Difficulty: Medium
Average Score: 69%
Simulated
A soldier is stationed in Iraq on his second tour of duty. His division was notified of the date they will be deployed to Afghanistan. As this date approaches, he is showing signs of excess anxiety and irritability and inability to sleep at night because of nightmares of IED (improvised explosive devices) tragedies, all leading to poor work performance. He is admitted to the base hospital for an evaluation. The admitting nurse should take the following actions in order of priority from first to last?
Correct answer
C, A, D, B
Rationale
The order is: 1) Remove weapons for safety (C). 2) Remind him feelings are typical to normalize symptoms (A). 3) Acknowledge injustices and offer empathy to build rapport (D). 4) Ask about experiences to explore trauma (B). Safety is the priority, followed by support and exploration.