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NURS-6660-final-exam 2023/2024

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Which of the following is a true statement with respect to crisis intervention and psychological debriefing as a preventive strategy for post-traumatic stress disorder (PTSD)? A. Crisis intervention and psychologic debriefing is most effective if it occurs within 24 hours of the event B. The focus of crisis intervention and psychologic debriefing is management of emotional reactions C. Psychoeducation is not typically a component of crisis intervention and psychologic debriefing D. No controlled studies support that crisis intervention and psychologic debriefing improves outcomes Answer:D Question:2 Jenny is a 5-year-old female who has been referred for consultation because the emergency room physician suspects that she might be subject to physical abuse in the home. On evaluation, the PMHNP finds Jenny to be fearful, docile, and guarded. Although clearly in pain, Jenny seems surprised when the PMHNP attempts to provide some comfort. The PMHNP notes that: A. If Jenny demonstrates abnormal attachment with her mother, this will complete textbook criteria for symptoms of physical abuse B. There must be a consistent pattern of atypical physical injury to support the diagnosis of physical abuse C. Jenny’s behaviors are more consistent with sexual abuse than physical abuse D. These same symptoms may occur in the absence of any abuse and are neither specific or pathognomic for abuse D Question:3 The PMHNP is evaluating 12-year-old Dale after the police were called to the home. Dale is assessed as having a psychotic episode; he tells the NP that voices are telling him that he is bad and that he should hurt himself. According to the mother, he has no history of psychiatric disease, medications, or really any concerns at all. Mom says he goes to school, has friends, and has always seemed ―normal.‖ An interview with his 13-year-old sister reveals that while there is no long-term history of abnormal behavior, for the last couple of weeks things have been very strange at home. His father has been arrested for ―something to do with a teenage girl,‖ and their parents have been fighting. His father lost his job, and there is a lot of talk about money and lawyers and jail. Dale has been very emotional as he has always been close to his Dad; he seems to go from crying to laughing in a blink, and is getting in fights at school. Even now, after he has calmed a bit, Dale’s reality testing is altered. The PMHNP considers that Dale is demonstrating: A. Symptoms of childhood schizophrenia B. A manic episode

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