Chapter 36: Soldiers and Veterans

Chapter 36: Soldiers and Veterans

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A soldier was diagnosed with post-traumatic stress disorder (PTSD). The soldier’s spouse reports that when a telephone rings during the night, the soldier rolls out of bed and assumes an aggressive stance. How will the nurse document this finding?

a.	Flashback
b.	Avoidance
c.	Hyperarousal
d.	Reexperiencing

 

 

ANS:  C

Hyperarousal includes exaggerated responses to noises and other environmental stimuli. It is part of the constellation of problems that impair sleep for persons with PTSD. Flashbacks are an aspect of reexperiencing. Avoidance is another criterion for PTSD.

 

DIF:    Cognitive level: Applying                REF:   p. 485

TOP:   Nursing process: Implementation     MSC:  NCLEX: Psychosocial Integrity

 

2. Which social event would likely be most disturbing for this soldier diagnosed with PTSD?

a.	Halloween festival with neighborhood children
b.	Picnic and fireworks display on July 4th
c.	Singing carols around a Christmas tree
d.	A family outing to the seashore

 

 

ANS:  B

The exploding noises associated with fireworks are likely to provoke exaggerated responses from this soldier. The distracters are not associated with offensive sounds.

 

DIF:    Cognitive level: Analyzing              REF:   p. 485             TOP:   Nursing process: Evaluation

MSC:  NCLEX: Psychosocial Integrity

 

3. A nurse counsels an 87-year-old veteran of World War II who tearfully shares memories of sights associated with Nazi concentration camps. Which term will be most familiar to this veteran?

a.	Shell shock
b.	Battle fatigue
c.	Soldier’s heart
d.	PTSD

 

 

ANS:  B

Consequences of exposure to traumatic events associated with war have been addressed by different terms over generations. Battle fatigue was the term used in World War II. Soldier’s heart was the term used after the Civil War. Shell shock was the term used in World War I. PTSD was the term used beginning with the Vietnam War.

 

DIF:    Cognitive level: Applying                REF:   p. 484             TOP:   Nursing process: Planning

MSC:  NCLEX: Psychosocial Integrity

 

4. When is it most important for the nurse to screen for signs and symptoms of post-combat PTSD?

a.	Screening should be ongoing
b.	Before departing to return to the United States
c.	Immediately upon return from the combat zone
d.	One year after returning from the combat experience

 

 

ANS:  A

PTSD can have a very long lag time; in some instances, it can be 20 years or more. Screening should be ongoing. The other options are too limited.

 

DIF:    Cognitive level: Understanding        REF:   p. 485

TOP:   Nursing process: Assessment           MSC:  NCLEX: Psychosocial Integrity