Author Question: A 23-year-old male veteran of the war in Iraq is admitted with a diagnosis of posttraumatic stress ... (Read 49 times)

Jipu 123 · **on:** Jul 22, 2018

A 23-year-old male veteran of the war in Iraq is admitted with a diagnosis of posttraumatic stress disorder (PTSD) following his arrest for destroying his girlfriend's apartment.

This is not his first angry outburst resulting in destruction of property. Which interventions by the nurse will be most helpful to this patient? (Select all that apply.)
a. Allow opportunities for him to express his anger.
b. Provide patient and family teaching regarding PTSD.
c. Tell the patient that hurting himself will solve nothing.
d. Report him to the authorities.
e. Exhibit a nonjudgmental attitude.
f. Reassure him that everything will be all right.

Question 2

Clients who are psychotic because of underlying psychiatric illness are treated with antipsychotic medications. Typical antipsychotic medications can improve positive symptoms in clients with schizophrenia.

Positive symptoms include which of the following? (Select all that apply.)
a. Hallucinations
b. Disorganized speech and behavior
c. Anhedonia
d. Delusions
e. Agitation

lkanara2 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A, B, E
Allowing appropriate opportunities for him to express his anger will help him learn how to control his emotions or express them in a socially acceptable manner. Providing education to the patient and family will help them learn why he behaves the way he does and how to prevent or redirect his anger. Options C, D, and F are nontherapeutic in that they undermine the nurse-patient relationship. Being nonjudgmental in interactions with patients is a basic tenet of developing a therapeutic relationship.

Answer to Question 2

ANS: A, D, E
Positive symptoms of schizophrenia include the distortion or exaggeration of normal behavior, such as when the client experiences hallucinations, delusions, or agitation. Negative symptoms are those that cause a loss of normal function, such as when the client exhibits disorganized speech and behavior and anhedonia.