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,NUR 253: Mental Health Nursing (Exam 3 Key Concepts)
1. The nurse is educating a 20-year-old client who has post-traumatic stress
disorder (PTSD) about the disorder. The client was sexually assaulted during
a live concert. Which of the following is included in the criteria for a
diagnosis of PTSD?
A. Looking at pictures of concerts on the internet repeatedly
B. Listening to the same music from the concert throughout the day
C. Increased attendance to live concerts with friends
D. Recurring dreams of the incident during the live concert
Correct Answer: D. Recurring dreams of the incident during the live
concert
Explanation: According to DSM-5 criteria for PTSD (page 599), recurrent,
involuntary, and intrusive distressing memories of the traumatic event,
including recurring dreams related to the event, are hallmark symptoms. The
other options describe avoidance behaviors (avoiding concert-related
stimuli) or reenactment, but recurring dreams are a specific diagnostic
criterion for PTSD.
...
2. The nurse is caring for a client who was found confused and wandering
around a playground. The client is unable to identify who they are and where
they live. The nurse expects that the client is experiencing:
A. Acute stress disorder
B. Dissociative fugue
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, C. Depersonalization disorder
D. Dissociative identity disorder
Correct Answer: B. Dissociative fugue
Explanation: Dissociative fugue is a subtype of dissociative amnesia
characterized by sudden, unexpected travel away from home or one's
customary place of work, accompanied by an inability to recall one's past
and confusion about personal identity or the assumption of a new identity
(page 637). The client's wandering and inability to identify themselves or
where they live matches this description.
...
3. The nurse is caring for a 6-year-old child who has post-traumatic stress
disorder (PTSD). The parents are concerned because the child has stopped
playing with friends and continues to draw pictures of themselves as a bad
guy. Which of the following responses is appropriate for the nurse to tell the
parents?
A. "Don't worry. This will pass with time."
B. "Just let them be alone; a child this age needs to deal with these emotions
internally."
C. "Let's speak with a doctor; your child needs some intense therapy."
D. "This is part of the grieving process and a response to the trauma."
Correct Answer: D. "This is part of the grieving process and a response
to the trauma."
Explanation: This response validates the parents' concerns while
normalizing the child's behavior as part of the trauma response. Children
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, with PTSD often exhibit regressive behaviors, social withdrawal, and may
reenact aspects of the trauma through play or drawings. Dismissing the
behavior (A), encouraging isolation (B), or immediately suggesting intense
therapy without further assessment (C) are not the most therapeutic initial
responses.
...
4. The nurse is caring for a client with unexplained recurring abdominal pain.
Multiple medical tests have been administered with no significant findings.
After assessing the client's pain, which of the following assessment
questions should the nurse ask the client? (Somatic disorder, page 661)
A. "Have you considered this is not real pain and is in your head?"
B. "Have you faked pain before to get attention?"
C. "Have you tried to just take more antacids?"
D. "Have you been seen by anyone in the past for this problem?"
Correct Answer: D. "Have you been seen by anyone in the past for this
problem?"
Explanation: In somatic symptom disorder, the focus should be on
gathering objective data about the client's medical history and previous
evaluations without challenging the reality of their symptoms. Asking about
past healthcare visits helps establish patterns without being judgmental.
Options A and B are accusatory and dismissive, while option C offers
premature advice without adequate assessment.
...
Ascorers
,NUR 253: Mental Health Nursing (Exam 3 Key Concepts)
1. The nurse is educating a 20-year-old client who has post-traumatic stress
disorder (PTSD) about the disorder. The client was sexually assaulted during
a live concert. Which of the following is included in the criteria for a
diagnosis of PTSD?
A. Looking at pictures of concerts on the internet repeatedly
B. Listening to the same music from the concert throughout the day
C. Increased attendance to live concerts with friends
D. Recurring dreams of the incident during the live concert
Correct Answer: D. Recurring dreams of the incident during the live
concert
Explanation: According to DSM-5 criteria for PTSD (page 599), recurrent,
involuntary, and intrusive distressing memories of the traumatic event,
including recurring dreams related to the event, are hallmark symptoms. The
other options describe avoidance behaviors (avoiding concert-related
stimuli) or reenactment, but recurring dreams are a specific diagnostic
criterion for PTSD.
...
2. The nurse is caring for a client who was found confused and wandering
around a playground. The client is unable to identify who they are and where
they live. The nurse expects that the client is experiencing:
A. Acute stress disorder
B. Dissociative fugue
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, C. Depersonalization disorder
D. Dissociative identity disorder
Correct Answer: B. Dissociative fugue
Explanation: Dissociative fugue is a subtype of dissociative amnesia
characterized by sudden, unexpected travel away from home or one's
customary place of work, accompanied by an inability to recall one's past
and confusion about personal identity or the assumption of a new identity
(page 637). The client's wandering and inability to identify themselves or
where they live matches this description.
...
3. The nurse is caring for a 6-year-old child who has post-traumatic stress
disorder (PTSD). The parents are concerned because the child has stopped
playing with friends and continues to draw pictures of themselves as a bad
guy. Which of the following responses is appropriate for the nurse to tell the
parents?
A. "Don't worry. This will pass with time."
B. "Just let them be alone; a child this age needs to deal with these emotions
internally."
C. "Let's speak with a doctor; your child needs some intense therapy."
D. "This is part of the grieving process and a response to the trauma."
Correct Answer: D. "This is part of the grieving process and a response
to the trauma."
Explanation: This response validates the parents' concerns while
normalizing the child's behavior as part of the trauma response. Children
Ascorers
, with PTSD often exhibit regressive behaviors, social withdrawal, and may
reenact aspects of the trauma through play or drawings. Dismissing the
behavior (A), encouraging isolation (B), or immediately suggesting intense
therapy without further assessment (C) are not the most therapeutic initial
responses.
...
4. The nurse is caring for a client with unexplained recurring abdominal pain.
Multiple medical tests have been administered with no significant findings.
After assessing the client's pain, which of the following assessment
questions should the nurse ask the client? (Somatic disorder, page 661)
A. "Have you considered this is not real pain and is in your head?"
B. "Have you faked pain before to get attention?"
C. "Have you tried to just take more antacids?"
D. "Have you been seen by anyone in the past for this problem?"
Correct Answer: D. "Have you been seen by anyone in the past for this
problem?"
Explanation: In somatic symptom disorder, the focus should be on
gathering objective data about the client's medical history and previous
evaluations without challenging the reality of their symptoms. Asking about
past healthcare visits helps establish patterns without being judgmental.
Options A and B are accusatory and dismissive, while option C offers
premature advice without adequate assessment.
...
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