H.C. Seminar Questions

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A patient is diagnosed with breast cancer and is upset about the diagnosis. Which question would the nurse ask to assess the coping skill of the patient? Select all that apply. One, some, or all responses may be correct. 1. What is bothering you most right now?" 2. "Have you started drinking and smoking?" 3. "Has your caffeine intake increased?" 4. "What is your monthly income?" 5. "How far is the health care clinic from your house?"

1, 2, 3

Which stage encompasses general adaptation syndrome (GAS)? Select all that apply. One, some, or all responses may be correct. 1. Alarm reaction 2. Resistance 3.Appraisal 4. Crisis 5. Exhaustion

1, 2, 5

The nurse is interviewing a patient in the community clinic and gathers the following information about her: she is intermittently homeless, a single parent with two children who have developmental delays. She has had asthma since she was a teenager. She does not laugh or smile, does not volunteer any information, and at times appears close to tears. She has no support system and does not work. She is experiencing an allostatic load. As a result, which of the following would be present during complete patient assessment? (Select all that apply.) 1. Post-traumatic stress disorder 2. Rising hormone levels 3. Chronic illness 4. Insomnia 5. Depression

3, 4, 5

The nurse is evaluating how well a patient newly diagnosed with multiple sclerosis and psychomotor impairment is coping. Which statements indicate that the patient is beginning to cope with the diagnosis? (Select all that apply.) 1."I'm going to learn to drive a car, so I can be more independent." 2. "My sister says she feels better when she goes shopping, so I'll go shopping." 3. "I'm going to let the occupational therapist assess my home to improve efficiency." 4. "I've always felt better when I go for a long walk. I'll do that when I get home." 5. "I'm going to attend a support group to learn more about multiple sclerosis."

3, 5

A client is trying to prevent complications of menopause such as osteoporosis and cardiovascular problems. Which intervention should the nurse suggest as most​ beneficial?​ A. Weight-bearing exercise reduces the rate of bone loss and reduces cardiovascular risk. B. Take 900 mg of calcium daily to prevent osteoporosis. C. Black cohosh can reduce cardiovascular risk during menopause. D. Hormone replacement therapy is essential for avoiding the complications of menopause.

A

A female client who is at high risk for suicide needs close supervision. To best ensure the client's safety the nurse should: A. check the client frequently at irregular intervals throughout the night. B. Assure the client that the nurse will hold in confidence anything the client says. C. Repeatedly discuss previous suicide attempts with the client. D. Disregard decreased communication by the client because this is common with suicidal clients.

A

A nurse is caring for a client with delirium or cognitive impairment. Which nursing intervention has the highest priority? A. Providing a safe environment B. Offering recreational activities C. Providing a structured environment D. Instituting measures to promote sleep

A

A nurse is teaching psychosocial development to a group of adolescents. The nurse expects teens in which stage of adolescence to be most able to recognize STDs and pregnancy as risks of unprotected sex? a. Late adolescence. b. Preadolescence. c. Middle adolescence. d. Early adolescence.

A

A patient with a history of asthma is admitted to the hospital in acute respiratory distress. During assessment of the patient, the nurse would notify the health care provider immediately about a. a pulse oximetry reading of 90%. b. a peak expiratory flow rate of 240 ml/min. c. decreased breath sounds and wheezing. d. a respiratory rate of 26 breaths/min.

A

Mr. Walters states that he feels anxious when he has to go to school because of possible problems that might arise. He said that one day he decided not to go. What stage (General Adaptation Syndrome) was he in? a. Alarm stage b. Exhaustion stage c. Resistance stage d. Mild anxiety stage

A

The nurse has received the ABGs back for her newborn patient. The pH is 7.09, pCO2 is 53, and HCO3 is 24. What does this indicate? a. Respiratory acidosis b. Metabolic Alkalosis c. Respiratory Alkalosis d. Metabolic acidosis

A

The nurse is counseling a couple who has sought information about conceiving. The couple asks the nurse to explain when ovulation usually occurs. Which statement by the nurse is correct? A. Two weeks before menstruation B. Immediately after menstruation C. Immediately before menstruation D. Three weeks before menstruation

A

What is the role of the brain in producing the fight-or-flight stress response? Select all the apply. A. The medulla oblongata increases the heart rate B. Blood flow is increased by the medulla oblongata. C. The hypothalamus is stimulated via the limbic area. D. The reticular formation coordinates the brain's sensory and motor tracks. E. Adrenocorticotropic hormone production is increased in the hypothalamus.

