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Trauma And Stress-related Disorders

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Question 1
Free
Multiple Choice

Which scenario best demonstrates an example of eustress? An individual:

Choose correct answer/s
A

loses a beloved family pet.

B

prepares to take a 1-week vacation to a tropical island with a group of close friends.

C

receives a bank notice there were insufficient funds in their account for a recent rent payment.

D

receives notification that their current employer is experiencing financial problems and some workers will be terminated.

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Question 2
Free
Multiple Choice

A patient diagnosed with liver failure has been on the transplant waiting list 8 months. The patient says, "Why is it taking so long to have the surgery? Maybe I'm meant to die for all the bad things I've done." The nurse should document the patient's comment in which section of the assessment?

Choose correct answer/s
A

Physical

B

Spiritual

C

Financial

D

Psychological

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Question 3
Free
Multiple Choice

A person with a fear of heights drives across a high bridge. Which structure will stimulate a response from the autonomic nervous system?

Choose correct answer/s
A

Thalamus

B

Parietal lobe

C

Hypothalamus

D

Pituitary gland

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Question 4
Free
Multiple Choice

A person with a fear of heights drives across a high bridge. Which division of the autonomic nervous system is stimulated in response to this experience?

Choose correct answer/s
A

Limbic system

B

Peripheral nervous system

C

Sympathetic nervous system

D

Parasympathetic nervous system

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Question 5
Free
Multiple Choice

A patient is brought to the emergency department after a motorcycle accident. The patient is alert, responsive, and diagnosed with a broken leg. The patient's vital signs are temperature (T), 98.6° F; pulse (P), 72 beats per minute (bpm); and respirations (R), 16 breaths per minute. After being informed that surgery is required for the broken leg, which vital sign readings would be expected?

Choose correct answer/s
A

T, 98.6°; P, 64; R, 14

B

T, 98.6°; P, 68; R, 12

C

T, 98.6°; P, 62; R, 16

D

T, 98.6°; P, 84; R, 22

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Question 6
Multiple Choice

As part of the stress response, the HPA axis is stimulated. Which structures make up this system?

Choose correct answer/s
A
Hippocampus, parietal lobe, and amygdala
B
Hypothalamus, pituitary gland, and adrenal glands
C
Hind brain, pyramidal nervous system, and anterior cerebrum
D
Hepatic artery, parasympathetic nervous system, and acoustic nerve
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Question 7
Multiple Choice

Cortisol is released in response to a patient's prolonged stress. Which initial effect would the nurse expect to result from the increased cortisol level?

Choose correct answer/s
A
Diuresis and electrolyte imbalance
B
Focused and alert mental status
C
Drowsiness and lethargy
D
Restlessness and anxiety
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Question 8
Multiple Choice

A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with posttraumatic stress disorder (PTSD). The nurse's highest priority is to screen this soldier for which problem?

Choose correct answer/s
A
Major depressive disorder
B
Bipolar disorder
C
Schizophrenia
D
Dementia
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Question 9
Multiple Choice

A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with posttraumatic stress disorder (PTSD). Which comment by the soldier requires the nurse's immediate attention?

Choose correct answer/s
A
"It's good to be home. I missed my family and friends."
B
"I saw my best friend get killed by a roadside bomb. It should have been me instead."
C
"Sometimes I think I hear bombs exploding, but it's just the noise of traffic in my hometown."
D
"I want to continue my education but I'm not sure how I will fit in with other college students."
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Question 10
Multiple Choice

A veteran of the war in Afghanistan was diagnosed with posttraumatic stress disorder (PTSD). The veteran says, "If there's a loud noise at night, I get under my bed because I think we're getting bombed." What type of experience has the veteran described?

Choose correct answer/s
A
Illusion
B
Flashback
C
Nightmare
D
Auditory hallucination
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Question 11
Multiple Choice

A soldier returned one year ago from Afghanistan and was diagnosed with posttraumatic stress disorder (PTSD). Which social event would most likely be disturbing for this soldier?

Choose correct answer/s
A
Halloween festival with neighborhood children
B
Singing carols around a Christmas tree
C
Family outing to the seashore
D
Fireworks display on July 4th
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Question 12
Multiple Choice

A soldier served in combat zones in Iraq in 2010 and was deployed to Afghanistan in 2014. When is it most important for the nurse to screen for signs and symptoms of posttraumatic stress disorder (PTSD)?

