Page 2352 - Saunders Comprehensive Review For NCLEX-RN

841. Answer: 2, 3, 5

Rationale: Reliving an event, experiencing emotional numbness (facing possible
death), and having flashbacks of the event (seeing the same face everywhere) are all
common occurrences with post-traumatic stress disorder. The statement “I’m afraid
of spiders” relates more to having a phobia. The statement “I have to wash my
hands over and over again many times” describes ritual compulsive behaviors to
decrease anxiety for someone with obsessive-compulsive disorder. Stating “I don’t
want anything to eat now” is vague and could relate to numerous conditions.
Test-Taking Strategy: Focus on the subject, post-traumatic stress disorder. There
is no indication about a fear of spiders being part of the problem. There is no
information in the question to support that the client has ritual behaviors. The client
stating that they do not want anything to eat at the time is not relevant to this client’s
situation. Responses 2, 3, and 5 all indicate that the client is experiencing post-
traumatic stress disorder from a recent home invasion and robbery event.
Level of Cognitive Ability: Analyzing
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Assessment
Content Area: Mental Health
Health Problem: Mental Health: Post-Traumatic Stress Disorder
Priority Concepts: Anxiety; Coping
Reference: Varcarolis (2017), p. 123.

2352