Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is facilitating a group session for clients who have posttraumatic stress disorder.
Which of the following client statements indicates progression toward positive outcomes?
A. "I feel guilty that my fellow soldiers died in combat and I survived."
Expressing feelings of guilt and survivor's guilt is a common aspect of processing traumatic experiences and can be an important step in healing.
B. "I keep having flashbacks about when I was attacked by my neighbor."
Rationale: This statement indicates that the client is acknowledging and discussing the flashbacks related to the traumatic event. Progression toward positive outcomes in posttraumatic stress disorder (PTSD) often involves recognizing and addressing distressing symptoms.
C. "I prefer to go through the recovery process independently."
The preference for independence may indicate resistance to seeking support, which can hinder progress in addressing and managing PTSD symptoms.
D. "I think my experience has affected my ability to trust others."
Recognizing that the traumatic experience has affected the ability to trust others reflects insight into the impact of the trauma on relationships, which is a step toward positive outcomes.
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Full Explanation
Choice A rationale:
Expressing feelings of guilt and survivor's guilt is a common aspect of processing traumatic experiences and can be an important step in healing.
Choice B rationale:
Rationale: This statement indicates that the client is acknowledging and discussing the flashbacks related to the traumatic event. Progression toward positive outcomes in posttraumatic stress disorder (PTSD) often involves recognizing and addressing distressing symptoms.
Choice C rationale:
The preference for independence may indicate resistance to seeking support, which can hinder progress in addressing and managing PTSD symptoms.
Choice D rationale:
Recognizing that the traumatic experience has affected the ability to trust others reflects insight into the impact of the trauma on relationships, which is a step toward positive outcomes.
Similar Questions
A nurse is creating a plan of care for a client who has antisocial personality disorder. Which of the following interventions should the nurse include?
A. Appoint the client to be the leader during group therapy.
Appointing the client as a leader may not be appropriate, as individuals with antisocial personality disorder may misuse their position of authority.
B. Monitor the client's interactions with other clients.
Clients with antisocial personality disorder often struggle with interpersonal relationships, may be manipulative, and may engage in behaviors that violate the rights of others. Monitoring the client's interactions with other clients helps ensure a safe and therapeutic environment while preventing harm to others.
C. Offer the client two warnings before implementing consequences.
Offering warnings before consequences might not be effective with clients who have antisocial personality disorder, as they may disregard rules and consequences.
D. Assign the client to a room near the activity area.
Assigning a room near the activity area does not necessarily address the need to monitor the client's interactions with others.
Full Explanation
Choice A rationale:
Appointing the client as a leader may not be appropriate, as individuals with antisocial personality disorder may misuse their position of authority.
Choice B rationale:
Clients with antisocial personality disorder often struggle with interpersonal relationships, may be manipulative, and may engage in behaviors that violate the rights of others. Monitoring the client's interactions with other clients helps ensure a safe and therapeutic environment while preventing harm to others.
Choice C rationale:
Offering warnings before consequences might not be effective with clients who have antisocial personality disorder, as they may disregard rules and consequences.
Choice D rationale:
Assigning a room near the activity area does not necessarily address the need to monitor the client's interactions with others.
A nurse is instructing a client about medications that can cause erectile dysfunction. Which of the following medications should the nurse include in the teaching?
A. Sertraline
Sertraline is an antidepressant medication known as a selective serotonin reuptake inhibitor (SSRI). One of the potential side effects of SSRIs is sexual dysfunction, including erectile dysfunction.
B. Vancomycin
Vancomycin is an antibiotic and is not typically associated with erectile dysfunction.
C. Topiramate
Topiramate is an anticonvulsant medication and is not typically associated with erectile dysfunction.
D. Polyethylene glycol
Polyethylene glycol is a laxative and is not typically associated with erectile dysfunction.
Full Explanation
Choice A rationale:
Sertraline is an antidepressant medication known as a selective serotonin reuptake inhibitor (SSRI). One of the potential side effects of SSRIs is sexual dysfunction, including erectile dysfunction.
Choice B rationale:
Vancomycin is an antibiotic and is not typically associated with erectile dysfunction.
Choice C rationale:
Topiramate is an anticonvulsant medication and is not typically associated with erectile dysfunction.
Choice D rationale:
Polyethylene glycol is a laxative and is not typically associated with erectile dysfunction.
A nurse is teaching a client who has a new diagnosis of diverticulitis. Which of the following instructions should the nurse include in the teaching?
A. "Follow a high-fiber diet until inflammation subsides."
A high-fiber diet is not recommended during acute inflammation, as it may be too abrasive for the inflamed bowel. Diverticulitis is a condition in which small pouches in the colon become inflamed and infected. A high-fiber diet can help prevent constipation and reduce pressure in the colon, which can aggravate diverticulitis.
B. "Use a soapsuds enema as needed."
Soapsuds enemas are not typically used for diverticulitis. They can cause irritation and discomfort.
C. "Avoid bending at the waist."
Bending at the waist has no effect on diverticulitis and is not a relevant instruction.
D. "Restrict fluid intake to 1.5 liters per day."
Fluid restriction can lead to dehydration and constipation, which can exacerbate diverticulitis. A client with diverticulitis should drink plenty of fluids to stay hydrated and soften the stool.
Full Explanation
Choice A rationale:
A high-fiber diet is not recommended during acute inflammation, as it may be too abrasive for the inflamed bowel. Diverticulitis is a condition in which small pouches in the colon become inflamed and infected. A high-fiber diet can help prevent constipation and reduce pressure in the colon, which can aggravate diverticulitis.
Choice B rationale:
Soapsuds enemas are not typically used for diverticulitis. They can cause irritation and discomfort.
Choice C rationale:
Bending at the waist has no effect on diverticulitis and is not a relevant instruction.
Choice D rationale:
Fluid restriction can lead to dehydration and constipation, which can exacerbate diverticulitis. A client with diverticulitis should drink plenty of fluids to stay hydrated and soften the stool.