Question 1

During a home visit the nurse believes that a client receiving treatment for post-traumatic stress disorder (PTSD) is improving. Which signs of resiliency did the nurse assess to make this clinical determination? Select all that apply.

Accepted Answer

Maintaining a positive attitude, asking for help when needed, and expressing gratitude for help are all signs of resiliency in individuals receiving treatment for PTSD. Sitting quietly with minimal conversation and waiting for a family member to prepare food are not necessarily positive or negative indicators of resiliency.

Question 2

The nurse is reassigned to assist with triaging victims of a train derailment in the emergency department. The next day the nurse returns to providing care in the intensive care unit and is assigned the victims. If this pattern continues, which health problem is the nurse prone to developing?

Accepted Answer

The nurse is at risk for developing secondary traumatization. This is a phenomenon in which individuals who are exposed to traumatic events through their work, such as healthcare workers, can develop symptoms similar to post-traumatic stress disorder (PTSD) as a result of repeated exposure to trauma. Symptoms may include avoidance behaviors, intrusive thoughts, anxiety, and depression. It is important for healthcare organizations to provide resources and support for staff who are at risk for secondary traumatization.

Question 3

A client with PTSD arrives for a follow-up clinic appointment. Which intervention should the nurse confirm that the client is continuing to follow? Select all that apply.

Accepted Answer

Cognitive-behavioral therapy and SSRI medication are evidence-based interventions for individuals with PTSD. Therefore, the nurse should confirm that the client is continuing to attend cognitive-behavioral therapy sessions and taking their SSRI medication as prescribed. Drinking adequate fluids and measuring blood pressure are important for overall health but do not specifically address PTSD symptoms. Adhering to an 1800 calorie/day eating plan may also be important for overall health but is not necessarily specific to treating PTSD symptoms.

Question 4

The nurse plans care for a client recovering from a gunshot wound received during a robbery of a convenience store. Which intervention will the nurse select to promote trauma-informed care for this client? Select all that apply.

Accepted Answer

Trauma-informed care involves creating an environment that acknowledges the client's traumatic experience and helps them feel safe, supported, and in control. Coaching in calming skills (such as deep breathing or guided imagery), building positive social support, and encouraging connectiveness between family members all promote a sense of safety and support. On the other hand, suggesting returning to the scene of the event or reminding the client that their injuries were not life-threatening could be triggering and counterproductive to the healing process.

Question 5

The nurse cares for a toddler recovering from injuries received by an abusive parent. Which findings indicate that this client is experiencing failure to develop healthy attachments? Select all that apply.

Accepted Answer

The answer of The nurse cares for a toddler recovering...

Question 6

The nurse suspects that an adult client experienced domestic violence as a child. Which observations caused the nurse to come to this conclusion? Select all that apply.

Accepted Answer

Individuals with a history of childhood domestic violence may exhibit criminal behavior (A), have mental health issues such as suicidal tendencies (C), and struggle with substance abuse (D).

Question 7

The nurse attends an educational program that identifies people in the United States as experiencing post-traumatic stress disorder (PTSD) because of ongoing security threats. Which public health issues confirm the possibility of this being true? Select all that apply.

Accepted Answer

The answer of The nurse attends an educational program that...

Question 8

A level I trauma center is implementing trauma-informed care. Which principle of this type of care integrates knowledge about trauma into policies, procedures, and practices?

Accepted Answer

The principle of "Responding" in trauma-informed care involves integrating knowledge about trauma into policies, procedures, and practices to ensure that the organization responds appropriately to trauma-affected individuals.

Question 9

The spouse of a client with post-traumatic stress disorder (PSTD) seeks medical attention for new symptoms. Which findings suggest to the nurse that the client's health problem is affecting a family member? Select all that apply.

Accepted Answer

The answer of The spouse of a client with post-traumatic...

Question 10

A client seeks treatment for post-traumatic stress disorder (PTSD). Which category of symptoms should the nurse assess? Select all that apply.

Accepted Answer

The answer of A client seeks treatment for post-traumatic stress...

Question 11

An adolescent attends group therapy to help with unresolved feelings after being abused by an older relative. Which manifestations of this unresolved trauma should the nurse expect the adolescent to demonstrate? Select all that apply.

Accepted Answer

Adolescents who have experienced abuse may exhibit a range of symptoms including rage, depression, eating disorders, and fatigue from sleep disorders. Extreme attachment to the abuser is less common and typically not expected. Group therapy can help the adolescent process these unresolved feelings and work towards healing.

Question 12

The nurse notes that a client who returned from war is having difficulty remembering recent events and is unable to perform simple self-care tasks. Which part of the client's physiology is responsible for thesebehaviors?

Accepted Answer

The hippocampus is responsible for memory consolidation and retrieval. Damage to this area can lead to difficulty in forming and retaining new memories. This can manifest as difficulty remembering recent events, as noted in the client's case.

Quiz 11: Trauma and Family Nursing