PTSD Quiz

PTSD QUIZ
1. A client has been experiencing irritability, 5. A client reports experiencing nightmares and
difficulty concentrating, difficulty sleeping, and constant worry about the weather since a tornado
withdrawal for the past 8 weeks since her house destroyed the client’s house 1 year ago. The nurse
burned to the ground after an explosion. The nurse assesses that this client is experiencing
assesses that this client is experiencing
a. delusions.
a. depression. b. panic attacks.
b. a panic attack. c. flashbacks.
c. post-traumatic stress disorder. d. hallucinations.
d. generalized anxiety disorder.
6. The nurse assesses a client of rape-trauma
2. A client experiencing post-traumatic stress syndrome for which of the following expressed
disorder was started on a monoamine oxidase style features? Select all that apply:
inhibitor (MAOI). Which of the following should
the nurse include in the medication teaching? a. Flashbacks
Select all that apply: b. Nightmares
a. Sit up slowly when taking an MAOI c. Crying

b. Report signs of nausea and vomiting d. Restlessness
c. Avoid foods such as cheese, salami, and smoked e. Mood swings
fish f. Laughing
d. Take on an empty stomach
e. Restrict extra fluids 7. A client scheduled to begin relaxation therapy
f. Monitor for weight loss as part of treatment for post-traumatic stress
disorder asks the nurse what the purpose is of the
3. A client recently started on a monoamine oxidase relaxation therapy. Which of the following is the
inhibitor (MAOI) is experiencing severeheadache, appropriate response by the nurse?
tachycardia, and cold, clammy skin.
Which of the following is the priority nursing a. “It will help you not to be frightened anymore.”
intervention? b. “It will help produce effects that are the opposite
of those produced by anxiety.”
a. Assess the client’s blood pressure c. “It will help you learn about your illness.”
b. Instruct the client to lie down d. “It will help you learn calming self-talk.”
c. Notify the client’s physician
d. Offer the client a high-carbohydrate snack 8. T he nurse is caring for a client working at a high
school who witnessed a bombing at the school and
4. T he nurse assesses which of the following is experiencing sadness, sleeplessness, and lack of
clients to be at the highest risk of developing energy, and appears to be withdrawn. Which of the
post-traumatic stress disorder? following interventions should the nurse include in
the plan for this client?
a. A client who recently moved to a new city
b. A client who witnessed a fatal shooting a. Allow the client to talk about the traumatic event
c A client with a family history of depression in a safe, supportive environment
d. A client who has a panic disorder b. Assist the client to look at other career choices
and work environments
c. Instruct the client that physical exercise
pg. 1
PTSD QUIZ
may improve the quality of sleep
d. Encourage the client to avoid focusing on the a. “You’re right, I probably won’t understand what
event and to make plans for the future you’ve been through.”
b. “Why are you becoming so defensive?”
9. When planning the care of a client who is c. “Sometimes it feels like no one else can
experiencing post-traumatic stress disorder, the understand, but I would like to try.”
nurse identifies which of the following as an d. “Maybe you will feel better if you concentrate on
appropriate goal? The client will report something else.”
a. spending less time on ritualistic behavior. 13. Which of the following should the nurse include
b. a decrease in flashbacks and nightmares. when teaching a class on recognizing post-traumatic
c. having more energy. stress in children?
d. a decrease in hearing voices.
a. Post-traumatic stress disorder is not diagnosed
10. A client tearfully reports having been sexually until the age of 18
attacked by a spouse during an argument. The nurse b. Only physically and sexually abused children and
evaluates this situation as adolescents will experience clinical manifestations
of post-traumatic stress disorder
a. an emotional reaction but not a rape, because the c. School-age children do not experience clinical
couple is married and has had sexual relations. manifestations of post-traumatic stress disorder
b. the right of the partner to expect sex because they because of their developmental level
are married. d. Children and adolescents can develop clinical
c. a rape because sex against one’s will is rape. manifestations of post-traumatic stress disorder
d. a reaction to the couple’s argument that will most after experiencing any traumatic event
likely not happen again.
14. The nurse is talking with a client who just had a
11. T he client who has been raped tells the nurse, beautiful bouquet of roses delivered. Suddenly the
“I am not pressing charges and I’m afraid of seeing client becomes tearful and stares out the window.
my attacker because we live in the same town.” The client has a history of sexual abuse. Which of
Which of the following should the nurse include in
the following should the nurse include in the plan of
the plan of care for this client?
care for this client?
a. Assess the client’s safety and develop a safety
a. Tell the client that the sexual abuse was in the
plan
past
b. Encourage the client to change jobs to avoid
b. Tell the client to relax and enjoy the roses
future encounters with the perpetrator
c. Give the client some alone time and return later
c. Instruct the client not to worry about safety
d. Assess if the client is having a flashback
because perpetrators don’t attack twice
d. Support the client’s desire to move to a new town
15. A client currently taking fluoxetine (Prozac) to
and assume a new identity
decrease clinical manifestations of posttraumatic
stress disorder asks the nurse if continuing to take
12. During an interview, the nurse observes a client
dietary supplements such as Saint John’s wort,
becoming increasingly defensive. The client states,
ginseng, and kava kava is acceptable. The most
“You wouldn’t understand what I’ve been through.”
appropriate response by the nurse is which of the
Which of the following is the most appropriate
following?
response by the nurse?
pg. 2
PTSD QUIZ
a. “If it makes you feel better, continue to take the
dietary supplements.”
b. “Dietary supplements may interact negatively
with your prescribed drugs; check with your care
provider.”
c. “Make sure you take the dietary supplements at a
different time.”
d. “Dietary supplements are harmless and won’t
make any difference in how you feel.”
pg. 3

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PTSD QUIZ

a. Sit up slowly when taking an MAOI c. Crying

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