NURS 275 Exam 4 Questions With Correct And Revised Answers
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Course
NUR 275
Institution
NUR 275
NURS 275 Exam 4 Questions With Correct
And Revised Answers
A nurse is assessing a client who experienced sexual assault. Which of the following findings
indicate the client is experiencing an emotional reaction of rape trauma syndrome? (Select all
that apply)
A. Genitourinary soreness
B. Diff...
NURS 275 Exam 4 Questions With Correct
And Revised Answers
A nurse is assessing a client who experienced sexual assault. Which of the following findings
indicate the client is experiencing an emotional reaction of rape trauma syndrome? (Select all
that apply)
A. Genitourinary soreness
B. Difficulties with low self esteem
C. Sleep disturbances
D. Emotional outbursts
E. Difficulty making decisions - answer✔✔D, E
A nurse is discussing the care of a client following a sexual assault with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an understanding of
teaching?
A. "I will administer prophylactic treatment for sexually transmitted infections, like chlamydia"
B. "I am not required to obtain informed consent before the sexual assault nurse examiner
collects forensic evidence" - answer✔✔A
A nurse is caring for a client who was recently sexually assaulted. The client sates, "I never
should have been out on the street alone at night." Which of the following responses should the
nurse make?
A. "Your actions had nothing to do with what happened"
B. "You should focus on recovery rather than blaming yourself for what happened"
C. "You believe this wouldn't have happened if you hadn't been out alone"
D. "Why do feel that you should not have been alone on the street at night?" - answer✔✔C
A community health nurse is leading a discussion about rape with a neighborhood task force.
Which of the following statements by a neighborhood citizen indicates an understanding of the
teaching?
A. "Rape is a crime of passion"
B. "Acquaintance rape often involves alcohol"
C. "Young adults are the typical victims o sexual assault"
D. "The majority of rapists are unknown to the victims" - answer✔✔B
Sertraline is a... - answer✔✔SSRI
FDA approved drug for PTSD - answer✔✔SSRIs
Adverse effects are headache, nausea, anxiety and dry mouth - answer✔✔SNRI
List three adverse reactions to an SSRI - answer✔✔1. Black box warning
2. SI
3. Insomnia
4. Decreased sex drive
5. Serotonin syndrome
6. Agitation
List three adverse reactions to an SNRI - answer✔✔1. Can't take when pregnant
2. Can't take with hepatic disease
3. Can't take with alcohol
4. No abrupt cessation
Assessment tool used to assess for PTSD in children - answer✔✔Child dissociative checklist
Trauma symptoms checklist for children
Children sexual behavior inventory combined with developmental assessment
List three symptoms of PTSD in children - answer✔✔Reduction in play
Self blame
Detachment
Estrangement
Mood changes
Sleep disturbances
Hyper-vigilance
Loss of concentration
The stage where children catch up on developmental and social skills - answer✔✔Stage 3
Most important treatment evaluation in children - answer✔✔Ensuring child is safe
Having these during the night could be a sign of PTSD - answer✔✔Nightmares
A screening tool used to help identify signs and symptoms of PTSD - answer✔✔Primary care
PTSD screen
PTSD checklist
Avoid talking about trauma, activities, people, places that bring up memories of the traumatic
event - answer✔✔Avoidance
Elevated state of constantly assessing potential threats around you - answer✔✔Hypervigilance
Dissociative experiences - answer✔✔Flashbacks
Describe the kind of care nurses should use when caring for a client who experienced trauma -
answer✔✔Trauma informed care
List three frequent places nurses will use trauma informed care - answer✔✔Homeless shelters
Inpatient mental health facilities
Child welfare practice
Primary health care settings
Emergency departments
List three coping strategies nurses can do to help combat PTSD - answer✔✔Number of support
system
Stress relief activities
Coworker relationships
List three reactions of nurses' reaction to stress - answer✔✔Burnout
Compassion fatigue
Compassion satisfaction
List three reasons why nurses are exposed to traumatic events - answer✔✔Years in nursing
Years in current role
Percent direct patient care
Hours per shift
Hours per week
This stage stops self destructive behavior - answer✔✔Stage 1
This stage the client will start finding comfort in others - answer✔✔Stage 2
This stage the client will improve attention and decrease dissociation of event - answer✔✔Stage
2
This stage the nurse will need to educate the client about trauma and its negative effects -
answer✔✔Stage 1
This stage the client will undergo social skills training - answer✔✔Stage 3
A nurse working on an acute mental health unit is caring for a client who has PTSD. Which of
the following findings should the nurse expect? (Select all that apply)
A. Difficulty concentrating on tasks
B. Obsessive need to talk about the traumatic event
C. Negative self image
D. Recurring nightmares
E. Diminished reflexes - answer✔✔A, C, D
A nurse is involved in a serious and prolonged mass casualty incident in the ED. Which of the
following strategies should the nurse use to help prevent developing a trauma related disorder?
(Select all that apply)
A. Avoid thinking about the incident when it is over
B. Take breaks during the incident for food and water
C. Debrief with others following the incident
D. Avoid displays of emotion in the days following the incident
E. Take advantage of offered counseling - answer✔✔B, C, E
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