Two weeks ago, a soldier returned to the U.S. from active duty in ...

[faduma]

Two weeks ago, a soldier returned to the U.S. from active duty in a combat zone in Afghanistan. The soldier was diagnosed with posttraumatic stress disorder (PTSD). Which comment by the soldier requires the nurse's immediate attention?
 
  a. It's good to be home. I missed my home, family, and friends.
  b. I saw my best friend get killed by a roadside bomb. I don't understand why it wasn't me.
  c. Sometimes I think I hear bombs exploding, but it's just the noise of traffic in my hometown.
  d. I want to continue my education, but I'm not sure how I will fit in with other college students.

Question 2

A person runs from a crowded nightclub after a pyrotechnics show causes the building to catch fire. Which division of the autonomic nervous system will be stimulated in response to this experience?
 
  a. Limbic system
  b. Peripheral nervous system
  c. Sympathetic nervous system
  d. Parasympathetic nervous system

[flannelavenger]

Answer to Question 1

ANS: B
The correct response indicates the soldier is thinking about death and feeling survivor's guilt. These emotions may accompany suicidal ideation, which warrants the nurse's follow-up assessment. Suicide is a high risk among military personnel diagnosed with posttraumatic stress disorder. One distracter indicates flashbacks, common with persons with PTSD, but not solely indicative that further problems exist. The other distracters are normal emotions associated with returning home and change.

Answer to Question 2

This is great. Thanks

[faduma]

Gracias!

[mjenn52]

Thanks for the timely response, appreciate it