A B C D

A nurse is planning a prenatal program for a group of adolescents. Which teaching techniques will be most appropriate for this age group? Select all that apply. a. Include infant growth and development content. b. Use a variety of teaching methods. c. Assign teaching content to the students. d. Hold separate academic classes for pregnant teens.

A and B

Select all the functions of the luteinizing hormone: A. Forming the corpus luteum B. Thickening the endometrium layer for implantation C. Breaking down the wall of the graafian follicle to allow for release of the ovum D. Thinning cervical mucous

A and C

Which of the following statements regarding taking his Diazepam medication from Walter indicates that learning has occurred? Select all that apply. a. "I will be taking my medication in the morning after breakfast." b. "Today, I felt a little tired when taking my diazepam, so I'll take half of my pill tomorrow." c. "Diazepam will relieve the brain's overactivity that is considered abnormal." d. "I don't really have to call my doctor or nurse if I have questions about diazepam, I'll just look it up."

A and C

A client is informed of the need for surgery to correct a potentially lifethreatening problem. Afterward, the nurse determines that the client is experiencing physiological indicators of stress. What did the nurse assess to make this determination? Select all that apply. A. Dilated pupils B. Diaphoretic C. Tachycardia D. Flaccid muscle tone E. Excessive oral secretions

A, B, C

A client reports a series of stressful events. They also report that they feel very hopeless and​ empty, are having difficulty solving even minor​ problems, and are fantasizing about what it would be like if all of these things had not happened. Which of these indicators of stress should be considered psychologic​ indicators? (Select all that​ apply.) a. Feeling empty b. Helplessness c. Hopelessness d. Difficulty solving minor problems e. Fantasizing

A, B, C

A nurse is evaluating the background of four teenagers. Which statements by the teens should the nurse recognize as psychosocial factors contributing to the risk of pregnancy for these teens? Select all that apply. a. "I just want someone to love me." b. "I'd leave my boyfriend, but I'm afraid of what he might do." c. "I have a hard time feeling good about myself." d. "I want a prescription for oral contraceptives."

A, B, C

A nurse should identify fluoxetine (Prozac) as the drug of choice for which of the following conditions? (Select all that apply.) A. Major depressive disorder B. Bingeing and purging with a diagnosis of bulimia nervosa C. Panic disorder D. Amenorrhea with a diagnosis of anorexia nervosa E. Chronic pain disorders

A, B, C

The nurse is assessing a client who has chronic bronchitis. Which symptom should the nurse expect to find? (Select all that apply.) A. Distended neck veins B. Cough with sputum production C. Wheezing D. Diminished breath sounds E. Barrel chest

A, B, C

Which early signs of respiratory acidosis would the nurse expect the client with a restrictive airway disease to exhibit? Select all that apply. A. Headache B. Irritability C. Restlessness D. Hypertension E. Lightheadedness

A, B, C

What adverse effects can first generation antidepressants produce? A. Sexual Dysfunction B. Headaches C. Dry mouth D. Decreased appetite E. Blurred Vision

A, B, C (Look up just in case)

A nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which of the following are functions of the amniotic fluid? SELECT ALL THAT APPLY) A. Allows for fetal movement B. Is a measure of kidney function C. Surrounds, cushions, and protects the fetus D. Maintains the body temperature of the fetus E. Prevents large particles such as bacteria from passing to the fetus F. Provides an exchange of nutrients and waste products between the mother and fetus

A, B, C, D

Which of the following are clinical manifestations of Respiratory Distress Syndrome? (Select all that apply) a. Audible expiratory grunts b. Nasal Flaring c. Retractions d. Tachypnea e. Cyanosis

A, B, C, D, E

A client has just been admitted to the psychiatric unit with a diagnosis of major depressive disorder. Which of the following behavioral manifestations might the nurse expect to assess? (Select ALL that apply) A. Slumped posture B. Delusional thinking C. Feelings of despair D. Feels best early in the morning and worse as the day progresses E. Anorexia

A, B, C, E

A client is prescribed phenelzine (Nardil). Which of the following client statements should indicate to a nurse that discharge teaching about this medication has been successful? (Select all that apply.) A. "I'll have to let my surgeon know about this medication before I have my cholecystectomy." B. "Guess I will have to give up my glass of red wine with dinner." C. "I'll have to be very careful about reading food and medication labels." D. "I'm going to miss my caffeinated coffee in the morning." E. "I'll be sure not to stop this medication abruptly."

