Ch. 28 Military
What percentage of war veterans suffering from post-traumatic stress disorder (PTSD) were diagnosed with substance use disorder, according to the study of Brancu, Straits-Troster, and Kudler in 2011? 1. 22% 2. 10% 3. 30% 4. 20%
1
Which condition is considered the most common mental disorder among veterans who have served in military combat? 1. Post-traumatic stress disorder (PTSD) 2. Traumatic brain injury (TBI) 3. Depression 4. Suicide
1
Which is a severe symptom of a traumatic brain injury (TBI)? 1. Profound confusion 2. Nausea 3. Blurred vision 4. Changes in sleep patterns
1
Which is an ideal nursing intervention for interrupted family processes in cases of post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI)? 1. The nurse would assist the family in identifying situations that may lead to fear or anxiety. 2. The nurse would validate the family's feelings of anger, loneliness, fear, powerlessness, dysphoria, and distress when they are separated from their loved ones. 3. The nurse would encourage resuming involvement in usual activities. 4. The nurse would caution the client against spending too much time alone.
1
For how long does a client typically lose consciousness after sustaining a mild traumatic brain injury (TBI)? 1. 0 to 30 minutes 2. 30 to 60 minutes 3. Up to 24 hours 4. More than 24 hours
1
How might preschoolers behave in response to the deployment of a parent to combat? 1. Believe they are to blame for the parent leaving 2. Develop difficulty sleeping, exhibit temper tantrums, or become tearful 3. Lose weight, have no appetite, and become irritable and apathetic 4. May become regressed and fearful about parent's safety
1
. Women in the military constitute approximately how many of all personality disorder discharges? 1. Less than 15% 2. Around one-fourth 3. Less than 1% 4. Almost all
2
Which are possible fears a woman in the military may experience when considering whether to report incidents of sexual assault to their commanding officers? Select all that apply. 1. They may be removed from duty. 2. The commanding officer may not take action or acknowledge the incident occurred. 3. They may be passed over for promotions. 4. They may be transferred to a remote location. 5. Their commanding officers may make them feel they were perpetrators, not the victims, of the incidents.
1, 2, 3, 4, 5
Which complementary therapies are recommended for a war veteran with post-traumatic stress disorder (PTSD)? Select all that apply. 1. The veteran is hypnotized to get over pain and anxiety. 2. Acupuncture is used on the veteran as an adjunctive therapy. 3. The veteran accepts the help of a recreational therapist to participate in leisure activities. 4. The veteran improves communication skills with the help of a language pathologist. 5. The veteran learns relaxation techniques that help alleviate the symptoms associated with physiological hyperactivity.
1, 2, 5
Which are the most common causes of traumatic brain injury (TBI) in adolescents and young adults? 1. Falls 2. Associated subdural hematomas 3. Motor vehicle accidents 4. Child abuse
3
Which specialist is trained in the medical specialty of physical medicine and rehabilitation? 1. Occupational therapist 2. Physiatrist 3. Physical therapist 4. Neuropsychologist or psychiatrist
2
The nurse is caring for a client whose spouse has just been deployed. The client has been caring for their children without much help from others, and reports feeling overwhelmed and sad most days. The client also describes feeling lonely and abandoned by the deployed spouse. Which stage of the cycle of deployment is this client most likely experiencing? 1. Sustainment 2. Predeployment 3. Deployment 4. Postdeployment
3
Which act is defined as unwanted, unwelcome comments or physical contact of a sexual nature occurring in the military workplace? 1. Differential treatment and conditions 2. Sexual assault 3. Sexual harassment 4. Rape
3
Which drug has been shown to be effective in enhancing the cognitive function in a war veteran with traumatic brain injury (TBI)? 1. Alprazolam 2. Methylphenidate 3. Donepezil 4. Trazodone
3
Which is a reason that a female soldier who is a victim of sexual assault might not report the incident to her superior? 1. Relationship problems 2. Depression 3. Being transferred 4. Occupational discrimination
3
Which medication in psychopharmacology treats antipanic effects in cases of post-traumatic stress disorder (PTSD)? 1. Trazodone 2. Tricyclics amitriptyline 3. Benzodiazepines 4. Propranolol
3
Which outcome is evident when somatic symptoms and emotional distress occur in a caregiver as a response to caring for a client suffering from post-traumatic stress disorder (PTSD)? 1. Depression 2. Anxiety disorder 3. Vicarious traumatization 4. Relationship difficulties
3
A war veteran diagnosed with post-traumatic stress disorder (PTSD) has attempted suicide several times. Which interventions should the veteran's family members provide to the veteran? 1. The family would report to the physician any cognitive changes that become obvious. 2. Family members would ask directly if the client is thinking of acting on unhealthy or dangerous thoughts or feelings. 3. Family members would ensure that the environment is safe. 4. The nurse would make necessary referrals to self-help groups, clergy, and/or family therapy. 5. The family would monitor the medication regimen.
