Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing care to a 9-year-old child who uses their hand to mimic shooting a gun anytime someone enters the room or tries to interact with them.
The nurse should identify that this is an example of which of the following manifestations of post-traumatic stress disorder?.
A. Depersonalization
A rationale: Depersonalization is a symptom of PTSD, but it involves feeling detached from oneself, not reenacting traumatic events.
B. Posttraumatic play.
B rationale: Posttraumatic play is a common manifestation of PTSD in children. It involves the child reenacting the traumatic event, which can be seen in the child’s mimicking of shooting a gun.
C. Omen formation.
C rationale: Omen formation is a belief that there were warning signs predicting the trauma. It’s not related to the child’s behavior.
D. Time skewing.
D rationale: Time skewing involves a shift in the perception of time during the recall of the traumatic event. It’s not demonstrated in this scenario.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom NUR 316 Fall 2023 1MHE Module 4 - 1st 5 units Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Depersonalization is a symptom of PTSD, but it involves feeling detached from oneself, not reenacting traumatic events.
Choice B rationale:
Posttraumatic play is a common manifestation of PTSD in children. It involves the child reenacting the traumatic event, which can be seen in the child’s mimicking of shooting a gun.
Choice C rationale:
Omen formation is a belief that there were warning signs predicting the trauma. It’s not related to the child’s behavior.
Choice D rationale:
Time skewing involves a shift in the perception of time during the recall of the traumatic event. It’s not demonstrated in this scenario.
Similar Questions
A nurse is caring for a client who has schizophrenia.
Which of the following findings should the nurse identify as a comorbidity to this condition?.
A. Cancer
A rationale: While anyone can get cancer, it’s not specifically linked to schizophrenia.
B. Osteoarthritis.
B rationale: Osteoarthritis is a degenerative joint disease. It’s not a common comorbidity with schizophrenia.
C. Alzheimer's disease.
C rationale: Alzheimer’s disease is a type of dementia. It’s not typically associated with schizophrenia.
D. Diabetes mellitus.
D rationale: Diabetes mellitus is a common comorbidity with schizophrenia. Antipsychotic medications can increase the risk of developing type 2 diabetes.
Full Explanation
Choice A rationale:
While anyone can get cancer, it’s not specifically linked to schizophrenia.
Choice B rationale:
Osteoarthritis is a degenerative joint disease. It’s not a common comorbidity with schizophrenia.
Choice C rationale:
Alzheimer’s disease is a type of dementia. It’s not typically associated with schizophrenia.
Choice D rationale:
Diabetes mellitus is a common comorbidity with schizophrenia. Antipsychotic medications can increase the risk of developing type 2 diabetes.
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech.
Which of the following medications should the nurse anticipate the provider to prescribe?.
A. Mood stabilizer
A rationale: Mood stabilizers are used for bipolar disorder, not for symptoms like delusions and hallucinations.
B. Benzodiazepine.
B rationale: Benzodiazepines are used for anxiety and panic disorders. They don’t treat psychotic symptoms.
C. Dopamine antagonist.
C rationale: Dopamine antagonists, or antipsychotics, are the primary treatment for schizophrenia. They can reduce delusions and hallucinations.
D. Selective serotonin reuptake inhibitor.
D rationale: SSRIs are used for depression and some anxiety disorders. They don’t treat psychotic symptoms.
Full Explanation
Choice A rationale:
Mood stabilizers are used for bipolar disorder, not for symptoms like delusions and hallucinations.
Choice B rationale:
Benzodiazepines are used for anxiety and panic disorders. They don’t treat psychotic symptoms.
Choice C rationale:
Dopamine antagonists, or antipsychotics, are the primary treatment for schizophrenia. They can reduce delusions and hallucinations.
Choice D rationale:
SSRIs are used for depression and some anxiety disorders. They don’t treat psychotic symptoms.
A nurse is caring for a client who has been diagnosed with schizophrenia.
The client has been wearing the same clothes for the past week and appears unkept and unbathed.
Which of the following statements should the nurse make to the client?
A. "I'm going to ignore your lack of self-care because it is an aspect of the disorder.”.
A rationale: Ignoring the client’s lack of self-care is not therapeutic. It’s important to address hygiene issues with clients who have schizophrenia.
B. "This is it! You are getting a bath! There are three of us here to bathe you!".
B rationale: This approach is confrontational and does not respect the client’s autonomy or dignity.
C. "It is now time for you to bathe.
C rationale: This is the best choice because it respects the client’s autonomy and provides them with a choice, which can help motivate them to participate in self-care activities.
D. "Do you really think it is ok not to bathe? What is going on with you?".
D rationale: This statement is judgmental and confrontational, which is not therapeutic.
Full Explanation
Choice A rationale:
Ignoring the client’s lack of self-care is not therapeutic. It’s important to address hygiene issues with clients who have schizophrenia.
Choice B rationale:
This approach is confrontational and does not respect the client’s autonomy or dignity.
Choice C rationale:
This is the best choice because it respects the client’s autonomy and provides them with a choice, which can help motivate them to participate in self-care activities.
Choice D rationale:
This statement is judgmental and confrontational, which is not therapeutic.