NU665 2021 September Week 7 Quiz Latest

NU665 Primary Care of the Psychiatric Mental Health Client II

Week 7 Quiz  

Question 1According to the DSM-5, PTSD diagnosis must have all of the following characteristics EXCEPT ________.

Select one:

a.one or more reexperiencing symptoms

b.one or more avoidance symptoms

c.two or more hyperarousal symptoms

d.two or more negative cognition symptoms

e.symptom must be present for less than 1 month and cause extreme stress

Question 2Following are some of the main findings from the epidemiological research on PTSD. All are true EXCEPT ________.

Select one:

a.the majority of people will experience at least one traumatic event in their lifetime

b.intentional acts of interpersonal violence, in particular sexual assault, and combat are more likely to lead to PTSD than accidents or disasters

c.men tend to experience more traumatic events than women, but women experience higher impact events (that is, events that are more likely to lead to PTSD)

d.children are not at risk to experience PTSD

Question 3People at risk of PTSD include all of the following EXCEPT ________.

Select one:

a.victims of violent crime (such as physical and sexual assaults, sexual abuse, bombings, and riots)

b.members of the armed forces, police, and prison service; journalists; fire service members; ambulance and emergency personnel, including those no longer in service

c.victims of war, torture, state-sanctioned violence or terrorism, and survivors of accidents or disasters

d.women following traumatic childbirth and individuals diagnosed with a life-threatening illness

e.All of the answers are .

Question 4Research informs us that many children in classrooms across America have experienced at least one traumatic event. The term trauma is used to describe an event, series of events, or set of circumstances that is experienced as physically or emotionally harmful or life threatening and that has lasting adverse effects on daily functioning and mental, physical, social, emotional, or spiritual well-being (SAMHSA, 2014). Which of the following statements is FALSE about children and trauma events?

Select one:

a.In the United States, more than two-thirds of children report the experience of a traumatic event by age 16.

b.In school settings, one out of four children has been exposed to a traumatic event. Approximately two out of three children has been exposed to violence.

c.Half of children who were victimized reported more than one type of victimization.

d.1 in 6 children report 6 or more exposures to violence.

e.All of these answers are True.

Question 5Select which of the following statements is TRUE in regards to a child's reaction to disasters.

Select one:

a.PTSD symptoms typically arise within 6 months of the disaster.

b.PTSD symptoms usually increase over time.

c.Major depression occurs more often than PTSD.

d.Behavior problems can improve subsequent a disaster.

e.All of the answers are .

Question 6Serving as a member on a crisis team, a PMHNP provides crisis intervention to the survivors of a plane crash. Forty hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. How should the NP respond?

Select one:

a.Advising the survivors to consider using a hypnotic medication for a brief period of time.

b.Educating the survivors about prodromal symptoms of PTSD.

c.Encouraging the survivors to rest during the day.

d.Suggesting that the survivors join a post-trauma support group.

e.All of the answers are .

Question 7The PMHNP considers prescribing the following medication for a 45-year-old male who has been diagnosed with PTSD and continues to suffer with nightmares.

Select one:

a.Benadryl

b.Wellbutrin

c.Hydroxyzine

d.Prazosin

e.None of the answers is .

Question 8

The psychiatric-mental health nurse practitioner and a team of local mental health professionals are asked to provide crisis counseling service after a gunman recently took a class hostage at a local elementary school, wounded several students, and then shot himself. In preparing for this assignment, the nurse practitioner recognizes that ________.

Select one:

a.a child's developmental stage will influence his or her response to catastrophic stress

b.a child's lack of an emotional response to a catastrophic event is a predictor of negative long-term consequences

cit is necessary for the child's guardian to be present

d.the meaning of the event is more important to the child than whether he or she suffered physical harm

e.All of the answers are .

Question 9The psychiatric-mental health nurse practitioner uses a cognitive-behavioral approach to help a patient address self-defeating behaviors. After identifying the stressor that causes the inappropriate behavior, the initial strategy is to explore ________.

Select one:

a.alternative positive responses to the stressor

b.negative consequences of the responses to the stressor

c.possible outcomes of alternative responses

d.rational and irrational beliefs about the stressor

Question 10You are the PMHNP treating a combat veteran following a deployment to Afghanistan. You have diagnosed him with PTSD and have decided to start him on Paroxetine. Which of the following is the LEAST likely reason to use an SSRI with this client?

Select one:

a.SSRIs can improve sleep disturbances associated with PTSD.

b.SSRIs reduce the re-experiencing, avoidance or numbing, and hyper-arousal associated with PTSD.

c.SSRIs have been shown to be effective for treating dissociative and psychotic states with 80% efficacy in some trials.

d.SSRIs can be effective for the treatment of co-morbid psychiatric disorders that often accompany PTSD.