2, 3
Which are the primary causes of post-traumatic stress disorder (PTSD) in midlife for a veteran? Select all that apply. 1. Experiencing the death of a friend in war 2. Going through the process of divorce 3. Experiencing the death of a friend due to old age 4. Suffering from an accidental head injury 5. Watching his or her health deteriorate
2, 3, 5
A female officer reports to her superior that her male counterparts have treated her poorly. She often has felt isolated and feels that she has limited contact with male counterparts of similar ranks who she feels are her peers. Which can be understood from this scenario? 1. The officer has been the victim of sexual assault. 2. The officer has been the victim of sexual harassment. 3. The officer has been the victim of differential treatment and conditions. 4. The officer has suffered from a relationship problem.
3
The nurse finds a war veteran suffering from post-traumatic stress disorder (PTSD) to be extremely enraged. These rage reactions are accompanied by irritability and flashbacks from war. The nurse learns that the veteran has been an alcoholic for some time. Which risk can the nurse identify from this scenario? 1. Risk of developing disturbed thought processes 2. Risk of suicide 3. Risk of other-directed violence 4. Risk of injury
3
he nurse is caring for a client who suffers from post-traumatic stress disorder (PTSD) after serving abroad in a combat zone. While caring for the client, the client notes that he has had suicidal thoughts. Which nursing intervention is most appropriate for the nurse to implement with this client first? 1. Ask the client if he has a plan to carry out his suicidal thoughts. 2. Ask the client if he has thoughts about inflicting physical harm on other people. 3. Teach the client to incorporate deep breathing and meditation into his daily routine. 4. Carefully assess and report any cognitive changes in the client.
1
Which are the symptoms of post-traumatic stress disorder (PTSD)? Select all that apply. 1. Reexperiencing the trauma through flashbacks, nightmares, and intrusive thoughts 2. Hypervigilance and exaggerated startle response 3. Any period of loss of or a decreased level of consciousness 4. Intracranial lesions 5. Neurological deficits (such as loss of balance, change in vision, praxis, paresis, plegia, sensory loss, and aphasia) that may or may not be transient
1, 2
Which nursing interventions are best suited for war veterans who are at risk of suicide? Select all that apply. 1. Identify the seriousness of the threat, existence of a plan, and the lethality of the means. 2. Ensure the safety of the client's environment. 3. Evaluate the client's mental status, including the client's thought processes. 4. Monitor the client's medication regimen. 5. Assist the client in understanding how substance abuse delays healing.
1, 2
Which therapies come under psychosocial therapies during the treatment of post-traumatic stress disorder (PTSD)? Select all that apply. 1. Cognitive therapy 2. Prolonged exposure therapy 3. Acupuncture 4. Hypnosis 5. Eye movement desensitization and reprocessing (EMDR)
1, 2, 5
he nurse is caring for a client whose husband is on active military duty. The client's husband has just been deployed. Which defining characteristics may indicate the client is at risk of complicated grieving related to military deployment of the spouse? Select all that apply. 1. Depression 2. Rebelliousness 3. Fear 4. Guilt and self-blame 5. Promiscuity
1, 3
Which are the common problems that occur due to traumatic brain injury (TBI) in a client? Select all that apply. 1. Aphasia 2. Depression 3. Dysarthria 4. Flashbacks 5. Dysphasia
1, 3, 5
Which physiological complications determine the severity of traumatic brain injury (TBI)? Select all that apply. 1. Hypotension 2. Dysarthria 3. Hypoxemia 4. Dysphasia 5. Increased intracranial pressure
1, 3, 5
According to the National Institute on Drug Abuse (NIDA), which substance abuse disorders have increased over time in war veterans? Select all that apply. 1. Prescription drug abuse 2. Illicit drug abuse 3. Tobacco abuse 4. Heavy alcohol use 5. Antidepressants abuse
1, 4
After assessing a war veteran with a traumatic brain injury (TBI), the nurse finds the client is suffering from memory deficits, distractibility, and altered attention span. The client also shows an impaired ability to make decisions. Which is the most appropriate nursing diagnosis in this scenario? 1. The client has a risk of injury. 2. The client has disturbed thought processes. 3. The client displays ineffective coping. 4. The client has posttrauma syndrome related to having experienced the trauma of military combat.
