A nurse works with a patient diagnosed with posttraumatic stress disorder (PTSD) who has frequent flashbacks as well as persistent symptoms of arousal. Which intervention should be included in the plan of care?

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Question 1 of 5

A nurse works with a patient diagnosed with posttraumatic stress disorder (PTSD) who has frequent flashbacks as well as persistent symptoms of arousal. Which intervention should be included in the plan of care?

Correct Answer: B

Rationale: The correct answer is B because explaining the relationship between physical symptoms and psychological state helps the patient understand the connection, reducing anxiety and fear. Triggering flashbacks intentionally (A) can worsen symptoms. Encouraging repression of memories (C) can lead to increased distress. Supporting 'numbing' (D) may hinder emotional processing and can be maladaptive in the long term.

Question 2 of 5

A home health nurse is making a home visit to a psychiatric patient who was recently discharged from a mental health unit. During the visit, the nurse plans on clarifying with the patient when she will return for the next home visit. During which stage would the nurse discuss the next home visit with the patient?

Correct Answer: A

Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship. Summary of other choices: B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit. C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit. D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit

Question 3 of 5

A college student received an invitation to attend the wedding of a close friend who lives across the country. The student is afraid of flying. Which type of therapy would be most helpful for this patient?

Correct Answer: C

Rationale: The correct answer is C: Systematic desensitization. This therapy gradually exposes the patient to their fear in a controlled manner to reduce anxiety. In this case, the student's fear of flying can be addressed by incrementally exposing them to flying-related stimuli, helping them build confidence and reduce fear. Choice A (Psychoanalysis) focuses on exploring unconscious thoughts and childhood experiences, not directly addressing the fear of flying. Choice B (Aversion therapy) involves associating a negative stimulus with the unwanted behavior, which may not be effective for overcoming a fear of flying. Choice D (Short-term dynamic therapy) is a brief form of psychoanalytic therapy, but it may not provide the structured approach needed to address specific phobias like fear of flying.

Question 4 of 5

A nurse determines that a client who is experiencing anxiety is using relief behaviors. The nurse determines that the client is experiencing which degree of anxiety?

Correct Answer: C

Rationale: The correct answer is C: Severe anxiety. Relief behaviors indicate that the client is trying to alleviate overwhelming anxiety. Severe anxiety is characterized by extreme discomfort and impaired functioning, leading individuals to resort to relief behaviors. Mild anxiety (choice A) typically involves mild uneasiness, whereas moderate anxiety (choice B) involves increased nervousness. Panic (choice D) is characterized by an overwhelming sense of terror and loss of control, which is more intense than relief behaviors suggest in this scenario.

Question 5 of 5

A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to intervene?

Correct Answer: D

Rationale: The correct answer is D because viewing the newborn's actions as uncooperative can indicate a lack of understanding of newborn behavior and may lead to inappropriate responses. This attitude may hinder bonding and potentially harm the newborn's development. A: Holding the newborn in an en face position is a positive interaction that promotes bonding. B: Asking the father to change the newborn's diaper involves the father in caregiving, which is beneficial for bonding. C: Requesting the nurse to take the newborn to the nursery so she can rest is acceptable as long as the mother prioritizes self-care.

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