Which of the following should be established first in working with a child with PTSD?

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Question 1 of 5

Which of the following should be established first in working with a child with PTSD?

Correct Answer: A

Rationale: The correct answer is A: Provide safety and stabilization. This should be established first when working with a child with PTSD because creating a safe and stable environment is essential for the child to feel secure and start the healing process. Without safety and stabilization, addressing other aspects such as reducing symptoms, developing a value system, or catching up on skills may not be effective or sustainable. Safety and stabilization help the child regulate emotions, build trust, and establish a foundation for further therapy and interventions. Therefore, ensuring safety and stability is the priority in treating children with PTSD. Other options are incorrect as they are secondary to providing safety and stabilization.

Question 2 of 5

A patient is admitted to the hospital with shortness of breath. As the nurse assesses this patient, the nurse is using the process of:

Correct Answer: B

Rationale: The correct answer is B: data collection. In this scenario, the nurse is gathering information about the patient's symptoms, medical history, and current condition to form a comprehensive understanding of the situation. This process is crucial for making an accurate assessment and developing an appropriate care plan. Evaluation (choice A) involves analyzing the collected data to make judgments or decisions. Problem identification (choice C) involves recognizing issues or concerns based on the data collected. Testing a hypothesis (choice D) involves formulating and then testing possible explanations for the patient's symptoms, which typically comes after data collection. Therefore, data collection is the initial step in the assessment process.

Question 3 of 5

You are writing a care plan for a newly admitted patient. Which one of these outcome statements is written correctly?

Correct Answer: D

Rationale: The correct answer is D. It follows the SMART criteria (Specific, Measurable, Achievable, Relevant, Time-bound). It is specific in identifying the need to increase dietary fiber intake, measurable by patient's identification, achievable as a behavioral change, relevant to patient's care plan, and time-bound by June 5. Choices A, B, and C lack specificity, measurability, and time-bound criteria. Choice A lacks measurability and time-bound. Choice B lacks specificity, measurability, relevance, and time-bound. Choice C lacks specificity, measurability, and relevance.

Question 4 of 5

A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:

Correct Answer: D

Rationale: The correct answer is D: DSM-5. The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) is the standard classification of mental disorders used by mental health professionals. It provides criteria for diagnosing specific psychiatric disorders based on symptoms observed in patients. By referring to the DSM-5, the nursing student can accurately identify the symptoms present in a specific psychiatric disorder and make an appropriate diagnosis. A: Nursing Interventions Classification (NIC) and B: Nursing Outcomes Classification (NOC) are not specific resources for determining symptoms in psychiatric disorders. NIC is for interventions, while NOC is for outcomes evaluation. C: NANDA-I nursing diagnoses focuses on identifying nursing problems, not specific symptoms of psychiatric disorders.

Question 5 of 5

A male patient reports to the nurse, 'I’m told I have memories of childhood abuse stored in my unconscious mind. I want to work on this.' Based on this statement, what information should the nurse provide the patient?

Correct Answer: A

Rationale: Correct Answer: A Rationale: Seeking the help of a trained therapist is crucial for handling childhood abuse memories stored in the unconscious mind. A therapist can provide a safe space, guidance, and support to explore and process these traumatic memories. Working with a therapist trained in trauma therapy techniques can help the patient navigate the emotional challenges and develop coping strategies. Therapeutic intervention is essential for addressing the impact of childhood abuse on mental health and well-being. Summary of Incorrect Choices: B: Using defense mechanisms like suppression can lead to avoidance and may not address the root cause of the trauma. C: Psychodynamic therapy takes time and multiple sessions to explore unconscious memories effectively, not just a few sessions. D: Group sessions may not provide the individualized support and focus needed to address specific childhood abuse memories and their associated trauma effectively.

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