Question

1. A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements? A "I check any room I enter because the enemy is still after me and could be hiding anywhere." B. "My child was born with a birth defect due to an exposure I had overseas." C "killed four enemy soldiers with my bare hands and saved my entire battalion D. "In my dreams, all I can see are the wounded reaching out and trying to grab me." Z. A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan? A Rotate assignment of daily caregivers. B. Provide an activity schedule that changes from day to day. C. Limit time for the client to perform activities D. Talk the client through tasks one step at a time. 3. A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors? A Isolate the client for a period of time. B. Confront the client about the senseless nature of the repetitive behaviors C. Plan the client's schedule to allow time for rituals. D. Set strict limits on the behaviors so that the client can conform to the unit rules and schedules. 4. A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take? frightenonia Dungor a clientu A. Assist the client to the correct room. B. Place the client in restraints. C. Reorient the client to time and place. D. Move the client to a room at the end of the hall.

Answer 1

1.PTSD can show symptoms like fear and anxiety in thinking, remembering ,or coming across the similar incidents. It can be self destructive ,insomnia and nightmares are common ,social  isolation ,painful thoughts ,etc.,

The checking is a form of paranoid behaviour, his childs birth defect is an occurrence, expressing the killing of enemies is an act of grandiosity, courageous. But getting dreams is peculiar sign of PTSD

Ans:D.In my dreams all I see is wounded reaching out and trying to grab me

2.Alzheimer is a progressive disease which makes patient have memory loss ,facing difficulty in daily routine activities, in a vonfudion.These type of patients care should be always systematic and same routine to be followed daily.Patient to be taught one after one for better understanding

Ans:D.Take the client through tasks one at a time

3.OCD is a condition where patient do the same thing repeatedly in order to conform whether it is done or not.They exhibit a ritualistic behaviour like praying to fight the negative energy.Patient if left alone can self harm.Confronting can make patient aggressive and setting rules cannot be followed by these type of patients

Ans:C.Plan the client's schedule to allow time for rituals

4.This is a condition where patient forgets besides repeated remberance.The patient has to be shown the correct room,.Restrains are not allowed unless patients are very aggressive and may cause self or others injured .Moving the client to end of the room will not be the needed things because the client has to be directed to his bed.Reorientation of time and place can not be remembered by patient after a while

Ans:A.Assist the client to the correct room