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    HESI RN EXIT 1 PROCTORED EXAMQuestion 108
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    HESI RN EXIT 1 PROCTORED EXAM
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    The client is a 26-year-old female who was in a car accident 6 months ago that killed her mother, husband, and 2-year-old She and her father were the only survivors of the crash. She is seeking care for depression. Click to highlight the areas that the nurse should react to immediately. The client has returned to work at an accounting firm and has started going to a grief support group. She states she is seeking care from a healthcare professional because her father is worried about her. The client states she only gets 2-3 hours of sleep due to nightmares about the crash. She states that exercising right after work helps her get better sleep and to relax. She feels that she is "jumpy after the accident, especially when she is in the car. She also stated, " feel so sad that I can't seem to feel anything at all." In addition to her father, the client has a large family and friend support system. She denies alcohol or drug use.

    Explanation & Rationale

    Insufficient sleep, particularly due to nightmares, can exacerbate depression and should be addressed promptly. Feeling "jumpy" or experiencing heightened anxiety, especially in situations reminiscent of the trauma, indicates a possible post-traumatic stress disorder (PTSD symptom. A profound sense of sadness and numbness can be indicative of severe depression, requiring immediate attention.

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