Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing care to a client who has acute stress disorder.
Which of the following client statements is consistent with this disorder?.
A. "I was in a car crash 2 weeks ago and I have nightmares when I sleep.”.
A rationale: The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
B. "I was in a terrible car crash 2 years ago and I have been unable to drive a car since then.”.
B rationale: This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
C. "I was physically abused when I was a child and have frequent flashbacks since then.”.
C rationale: Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
D. "My parents fought a lot when I was a child.
D rationale: The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.
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:
The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
Choice B rationale:
This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
Choice C rationale:
Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
Choice D rationale:
The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.
Similar Questions
A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Day 1 1030: Vital Signs.
A 35-year-old client who has schizophrenia is admitted.
Diagnosed 15 years ago.
Brought in by partner and states client has remained in room for the last several days and movements are delayed.
Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.
A. Blood pressure.
A rationale: Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
B. Lack of motivation.
B rationale: Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
C. Change in behavior.
C rationale: Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
D. Lack of energy.
D rationale: Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
E. Withdrawn.
E rationale: Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.
Full Explanation
Choice A rationale:
Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
Choice B rationale:
Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
Choice C rationale:
Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
Choice D rationale:
Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
Choice E rationale:
Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions.
A nurse is caring for a client who has schizophrenia.
Nurses' Notes.
Vital Signs.
Day 1 1030: Vital Signs.
Temperature 37°C (98.6° F). Heart rate 72/min.
Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.
A. Blood pressure.
A rationale: Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
B. Lack of motivation.
B rationale: Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
C. Change in behavior.
C rationale: Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
D. Lack of energy.
D rationale: Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
E. Withdrawn.
E rationale: Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions. .
Full Explanation
Choice A rationale:
Blood pressure is a vital sign and does not indicate negative symptoms of schizophrenia.
Choice B rationale:
Lack of motivation is a negative symptom of schizophrenia, characterized by a decrease in the ability to initiate purposeful activities.
Choice C rationale:
Change in behavior can be seen in many conditions and is not specific to negative symptoms of schizophrenia.
Choice D rationale:
Lack of energy, or anhedonia, is a negative symptom of schizophrenia, reflecting the diminished ability to experience pleasure.
Choice E rationale:
Being withdrawn or isolative is a negative symptom of schizophrenia, indicating a lack of interest in social interactions. .
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.
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.