ch 22

Which is the most prevalent type of substance use problem among male and female veterans? A. Binge drinking B. Overuse of prescription drugs C. Marijuana use D. Use of smokeless tobacco

A

Which statements about veteran suicide are accurate? (Select all that apply.) a. Veteran suicides most likely occur from prescription drug overdose. B. An average of 50 veterans each day die by suicide. C. The suicide rate of veterans is higher than that of the general population. D. The majority of veterans who die from suicide are age 50 or older. E. The age group that has the highest suicide rate among female veterans is age 18 to 29 years old. F. The age group that has the highest suicide rate among male veterans is age over age 50.

C,D,E

Which best describes the role of the suicide prevention coordinator (SPC) at the VHA center? A. Serve as a hotline responder for the National Veterans Crisis Line B. Create a suicide prevention safety plan for the client C. Provide counseling for suicidal veterans D. Assist veterans to access timely mental health care

D

Which is the largest branch of the U.S. military? A. Navy B. Marine Corps C. Coast Guard D. Army

D

Which statement about military sexual trauma (MST) is accurate? A. MST is more common among male veterans. B. The majority of women who report MST state the perpetrator was an intimate partner. C. An Army veteran is at greatest risk to report MST. D. Insomnia is more severe among veterans who report a history of MST.

D

Which veteran is most likely to experience homelessness? A. A 40-year-old single female B. A recently divorced 25-year-old male C. A recently divorced 30-year-old female D. A 35-year-old single male

D

A client is describing the time period that he served in the National Guard. Which statement would he be most likely to make? A. "I completed monthly drills and 2-week annual trainings." B. "I achieved the rank of officer and was promoted to the U.S. Army." C. "I served overseas based on decisions made by the federal government." D. "I selected Japan as my destination for my overseas tour of duty."

A

A clinic nurse is completing a patient intake interview with a noncommissioned veteran who has recently transitioned to civilian life. Which would be the most appropriate for the nurse to ask to assess how the veteran is transitioning from military to civilian life? A. Have you been able to use your military experience to find a civilian job? B. Have you been able to find a leadership position in a local company? C. What hobbies have you been able to enjoy since leaving the military? D. What support have you recently received from the Veterans Benefits Administration?

A

A nurse is caring for a veteran who served in Vietnam. Which exposure is the client most likely to report? A. Agent Orange B. Chromium C. Mustard gas D. Burn pits

A

A nurse is interviewing a client to determine if she is eligible for VA benefits. Which question would assist the nurse in determining the requirement of service? A. "Did you serve active duty for 24 consecutive months?" B. "Which branch of the military service did you serve?" C. "Were you dishonorably discharged?" D. "How long has it been since you left the military?

A

A spouse of a veteran inquires as to if he will qualify for the Civilian Health and Medical Program of the Department of Veteran's Affairs (CHAMPVA). Which describes what criteria will need to be met? (Select all that apply.) A. The veteran has been rated permanently and totally disabled for a service-connected disability by a VA regional office B. The spouse is a survivor of a veteran who died from a VA-rated service-connected disability C. The veteran has been diagnosed with PTSD by a VA regional office D. The spouse is a survivor of a veteran who died in the line of duty E. The spouse has been diagnosed with a terminal illness F. The veteran has been diagnosed with a terminal illness

A, B, D

Which best describes the military culture? (Select all that apply.) A. A strong sense of service B. Altruism C. Egalitarianism D. A hierarchal class system E. Problem-focused actions F. Solutions-focused actions

A,D,F

A veteran has recently been diagnosed with posttraumatic stress disorder (PTSD). Which information obtained from the client during a health history would align with this diagnosis? A. The client reports that he has a history of hypertension and hyperlipidemia. B. The client states that he served as a sniper during the Gulf War. C. The client states that he was stationed in Japan. D. The client reports that his wife has a substance abuse problem.

B

A veteran is receiving veteran's health care benefits. Which department directly coordinates these benefits? A. Veterans Benefits Administration (VBA) B. Veterans Health Administration (VHA) C. U.S. Department of Veterans Affairs (VA) D. Civilian Health and Medical Program of the Department of Veteran's Affairs

B

A nurse is assessing a female veteran for military sexual trauma (MST). Which would be the most appropriate question for the nurse to ask? a. During your military service, were you ever raped? B. Did anyone ever use force or threat of force to have sexual contact with you against your will? C. Can you describe any incidents of sexual harassment that you have been involved in? D. How long did you serve in the military?

B

A veteran has been diagnosed with chronic multisymptom illness. Which would most likely be part of the client's health history? A. History of active duty service during the Vietnam War B. Unexplained cognitive dysfunction C. History of severe hypertension D. Frequent episodes of dysuria

B

Which person meets the legal definition of a veteran? A. A 32-year-old male who has been dishonorably discharged from the Army B. A 50-year-old female who retired from the Navy C. A 65-year-old male who served in the National Guard D. A 22-year-old female who is currently serving in the Air Force

B

A veteran has been diagnosed with a mild traumatic brain injury (mTBI). Which symptoms would most likely be reported to the nurse? (Select all that apply.) A. Diarrhea B. Headaches C. Appetite loss D. Dizziness E. Increased thirst F. Memory problems

B,D,F

A veteran reports to the nurse that she believes that she may be suffering from PTSD. Which would the nurse anticipate the client experiencing during the past month? (Select all that apply.) A. Restless leg syndrome B. Difficulty sleeping C. Death of a parent D. Heightened awareness of her surroundings E. Negative feelings about oneself F. Avoiding communication with others from her troop

B,E,F

A nurse is caring for a veteran who has suffered a polytraumatic injury. Which would be the primary consideration for the nurse when working with this client? a. Use of an assistive device for ambulation may be necessary. B. Diagnosis of posttraumatic stress disorder will be likely. C. Physical and cognitive abilities to complete ADLs independently may be lacking. D. A psychiatric referral will be needed.

C

A veteran is receiving treatment for posttraumatic stress disorder (PTSD). As part of the therapy, the veteran identifies negative thoughts and emotions while focusing on specific sounds and movements. Which trauma-focused therapy is the client receiving? A. Cognitive processing therapy B. Prolonged exposure therapy C. Eye movement desensitization and reprocessing D. Cognitive behavioral therapy

C

A veteran tells the nurse that he hates the VA health insurance program and wishes that he would be allowed to see the local doctor instead of traveling to the VA clinic. Which statement would be most appropriate to be made by the nurse? A. "I will check to see if your local doctor can be added to the list of approved providers." B. "Yes, you pay premiums for this health insurance and should be able to have a choose what providers you see." C. "The VA does not provide health insurance, rather this is a benefit that you receive for compensation for your service to our country." D, "The VA provides different benefit plans. Let me see if the local doctor is a provider on a different benefit plan."

C

A client reports hearing loss and tinnitus following military duty in the Gulf War. Which term would best describe this client's injury? A. Posttraumatic stress disorder B. Polytrauma C. Traumatic brain injury D. Service-connected disability

D

A veteran has been diagnosed with an immersion foot injury. Which finding should the nurse anticipate when completing an assessment on the client? A. A foot that is deformed B. A foot that is unable to tolerate immersion in water C. A foot that the client is unable to bear weight on D. A foot that has occasional numbness

D

A veteran has received special training to provide recovery-oriented support to other veterans within the VHA health system. Which role will the veteran most likely fulfill? A. Peer counselor B. Suicide hotline responder C. Suicide prevention coordinator D. Peer support specialist

D