Younger adults are at risk of motor vehicle crashes due to unsafe driving practices, speeding, and texting or other distractions.
C)Older adults are at risk of motor vehicle crashes due to preexisting health conditions and decreased sensory perceptions. Younger adults are at risk of motor vehicle crashes due to unsafe driving practices, speeding, and texting or other distractions.
D)Older adults are at risk of motor vehicle crashes due to preexisting health conditions and decreased sensory perceptions. Younger adults are at risk of motor vehicle crashes due to unsafe driving practices, speeding, and texting or other distractions.
E)Older adults are at risk of motor vehicle crashes due to preexisting health conditions and decreased sensory perceptions. Younger adults are at risk of motor vehicle crashes due to unsafe driving practices, speeding, and texting or other distractions.

Quiz 32: Trauma