A, B, C, E

During the nurse's assessment of a client who has been diagnosed with bulimia nervosa, the nurse evaluates certain assessment findings that accompany binge eating. Which are most applicable? Select all that apply. A. Guilt B. Dental caries/cavities C. Self-induced vomiting D. Weight loss E. Normal weight F. Introverted behavior

A, B, C, E

The nurse identifies the diagnosis Risk for Impaired Gas Exchange to guide the care of a client with metabolic alkalosis. What did the nurse assess to support this diagnosis? Select all that apply. A. Respiratory rate 8 per minute B. Oxygen saturation 89% C. Urine output 25 mL/hr D. Restlessness and agitation E. Weight loss of 3 kg overnight

A, B, D

The nurse is preparing to assess a clients stress and coping patterns. What will be included in this assessment? A. Clients perception of stressors B. Manifestations of stress C. Employment status D. Coping strategies E. Weight changes

A, B, D

You're providing discharge teaching to a patient who was admitted with asthma. You discussed the early warning signs of an asthma attack and ask the patient to list some of them. Select all the correct early warning signs verbalized by the patient: A. Easily fatigued with physical activity B. Reduced peak flow meter reading C. Chest retractions D. Cyanosis E. Wheezing with activity F. Nighttime coughing G. No relief with short-acting bronchodilator inhaler

A, B, E, F

A nurse has been caring for a client diagnosed with generalized anxiety disorder (GAD). Which of the following nursing interventions would address this client's symptoms? (Select all that apply.) A. Encourage the client to recognize the signs of escalating anxiety. B. Encourage the client to avoid any situation that causes stress. C. Encourage the client to employ newly learned relaxation techniques. D. Encourage the client to cognitively reframe thoughts about situations that generate anxiety. E. Encourage the client to avoid caffeinated products.

A, C, D

A patient is in the emergency department receiving albuterol via nebulizer. which of the following symptoms will the healthcare provider suspect are adverse effects of the albuterol? Select all that apply. A. Palpitations b. Urinary urgency c. tachycardia d. chest pain e. hypotension

A, C, D

What are some nursing care management/interventions to help with Respiratory distress syndrome? (Select all that apply) a. Monitor oxygen concentration b. No need to suction at all c. Position the infant on the side with head supported by small folded blanket d. Oral hygiene

A, C, D

Which are considered abnormal findings in a newborn who is less than 12 hours old? (Select all that apply) a. Grunting upon respirations b. Presence of vernix cenosa c. Heart rate of 195 bpm d. Yellow discoloration of sclera and body

A, C, D

A client asks about the symptoms of menopause during a wellness visit. Which vasomotor manifestation of menopause should the nurse​ describe? (Select all that​ apply.) A. Night sweats B. Decreased body hair C. Hot flashes D. Dizziness E. Palpitations

A, C, D, E

The nurse is conducting a mental status interview with a new client. Which question is useful as part of the assessment process? (Select all that apply.) A. "What is your name?" B. "Do you enjoy exercising?" C. "What day of the week is today?" D. "Where did you go to high school?" E. "Can you count by fives from 0 to 100?"

A, C, D, E

The nurse is preparing a presentation for residents at a local senior housing facility to discuss strategies for decreasing cognitive decline. Which strategy should the nurse include in the presentation? (Select all that apply.) A. Exercising regularly B. Watching television C. Maintaining social networks and supports D. Participating in activities that use mental skills E. Using mnemonic strategies such as word association to learn new information

A, C, D, E

The client comes to the hospital assuming she is in labor. Which assessment finding(s) by the nurse would indicate that the client is in true labor? (Select all that apply.) A. Pain in the lower back that radiates to abdomen B. Contractions decreased in frequency with ambulation C. Progressive cervical dilation and effacement D. Discomfort localized in the abdomen E. Regular and rhythmic painful contractions

