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NURS 275 EXAM 4 QUESTIONS WITH VERIFIED ANSWERS
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NURS 275 EXAM 4 QUESTIONS WITHVERIFIED ANSWERS
A nurse is assessing a client who experienced sexual assault. Which of the
following findings indicate the client is experiencing an emotional reaction to 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 neighbourhood
task force. Which of the following statements by a neighbourhood 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's 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 the 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
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