Question 1

The nurse cares for a toddler recovering from injuries received by an abusive parent. Which findings indicate that this client is experiencing failure to develop healthy attachments? Select all that apply.

Accepted Answer

A)   Poor appetite
B)   Ignoring toys
C)   No eye contact
D)   Watching television
E)   Withdrawing from touch A,B,C,E

Question 2

The nurse suspects that an adult client experienced domestic violence as a child. Which observations caused the nurse to come to this conclusion? Select all that apply.

Accepted Answer

A)   Several arrests for armed robbery
B)   Meets with friends once a week to play poker
C)   Red-flagged for suicide precautions when incarcerated
D)   Repeatedly admitted to a rehabilitation facility for heroin use
E)   Worked for a company for 2 years and then sought new employment A,C,D

Question 3

The nurse attends an educational program that identifies people in the United States as experiencing post-traumatic stress disorder (PTSD) because of ongoing security threats. Which public health issues confirm the possibility of this being true? Select all that apply.

Accepted Answer

A)   High obesity rate
B)   High infant mortality
C)   Increase in number of divorces
D)   High use of opioids and other substances
E)   Decline in the general health A,B,D,E

Question 4

A client with PTSD arrives for a follow-up clinic appointment. Which intervention should the nurse confirm that the client is continuing to follow? Select all that apply.

Accepted Answer

A)   Drinks 2 to 3 liters of fluid per day
B)   Measures blood pressure every week
C)   Adheres to an 1800 calorie/day eating plan
D)   Attends cognitive-behavioral therapy sessions
E)   Takes selective serotonin reuptake inhibitor (SSRI)  as prescribed

Question 5

The nurse is reassigned to assist with triaging victims of a train derailment in the emergency department. The next day the nurse returns to providing care in the intensive care unit and is assigned the victims. If this pattern continues, which health problem is the nurse prone to developing?

Accepted Answer

A)   Apathy
B)   Depression
C)   Poor self-esteem
D)   Secondary traumatization

Question 6

During a home visit the nurse believes that a client receiving treatment for post-traumatic stress disorder (PTSD) is improving. Which signs of resiliency did the nurse assess to make this clinical determination? Select all that apply.

Accepted Answer

A)   Maintaining a positive attitude
B)   Asking for help when needed
C)   Expressing gratitude for help
D)   Sitting quietly with minimal conversation
E)   Waiting for a family member to prepare food

Question 7

The nurse plans care for a client recovering from a gunshot wound received during a robbery of a convenience store. Which intervention will the nurse select to promote trauma-informed care for this client? Select all that apply.

Accepted Answer

A)   Coach in calming skills
B)   Build positive social support
C)   Suggest returning to the scene of the event
D)   Remind the client that the injuries were not life-threatening
E)   Encourage connectiveness between family members

Question 8

The nurse notes that a client who returned from war is having difficulty remembering recent events and is unable to perform simple self-care tasks. Which part of the client's physiology is responsible for thesebehaviors?

Accepted Answer

A)   Amygdala
B)   Hippocampus
C)   Adrenal glands
D)   Prefrontal cortex

Question 9

The spouse of a client with post-traumatic stress disorder (PSTD) seeks medical attention for new symptoms. Which findings suggest to the nurse that the client's health problem is affecting a family member? Select all that apply.

Accepted Answer

A)   Anger
B)   Flat affect
C)   Weight loss
D)   Poor muscle tone
E)   Heart rate of 72 bpm

Question 10

A client seeks treatment for post-traumatic stress disorder (PTSD). Which category of symptoms should the nurse assess? Select all that apply.

Accepted Answer

A)   Negative mood
B)   Increased sensory sensitivity
C)   Manifestations of high anxiety
D)   Avoiding talking about the trauma
E)   Intrusive thoughts about the trauma

Question 11

A level I trauma center is implementing trauma-informed care. Which principle of this type of care integrates knowledge about trauma into policies, procedures, and practices?

Accepted Answer

A)   Seeking
B)   Realizing
C)   Responding
D)   Recognizing

Question 12

An adolescent attends group therapy to help with unresolved feelings after being abused by an older relative. Which manifestations of this unresolved trauma should the nurse expect the adolescent to demonstrate? Select all that apply.

Accepted Answer

A)   Rage
B)   Depression
C)   Eating disorders
D)   Fatigue from a sleep disorder
E)   Extreme attachment to the abuser

Exam 11: Trauma and Family Nursing