A, C, E

Which finding(s) is (are) of most concern to the nurse when caring for a woman in the first trimester of pregnancy? (Select all that apply.) A. Cramping with bright red spotting B. Extreme tenderness of the breast C. Lack of tenderness of the breast D. Increased amounts of discharge E. Increased right-side flank pain

A, C, E

Which finding(s) is (are) of most concern to the nurse when caring for a woman in the first trimester of pregnancy? (Select all that apply.) A. Cramping with bright red spotting B. Extreme tenderness of the breast C. Lack of tenderness of the breast D. Increased amounts of discharge E. Increased right-side flank pain

A, C, E

A nurse is admitting a new client who was recently diagnosed with dementia. Which medication order should the nurse anticipate? A. An atypical antipsychotic B. An acetylcholinesterase inhibitor C. A conventional antipsychotic D. An anxiolytic

B

Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for signs and symptoms of which of the following? A) Anemia. B) Hypertension. C) Dysmenorrhea. D) Acne vulgaris.

B

Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. She wears layered, loose clothing and now has amenorrhea. Her current weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely? A. Binge eating disorder B. Anorexia nervosa C. Bulimia nervosa D. Pica

B

The nurse is checking the respirations of a newborn who was just delivered. Which of the following respiratory rates is considered normal for a newborn child? a. RR of 20 breaths/min b. RR of 45 breaths/min c. RR of 62 breaths/min d. RR of 78 breaths/min

B

To help a 53-year-old woman make a decision about the use of combined estrogen-progesterone hormone replacement therapy (HRT) to control the effects of menopause, the nurse explains that A. the use of estrogen-containing vaginal creams provides most of the same benefits as oral HRT. B. HRT decreases osteoporosis risk, but it increases the risk for cardiovascular disease and breast cancer. C. most perimenopausal women use HRT for 5 to 10 years to prevent hot flashes and mood changes. D. an increased incidence of colon cancer in women taking HRT requires frequent stool assessment for occult blood.

B

What is the rationale for a nurse to perform a full physical health assessment on a client admitted with a diagnosis of major depressive disorder? A. The attention during the assessment is beneficial in decreasing social isolation. B. Depression can generate somatic symptoms that can mask actual physical disorders. C. Physical health complications are likely to arise from antidepressant therapy. D. Depressed clients avoid addressing physical health and ignore medical problems.

B

Which complication would the nurse prevent by addressing the needs of a hyperventilating client? A. Cardiac Arrest B. Carbonic Acid Deficit C. Reduction in serum pH D. Excess oxygen saturation

B

Which nursing intervention is appropriate when caring for clients diagnosed with either anorexia nervosa or bulimia nervosa? A. Provide privacy during meals. B. Remain with the client for at least 1 hour after the meal. C. Encourage the client to keep a journal to document types of food consumed. D. Restrict client privileges when provided food is not completely consumed.

B

A patient has exercise-induced asthma. Which of the following actions can the patient perform to help prevent an attack during exercise. Select all that apply: a. Avoid warming up before exercise b. Administer a short-acting beta agonist before exercise c. Administer a short -acting beta agonist after exercise d. avoid exercising when experiencing a respiratory illness

B and D

A patient is diagnosed with an anxiety disorder. Which of the following are appropriate nursing interventions? Select all that apply. a. Offer the patient a large cup of iced coffee. b. Encourage the patient to try breathing exercises c. Teach the patient that it's best to ignore signs of anxiety d. Establish a trusting relationship

B and D

Nurses should evaluate family response to teen pregnancy. Which of the following psychosocial factors should be included in the nursing assessment of the family because of their potential influence on family response to teen pregnancy? Select all that apply. a. Birth setting. b. Cultural and religious beliefs. c. Nutritional status. d. Educational and career level.

B and D

Which assessment question asked by the nurse demonstrates an understanding of comorbid mental health conditions associated with major depressive disorder? Select all that apply. A. "Do rules apply to you?" B. "What do you do to manage anxiety?" C. "Do you have a history of disordered eating?" D. "Do you think that you drink too much?" E. "Have you ever been arrested for committing a crime?"

B, C, D

The nurse is assessing a client experiencing menopause. Which findings should the nurse expect in this​ client? (Select all that​ apply.) A. Cold intolerance B. Vaginal dryness C. Hot flashes D. Headaches E. Thinning hair

B, C, D, E

The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about the benefits of an exercise regimen. Which information should the nurse include? (Select all that apply.) A. Inhale and exhale rapidly to maintain oxygenation while exercising. B. Regular exercise improves exercise tolerance and muscle strength. C. Exercise can prevent the condition from worsening. D. An exercise regimen can improve the ability to perform activities of daily living (ADLs). E. Dyspnea and fatigue may improve with exercise.

