Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client with posttraumatic stress disorder (PTSD). Which manifestation is the nurse most likely to observe?
A. Hypersomnia
Hypersomnia (excessive sleeping) is more commonly associated with depression, not PTSD.
B. Increase
"Increase" is incomplete and unclear, making it an invalid option.
C. Flashbacks are intrusive memories
Flashbacks or intrusive memories are hallmark symptoms of PTSD, where the individual relives the traumatic event through vivid memories or nightmares.
D. Euphoric mood
Euphoric mood is not typical of PTSD; affected individuals often experience anxiety, irritability, hypervigilance, or emotional numbness.
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Full Explanation
A. Hypersomnia (excessive sleeping) is more commonly associated with depression, not PTSD.
B. "Increase" is incomplete and unclear, making it an invalid option.
C. Flashbacks or intrusive memories are hallmark symptoms of PTSD, where the individual relives the traumatic event through vivid memories or nightmares.
D. Euphoric mood is not typical of PTSD; affected individuals often experience anxiety, irritability, hypervigilance, or emotional numbness.
Similar Questions
Which project developed six of the core nursing competencies included in the ATI Helix of Success?
A. Quality and Safety Education for Nurses (QSEN)
QSEN developed six core competencies to prepare nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of healthcare systems. These competencies are integrated into the ATI Helix of Success.
B. National League for Nursing (NLN) Initiative
The National League for Nursing (NLN) promotes nursing education excellence but did not develop the QSEN competencies.
C. Institute of Medicine (IOM) Nursing Project
The Institute of Medicine (IOM) has influenced nursing education through reports, but it did not specifically create the QSEN competencies.
D. American Nurses Association Project
The American Nurses Association (ANA) sets standards for nursing practice, but the QSEN project originated independently.
Full Explanation
A. QSEN developed six core competencies to prepare nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of healthcare systems. These competencies are integrated into the ATI Helix of Success.
B. The National League for Nursing (NLN) promotes nursing education excellence but did not develop the QSEN competencies.
C. The Institute of Medicine (IOM) has influenced nursing education through reports, but it did not specifically create the QSEN competencies.
D. The American Nurses Association (ANA) sets standards for nursing practice, but the QSEN project originated independently.
According to Leininger's Sunrise Enabler, which of the following is considered when planning culturally competent care?
A. The patient education level
While education level is relevant to care, it is not a primary cultural factor in Leininger’s model.
B. The patient's favorite color
The patient's favorite color is not a component of cultural assessment in Leininger’s theory.
C. The patient's favorite foods only
While dietary preferences are part of cultural care, focusing on only favorite foods is too limited.
D. The patient's religious and philosophical beliefs
Leininger's Sunrise Enabler includes religion and philosophy as key cultural factors that influence health beliefs, practices, and care preferences.
Full Explanation
A. While education level is relevant to care, it is not a primary cultural factor in Leininger’s model.
B. The patient's favorite color is not a component of cultural assessment in Leininger’s theory.
C. While dietary preferences are part of cultural care, focusing on only favorite foods is too limited.
D. Leininger's Sunrise Enabler includes religion and philosophy as key cultural factors that influence health beliefs, practices, and care preferences.
A client reports excessive daytime sleepiness and sudden muscle weakness triggered by strong emotions. The nurse should suspect which condition?
A. Insomnia
Insomnia involves difficulty falling or staying asleep, but it does not typically cause sudden muscle weakness or sleep during the day.
B. Central sleep apnea
Central sleep apnea involves disrupted breathing during sleep due to brain signaling issues, not muscle weakness or emotional triggers.
C. Hypersomnia
Hypersomnia is characterized by excessive daytime sleepiness, but it does not include cataplexy (sudden muscle weakness).
D. Narcolepsy with cataplexy
Narcolepsy with cataplexy is marked by overwhelming daytime sleepiness and sudden loss of muscle tone (cataplexy), often triggered by strong emotions like laughter or anger.
Full Explanation
A. Insomnia involves difficulty falling or staying asleep, but it does not typically cause sudden muscle weakness or sleep during the day.
B. Central sleep apnea involves disrupted breathing during sleep due to brain signaling issues, not muscle weakness or emotional triggers.
C. Hypersomnia is characterized by excessive daytime sleepiness, but it does not include cataplexy (sudden muscle weakness).
D. Narcolepsy with cataplexy is marked by overwhelming daytime sleepiness and sudden loss of muscle tone (cataplexy), often triggered by strong emotions like laughter or anger.