The nurse is providing follow-up care to victims of a disaster that occurred several months ago. Assessment of which of the following would lead the nurse to suspect that the victims are experiencing possible aftereffects of the disaster?

Correct Answer: C

Rationale: The correct answer is C: Unexplained gastrointestinal disturbance. Victims of a disaster may experience ongoing stress and anxiety, leading to gastrointestinal disturbances like nausea, diarrhea, or stomach pain. This can be a manifestation of post-traumatic stress disorder (PTSD) or ongoing psychological impact. Tachycardia (choice A) and profuse perspiration (choice B) are more immediate physiological responses to stress and may not necessarily indicate ongoing effects. Tremors (choice D) are often associated with neurological conditions rather than psychological trauma. Therefore, choice C is the most likely indicator of possible aftereffects of the disaster in this scenario.

Correct Answer: C

Rationale: The correct answer is C: Young adults. Young adults typically experience the greatest number of Sad, Blue, or Depressed Days (SBDD) due to various factors such as transitioning into adulthood, academic pressures, career uncertainties, and relationship challenges. This age group is often more susceptible to mental health issues compared to other groups. Women, men, and older adults may also experience SBDD, but research shows that young adults consistently report higher levels of emotional distress. It is crucial for nursing students to understand these trends to provide appropriate care and support to different demographic groups.

Correct Answer: A

Rationale: The correct answer is A: Hildegarde Peplau. Peplau is known for her work on interpersonal relations in nursing, emphasizing the therapeutic nurse-patient relationship. She developed the Theory of Interpersonal Relations, which focuses on the nurse's role in facilitating the patient's growth and development. Through this theory, nurses use themselves as therapeutic tools to promote healing. Florence Nightingale is known for her contributions to nursing practice, but not specifically for therapeutic use of self. Dorothea Dix was a mental health advocate, not directly related to therapeutic nurse-patient relationship. Sigmund Freud is known for psychoanalytic theory, which is not directly related to nurse-patient interactions.

Correct Answer: B

Rationale: The correct answer is B: Exhibitionism. Exhibitionism involves the intense and recurrent sexual arousal from exposing one's genitals to an unsuspecting person. In this case, the client's behavior of exposing his genitals and masturbating in public in front of an elementary school aligns with the characteristics of exhibitionism. The behavior is deliberate and aimed at shocking or surprising others for sexual gratification. Incorrect Choices: A: Frotteurism - Involves touching or rubbing against a non-consenting person for sexual gratification. This behavior is different from what the client in the scenario is exhibiting. C: Sexual masochism - Involves deriving sexual pleasure from receiving pain or humiliation. This is not applicable to the behavior described in the scenario. D: Voyeurism - Involves observing an unsuspecting person who is naked or engaged in sexual activity. This does not match the client's behavior of exposing himself in public.

Correct Answer: A

Rationale: The correct answer is A: Carl Jung. Jung is not a humanistic theorist; he is known for his analytical psychology, which focuses on the collective unconscious and archetypes. Carl Rogers and Abraham Maslow are humanistic theorists who emphasize self-actualization and the importance of human potential. Frederick Perls is associated with Gestalt therapy, not humanistic theory. Therefore, the nursing students need additional study to correctly identify Carl Jung as a psychodynamic theorist, not a humanistic one.