B, C, D, E

The nurse is explaining the symptoms of dementia to a military family member who has not seen his mother in 15 months. Which characteristics of dementia of the Alzheimer's type would the nurse address in her teaching session? Select all that apply. A. Experiences an impending sense of doom B. Forgets that food is cooking on the stove C. Becomes lost walking on her own street D. Unable to write and to sign her name E. Begins to fear using public transportation F. Unable to understand new information

B, C, D, F

A nurse is teaching a client about chronic obstructive pulmonary disease (COPD). Which information should the nurse include? (Select all that apply.) A. After a flare-up, the lung tissue returns to normal. B. COPD exacerbations cause shortness of breath and increased sputum production. C. COPD is a curable disease. D. Intermittent flare-ups of the symptoms are expected. E. COPD is a respiratory disorder that has components of chronic bronchitis and emphysema.

B, D, E

A patient with type 2 diabetes is experiencing a lot of work-related stress and is fearful of losing his job. In addition, his wife is threatening divorce. His blood sugar is elevating, and his doctors want him to attend some stress-management classes. He says, "My blood sugar can't be high because of my work stress." What causes blood glucose to rise during stress? (Select all that apply.) A. Increases in antidiuretic hormone (ADH) B. Increases in cortisol C. Increases in aldosterone D. Increases in adrenocorticotropic hormone (ACTH) E. Increases in epinephrine

B, D, E

After dealing with a variety of physical stressors, a client is entering the stage of exhaustion. The nurse should recognize that the end of this stage will depend upon which factors? Select all that apply. A. Release of hormones B. severity of the stressor C. Reversal of body changes D. External resources provided E. Energy resources of the client

B, D, E

A client is admitted with manifestations of metabolic alkalosis. Which diagnostic test findings should the nurse suspect will confirm this diagnosis? Select all that apply. A. Serum glucose level 142 mg/dL B. Blood pH 7.47 and bicarbonate 34 mEq/L C. Intravenous pyelogram shows kidney stones D. Bilateral lower lobe infiltrates noted on chest x-ray E. Electrocardiogram changes consistent with hypokalemia

B, E

Your patient who is 34 weeks pregnant is diagnosed with total placenta previa. The patient is A positive. What nursing interventions below will you include in the patient's care? Select all that apply: A. Routine vaginal examinations B. Monitoring vital signs C. Administer RhoGAM per MD order D. Assess internal fetal monitoring E. Placing patient on side-lying position F. Monitoring pad count G. Monitoring CBC and clotting levels

B, E, F, G

A patient tells you her last menstrual period was September 10th, 2014. According to the Nagele's rule when is her expected due date? A. May 17, 2015 B. June 10, 2014 C. June 17, 2015 D. June 10, 2015

C

A woman goes in for her yearly checkup. She complains to her doctor she has been unable to sleep lately. She has also been suffering from diarrhea, nausea, and heart palpitations. As she is describing her symptoms the doctor realizes she is trembling and seems disoriented. What level of severity of anxiety is this patient experiencing? A. Mild B. Moderate C. Severe D. Panic

C

All of the following are symptoms of a patient being in the panic stage of anxiety except: a. Not being able to concentrate b. Emotional dysregulation c. An increase in awareness and learning d. Impaired functioning

C

The nurse asks a client what strategies he uses to cope with stress. The client does not respond. What should the nurse do? A. Document that the client has no stress. B. Move on with the assessment. C. Ask the client whether crying occurs. D. Suggest that the client use humor or exercise. E. Question the use of anger.

C

The nurse identifies the nursing diagnosis of activity intolerance for a patient with asthma. A common etiologic factor for this nursing diagnosis in patients with asthma is a. anxiety about dyspnea. b. side effects of medications. c. work of breathing. d. fear of suffocation.