2
After coming back from combat in Afghanistan, a veteran has been diagnosed with a mild traumatic brain injury (TBI). A psychiatric home health nurse visits the veteran and instructs the spouse, who is the caregiver. What would be an appropriate intervention for the nurse to include in the care plan? 1. Instruct the spouse to keep a journal of experiences and feelings of being a caregiver. 2. Encourage the spouse to express any feelings and participate in a support group. 3. Involve the spouse in mutual goal-setting to plan for the future. 4. Encourage the spouse to participate in a multidisciplinary team conference or group therapy.
2
Problems in which area have been the prime factor for suicide in the Army from 2005 to 2009, according to Devries and associates? 1. Home management 2. Interpersonal relationships 3. Occupational functioning 4. Social functioning
2
The nurse finds that a family member of a war veteran who sustained a traumatic brain injury (TBI) is displaying confusion, fear, and anxiety. The family member is showing the inability to adapt to the changes associated with the veteran's injury. Which is the nursing diagnosis in this situation? 1. Risk of complicated grieving 2. Interrupted family processes 3. Ineffective coping 4. Risk of delayed development
2
Which event can initiate post-traumatic stress disorder (PTSD) in a service member? 1. Severe blows to the head of the individual with shrapnel or debris 2. Sustaining an accident or suffering an act of violence 3. Blasts from explosive devices hitting the head of the individual 4. Penetrating wounds
2
Which is a nursing outcome for a client with post-traumatic stress disorder (PTSD)? 1. The client is able to express relief from feelings of guilt. 2. The client is able to deal with emotional reactions appropriately. 3. The client is able to maintain satisfactory relationships. 4. The client is able to look forward to the future with optimism.
2
Which is the outcome criterion for the nursing diagnosis related to the risk of suicide in a case where a client is suffering from post-traumatic stress disorder (PTSD)? 1. The client will not harm others. 2. The client will not harm himself or herself. 3. The client will remain free of physical injury. 4. The client will regain enough cognitive ability to perform self-care safely.
2
Which is the role of the recreational therapist in treating a client with traumatic brain injury (TBI)? 1. Helping the veteran manage behaviors or learn coping strategies 2. Helping the client with leisure activities 3. Helping the individual learn, relearn, or improve skills for everyday living 4. Helping the war veteran improve communication skills
2
Which nursing diagnosis involves the outcome criterion where the client can begin healthy grief resolution by initiating the process of psychological healing? 1. Self-care deficit 2. Posttrauma syndrome 3. Risk for other-directed violence 4. Disturbed thought processes
2
Which reason is given to explain heavy drinking in veterans, according to Herberman Mash and associates? 1. To get over relationship problems 2. To avoid rejection and to fit in 3. To get over the psychological pains caused by the death of a friend 4. To numb the physical pain incurred during combat
2
A client who is a member of the military has gone off on a tour of duty. Which is a nursing intervention for the client's family if it is determined they are at risk of complicated grieving? 1. The nurse would encourage family participation in a multidisciplinary team conference or group therapy. 2. The nurse would involve the family in social support and community activities of their interest and choice. 3. The nurse would assist the family in identifying situations that may lead to fear or anxiety. 4. The nurse would validate the feelings of anger, loneliness, fear, powerlessness, dysphoria, and distress of the family at the separation from their loved one.
4
Which is the most common mental disorder among veterans after returning from military combat? 1. Dysarthria 2. Parkinson's disease 3. Alzheimer's disease (AD) 4. Post-traumatic stress disorder (PTSD)
4
Which stage in the cycle of deployment begins with the return of the service member to the home station and lasts for 3 to 6 months? 1. Sustainment 2. Redeployment 3. Predeployment 4. Postdeployment
4
Which stage of the five stages of deployment begins with a "honeymoon" period? 1. Sustainment 2. Deployment 3. Predeployment 4. Postdeployment
4
