ati mental hrealth

FLAG A nurse is providing care to a 4-year-old child who has recently been diagnosed with reactive attachment disorder. Which of the following statements by the nurse accurately describes this disorder?

"Reactive attachment disorder can occur when there is an absence of adequate caregiving, including the child going many hours without being held or touched as an infant."

FLAG A nurse is caring for a client following a suicide attempt. Which of the following statements by the nurse reflects a trauma-informed approach?

"This must be difficult. Can you tell me about what has happened to you?"

FLAG A nurse is preparing a teaching for high school students regarding trauma and interpersonal violence. Which of the following statements should the nurse plan to include in the teaching?

"Interpersonal violence includes physical, sexual, and emotional maltreatment, which are types of trauma."

FLAG A nurse has attended an in-service regarding nursing care for clients who have experienced trauma. Which of the following statements by the nurse represent an understanding of trauma?

"Trauma is a broad term that refers to a person's physical, psychological, or emotional response to an adverse event."

FLAG A nurse is providing care for an adolescent who sustained injuries in assault. Which of the following actions should the nurse take first?

Provide a safe, secure environment for the adolescent.

FLAG A nurse is developing education for a parenting class about adverse childhood events (ACEs). Which of the following statements should the nurse include in the education?

"Children who are exposed to repeated adverse childhood events are at an increased risk for developing physical and mental health issues."

FLAG A community health nurse observes an 8-month-old child being reunited with their parent after being found alone in an automobile. Which of the following responses should the nurse identify as an indication that the child might be experiencing poor attachment? (Select all that apply.)

The child continues to play with a toy when their parent steps into the room is correct. The child does not respond when held and embraced by the parent is correct The child cries when the nurse tries to give the child to the parent is correct

FLAG A nurse is assigned to triage clients following an explosion at an oil refinery. Which of the following symptoms are consistent with a trauma response involving the sympathetic nervous system? (Select all that apply.)

Increased heart rate is correct Shallow breathing is correct. Muscle tension is correct. Anxiety is correct

FLAG A nurse is providing care for a client who has posttraumatic stress disorder (PTSD). The client states, "I always have to watch my back!" Which of the following manifestations of PTSD is the client experiencing?

Hypervigilance

FLAG A nurse is working with a local crisis response team to evaluate students following a school shooting. After ensuring the safety of the students, which of the following trauma-informed approaches should the team take next?

Establish a supportive environment that facilitates trust and transparency.

FLAG A nurse is caring for a client who has depression, diabetic polyneuropathy, and significant neuropathic pain. The nurse hears an assistive personal say, "They are admitted frequently and always report being in pain. I think they are just a drug seeker." Which of the following responses should the nurse make?

"It is not appropriate to stereotype clients. It seems like you may have bias which could affect client care."

FLAG A nurse has attended an in-service education regarding trauma-informed care approach. Which of the following statements by the nurse reflects an accurate description for the goal of a trauma-informed approach?

"Nurses should understand the effects of trauma and structure client care to promote positive outcomes."

FLAG A nurse is caring for a client who was recently diagnosed with posttraumatic stress disorder (PTSD). The client asks, "What is the difference between acute stress disorder and PTSD?" Which of the following responses should the nurse make?

"PTSD is diagnosed if the symptoms persist for longer than 1 month."

A nurse overhears a coworker say, "I get that some people have a hard childhood, but eventually they need to get over it." Which of the following responses should the nurse make?

"People who experience adverse childhood events are changed biologically and genetically."

FLAG A nurse is analyzing assessment data for a group of clients. Which of the following clients is at greatest risk of developing posttraumatic stress disorder (PTSD)?

A 36-year-old client who has a maxillofacial fracture caused by their partner

FLAG A nurse is providing parenting education to a group of new parents at the area community center. Which of the following types of trauma prevention is the nurse providing?

Primary prevention

FLAG A nurse is working with an interdisciplinary disaster response team planning care for a coastal community following a category 5 hurricane. Place the following steps of disaster management in the correct order. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

After a disaster, those involved will require guidance and support to formulate a course of action that will meet physical and psychological needs. This begins with consideration of any challenges the individuals and the community are experiencing. Next, the nurse should complete a needs assessment of the individuals' ability to cope and function with the current situation and going forward. Once the needs assessment is completed, a list of resources should be determined and made available to the client and community. Finally, collaboration with the client and community in reviewing the impact of the disaster and creating of a plan for going forward after the disaster should be made.

FLAG A nurse is caring for a client who was brought to the emergency room following displacement from their home due to a flood. When assessing the client, which of the following clinical manifestations would the nurse anticipate are related to the experience of trauma? (Select all that apply.)

Anxiety is correct. Clinical manifestations such as anxiety are common in clients who have experienced a disaster such as a flood. Sleep disturbance is correct. Clinical manifestations such as sleep disturbances are common in clients who have experienced a disaster such as a flood. Anger is correct. Clinical manifestation of anger is common in persons who have experienced a traumatic event or disaster such as a flood. Depression is correct. Clinical manifestations of depression are common in clients who have experienced a traumatic event or disaster such as a flood.

FLAG A nurse is developing a plan of care for a 14-year-old client who has a history of child maltreatment. The staff have reported that any time an alarm occurs, the client is found sitting in a closet. Which of the following most accurately describes the client's response?

Fear conditioning

FLAG A nurse is preparing educational material for guardians on trauma prevention, and developing childhood resilience. Which of the following techniques should the nurse include? (Select all that apply.)

Foster a hopeful perspective of the future is correct. Fostering a hopeful perspective of the future allows the child the deal with the present situation and look forward to future events. Encourage development of thinking and learning is correct. Encouraging a child to continue to learn and think provides the opportunity for growth and cognitive development. Provide secure and supportive relationships and places is correct. Positive relationships and places ensure a sense of security and promote development of a resilient child.

FLAG A nurse is caring for a client who was diagnosed with adjustment disorder after losing their job 2 months ago. For which of the following manifestations should the nurse monitor the client?

Suicidal ideation

FLAG A nurse at a clinic is screening clients for trauma. The nurse should identify that which of the following factors increases a client's risk for developing a trauma-related disorder? (Select all that apply.)

The client has a history of physical abuse is correct. The nurse should identify those clients who have experienced physical abuse are at greater risk for developing a trauma-related disorder. The client belongs to a marginalized group is correct. The nurse should identify those clients who belong to a marginalized group and have experienced health disparity due to their race, religion, culture, or social group are at greater risk for developing a trauma-related disorder. The client was active military during the Iraq war is correct. Military personnel who have experienced combat are at greater risk for developing a trauma-related disorder.