Choose correct answer/s
A
Immediately upon return to the United States from Afghanistan
B
Before departing Afghanistan to return to the United States
C
Two years after returning from Afghanistan
D
Screening should be ongoing
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Question 13
Multiple Choice

A nurse designs a plan of exercise for a patient experiencing stress. The rationale the nurse should explain when presenting this plan to the treatment team is that exercise:

Choose correct answer/s
A
will stimulate endorphins and improve the patient's feelings of well-being.
B
prevents damage from overstimulation of the sympathetic nervous system.
C
detoxifies the body by removing metabolic wastes and other toxins.
D
will prevent exacerbation of the stress by the limbic system.
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Question 14
Multiple Choice

A veteran of military combat tells the nurse, "I saw a child get blown up over a year ago, and now I keep seeing bits of flesh everywhere. I see something red and the visions race back to my mind." Which phenomenon associated with posttraumatic stress disorder (PTSD) is this veteran describing?

Choose correct answer/s
A
Re-experiencing
B
Hyperarousal
C
Avoidance
D
Psychosis
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Question 15
Multiple Choice

A soldier who served in a combat zone returned to the United States. The soldier's spouse complains to the nurse, "We had planned to start a family, but now he won't talk about it. He won't even look at children." The spouse is describing which symptom associated with posttraumatic stress disorder (PTSD)?

Choose correct answer/s
A
Re-experiencing
B
Hyperarousal
C
Avoidance
D
Psychosis
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Question 16
Multiple Choice

A soldier returned home last year after deployment to a war zone. The soldier's spouse complains, "We were going to start a family but now he won't talk about it. He will not look at children. I wonder if we're going to make it as a couple." Select the nurse's best response.

Choose correct answer/s
A
"Posttraumatic stress disorder often changes a person's sexual functioning."
B
"I encourage you to continue to participate in social activities where children are present."
C
"Have you talked with your spouse about these reactions? Sometimes we just need to confront behavior."
D
"Posttraumatic stress disorder often strains relationships. I will suggest some community resources for help and support."
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Question 17
Multiple Choice

A nurse talks with the caregiver of a combat veteran diagnosed with severe traumatic brain injuries. The caregiver says, "I don't know how much longer I can do it. My whole life is consumed with taking care of my partner." Select the nurse's best response.

Choose correct answer/s
A
"How are you taking care of yourself?"
B
"Let's review your partner's diagnostic results."
C
"I have some web-based programs for you to visit."
D
"Your partner is lucky to have someone so devoted."
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Question 18
Multiple Choice

A family member asks the nurse, "Do you think stress and physical illness are connected? Since my father's death, my mother has had shingles and the flu, but she's usually not one who gets sick." Which answer by the nurse best reflects current knowledge about long term effects of stress?

Choose correct answer/s
A
"It is probably a coincidence. Emotions and physical responses travel on different tracts of the nervous system."
B
"You may be paying more attention to your mother since your father died and noticing more things such as minor illnesses."
C
"So far, research on emotions or stress and becoming ill more easily is unclear. We do not know for sure if there is a link."
D
"Negative emotions and stress may interfere with the body's ability to protect itself and can increase the likelihood of infection."
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Question 19
Multiple Choice

An individual says to the nurse, "I feel so stressed out lately. I think the stress is affecting my body also." Which somatic complaints are most likely to accompany this feeling? (Select all that apply.)

Choose correct answer/s
A
Headache
B
Neck pain
C
Insomnia
D
Anorexia
E
Myopia
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Question 20
Multiple Choice

Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? (Select all that apply.)

Choose correct answer/s
A
An 8-year-old child watches an R-rated movie with both parents.
B
A young adult jumps from a bridge with a bungee cord with a best friend.
C
An adolescent is kidnapped and held for 2 years in the home of a sexual predator.
D
A passenger is in a bus that overturns on a sharp curve in the road, tumbling down an embankment.
E
An adult is trapped for 3 hours at an angle in an elevator after a portion of the supporting cable breaks.
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