C

The nurse is teaching care of the newborn to a childbirth preparation class and describes the need for administering antibiotic ointment into the eyes of the newborn. An expectant father asks, "What type of disease causes infections in babies that can be prevented by using this ointment?" Which response by the nurse is accurate? A. Herpes B. Trichomonas C. Gonorrhea D. Syphilis

C

Which of the following nursing statements made to a 17-year-old pregnant client at the initial prenatal visit would be most effective in developing a trusting nurse-client relationship? a. "Tell me what caused you to get pregnant while still in high school." b. "We don't have room in the exam room for your mother. I'm sure you'll do fine." c. "Since this is your first pelvic exam, I'd like to explain what will be happening." d. "We'll have to weigh you each time so we'll know if you've been eating correctly."

C

A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu (social environment) provide? (Select all that apply.) A. Flexible mealtimes B. Unscheduled weight checks C. Adherence to a selected menu D. Observation during and after meals E. Monitoring during bathroom trips F. Privileges correlated with emotional expression

C, D, E

The nurse is evaluating the coping success of a patient experiencing stress from being newly diagnosed with multiple sclerosis and psychomotor impairment. Which of the following statements indicate that the patient is beginning to cope with the diagnosis? (Select all that apply.) A. "I'm going to learn to drive a car so I can be more independent." B. "My sister says she feels better when she goes shopping, so I'll go shopping." C. "I'm going to let the occupational therapist assess my home to improve efficiency." D. "I've always felt better when I go for a long walk. I'll do that when I get home." E. "I'm going to attend a support group to learn more about multiple sclerosis."

C, E

A client diagnosed with acquired immunodeficiency syndrome (AIDS) states, 'I'm not worried because they have a cure for AIDS.' Which response would the nurse use? a. 'Repeated phlebotomies may be able to rid you of the virus.' b. 'You may be cured of AIDS after prolonged pharmacological therapy.' c.'Perhaps you should have worn condoms to prevent contracting the virus.' d.'There is no cure for AIDS, but there are medications that can slow down the virus.'

D

The arterial blood gases for a client with acute respiratory distress are pH 7.30, PaO2 80 mm Hg (10.64 kPa), PaCO2 55 mm Hg (7.32 kPa), and HCO3 23 mEq/L (23 mmol/L). How would the nurse interpret these findings? A. Hypoxemia B. Hypocapnia C. Compensated metabolic acidosis D. Uncompensated respiratory acidosis

D

The nurse identifies that a client has not met the expected outcome established for the nursing diagnosis Ineffective Individual Coping. What should the nurse do first? A. Revise the nursing diagnosis. B. Reassess the patient, looking for previously unknown stressors. C. Rewrite the interventions used to address the problem. D. Explore reasons why the outcome was not achieved

D

The nurse is caring for a critically ill child. While the nurse is preparing to administer a treatment to the child, the child's mother becomes distraught and begins to cry loudly while stroking the child's face. What is the nurse's best response to this occurrence? A. Tell the mother that she needs to control herself for the benefit of her child. B. Distract the mother by having her straighten the linens on the bed. C. Explain the procedure that will occur with the treatment. D. Take the mother out of the room and comfort her.

D

The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about the purpose of using a bronchodilator. Which explanation should the nurse include? A. Strengthens the bronchial muscle contraction B. Has long duration of affect C. Exhibits anti-inflammatory properties D. Improves airflow and reduces air trapping

D

Which of the following are typical side effects of diazepam? a. Bloody nose b. Ear infection c. Numbness d. Sleepiness

D

Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder? a. "I'm so restless. I can't seem to sit still." b. "I spend most of my time studying. I have to get into a good college." c. "I'm obsessed with counting telephone poles as I drive by them." d. "I go to sleep around 11 p.m. but I'm always up by 3 a.m. and can't go back to sleep."

D

Nick, a construction worker, is on duty when a nearly completed wall suddenly falls, crushing a number of his co-workers. Although badly shaken initially, he seemed to be coping well. About 2 weeks after the tragedy, he begins to experience tremors, nightmares, and periods during which he feels numb or detached from his environment. He finds himself frequently thinking about the tragedy and feeling guilty that he was spared while many others died. Which statement about this situation is most accurate? A. Nick has acute stress disorder and will benefit from antianxiety medications. B. Nick is experiencing posttraumatic stress disorder (PTSD) and should be referred for outpatient treatment. C. Nick is experiencing anxiety and grief and should be monitored for PTSD symptoms. D. Nick is experiencing mild anxiety and a normal grief reaction; no intervention is needed.

c


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