Test Bank Answers Robinson Trauma And Family Nursing Ch.12

Chapter 12: Trauma and Family Nursing

Multiple Choice:

1. 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?

1. Seeking

2. Realizing

3. Responding

4. Recognizing

2. 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 these behaviors?

1. Amygdala

2. Hippocampus

3. Adrenal glands

4. Prefrontal cortex

3. 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?

1. Apathy

2. Depression

3. Poor self-esteem

4. Secondary traumatization

Multiple Response:

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

1. Negative mood

2. Increased sensory sensitivity

3. Manifestations of high anxiety

4. Avoiding talking about the trauma

5. Intrusive thoughts about the trauma

5. 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.

1. Coach in calming skills

2. Build positive social support

3. Suggest returning to the scene of the event

4. Remind the client that the injuries were not life-threatening

5. Encourage connectedness between family members

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

1. Poor appetite

2. Ignoring toys

3. No eye contact

4. Watching television

5. Withdrawing from touch

7. 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.

1. Rage

2. Depression

3. Eating disorders

4. Fatigue from a sleep disorder

5. Extreme attachment to the abuser

8. 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.

1. Maintaining a positive attitude

2. Asking for help when needed

3. Expressing gratitude for help

4. Sitting quietly with minimal conversation

5. Waiting for a family member to prepare food

9. The spouse of a client with post-traumatic stress disorder (PTSD) 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.

1. Anger

2. Flat affect

3. Weight loss

4. Poor muscle tone

5. Heart rate of 72 bpm

10. 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.

1. Several arrests for armed robbery

2. Meets with friends once a week to play poker

3. Red-flagged for suicide precautions when incarcerated

4. Repeatedly admitted to a rehabilitation facility for heroin use

5. Worked for a company for 2 years and then sought new employment

11. 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.

1. High obesity rate

2. High infant mortality

3. Increase in number of divorces

4. High use of opioids and other substances

5. Decline in the general health

12. 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.

1. Drinks 2 to 3 liters of fluid per day

2. Measures blood pressure every week

3. Adheres to an 1800 calorie/day eating plan

4. Attends cognitive-behavioral therapy sessions

5. Takes selective serotonin reuptake inhibitor (SSRI) as prescribed

13. Nurses often witness acute and chronic trauma in the patients and families whom they care for. This predisposes them to secondary, or vicarious, trauma. Which of the following statements accurately reflect vicarious trauma? Select all that apply.

1. If nurses provide care to others, yet neglect their own needs, the risk of vicarious trauma increases.

2. All nurses are aware of the risk of vicarious trauma, and they know how to prevent it.

3. Compassion fatigue is a condition like vicarious trauma, which nurses may experience.

4. Nurses who experience vicarious trauma may experience burnout, emotional trauma, and PTSD symptoms.

5. All nurses should expect to experience the effects of secondary, or vicarious trauma.

14. When nurses apply trauma-informed care (TIC) principles in their care of children or adults who have experienced trauma, a trusting relationship must form. Which of the following interventions demonstrate effective application of TIC? Select all that apply.

1. Take a slow approach to developing a trusting relationship.

2. Demonstrate empathy and kindness.

3. Support and encourage connection with their feelings and reactions.

4. Build self-esteem by offering encouragement for their strength and resilience.

5. Be available to support client’s feelings of anger, abandonment, or rejection.

15. The community response to trauma can have a major impact on the degree of traumatic stress experienced by individuals, families, and the community. Which of the following statements demonstrate evidence of a positive community resource? Select all that apply.

1. Every state in the United States and every province in Canada has enacted legislation governing the reporting of child and elder abuse.

2. As a professional group, nurses are considered mandatory reporters.

3. Local agencies that work with trauma victims have been trained for their role in trauma care.

4. Trauma experiences are not a priority consideration when providing foster home placements.

5.Local agencies that collaborate across sectors including health care, law enforcement, and human services in order to provide support to the community.