Mental health twonsend trauma and stressor disorders exam 5

A nursing instructor is teaching about trauma and stressor-related disorders. Which student statement indicates that further instruction is needed?

4. Research shows that PTSD is more common in men than in women

Which factors differentiate the diagnosis of PTSD from the diagnosis of adjustment disorder (AD)?

PTSD results from exposure to an extreme traumatic event, whereas AD results from exposure to normal daily events.

Which client would a nurse recognize as being at highest risk for the development of an AD?

A young unmarried woman

A nursing instructor is explaining the etiology of trauma-related disorders from a learning theory perspective. Which student statement indicates that learning has occurred?

 The psychic numbing in PTSD is a result of negative reinforcement.

As the sole survivor of a roadside bombing, a veteran is experiencing extreme guilt. Which nursing diagnosis would address this clients symptom?

Complicated grieving

A client has been assigned a nursing diagnosis of complicated grieving related to the death of multiple family members in a motor vehicle accident. Which intervention should the nurse initially employ?

Provide community resources to address the clients concerns

Which clinical presentation is associated with the most commonly diagnosed adjustment disorder (AD)?

Depressed mood, tearfulness, and hopelessness

Both situational and intrapersonal factors most likely contribute to an individuals stress response. Which factor would a nurse categorize as intrapersonal?

Degree of flexibility

A client diagnosed with AD has been assigned the nursing diagnosis of anxiety R/T divorce. Which correctly written outcome addresses this clients problem?

Rates anxiety as 4 out of 10 by discharge.

Eye movement desensitization and reprocessing (EMDR) has been empirically validated for which disorder?

Post-traumatic stress disorder

After a teaching session about grief, a client says to the nurse, I seem to be stuck in the anger stage of grieving over the loss of my son. How would the nurse assess this statement, and in what phase of the nursing process would this occur?

Evaluation phase; nursing actions have been successful in achieving the objectives of care.

By which biological mechanism does EMDR achieve its therapeutic effect?

EMDR achieves its therapeutic effect, but the exact biological mechanism is unknown.

A client receiving EMDR therapy says, After only two sessions of my therapy, I am feeling great. Now I can stop and get on with my life. Which of the following nursing responses is most appropriate?

To achieve lasting results, all eight phases of EMDR must be completed.

A nurse would recognize which treatment as most commonly used for AD and its appropriate rationale?

Psychotherapy; to examine the stressor and confront unresolved issues

A nurse has been caring for a client diagnosed with PTSD. Which realistic goal should be included in this clients plan of care?

The client will not require zolpidem (Ambien) to obtain adequate sleep by discharge.

A client diagnosed with PTSD is receiving paliperidone (Invega). Which symptoms should a nurse identify that would warrant the need for this medication?

Flashbacks of killing the enemy

A client, who recently delivered a stillborn baby, has a diagnosis of adjustment disorder unspecified. The nurse case manager should expect which client presentation that is characteristic of this diagnosis?

The client complains of many physical ailments, refuses to socialize, and quits her job.

A client has been extremely nervous ever since a person died as a result of the clients drunk driving. When assessing for the diagnosis of AD, within what time frame should the nurse expect the client to exhibit symptoms?

To meet the DSM-5 criteria for adjustment disorder, the client should exhibit symptoms within three months of the accident.

A 20-year-old client and a 60-year-old client have had drunk driving accidents and are both experiencing extreme anxiety. From a psychosocial theory perspective, which of these clients would be predisposed to the diagnosis of adjustment disorder?

The 20-year-old, because of lack of developmental maturity.

A client diagnosed with an adjustment disorder says to the nurse, Tell me about medications that will cure this problem. Which of the following are appropriate nursing responses? (Select all that apply.)

1. Medications can interfere with your ability to find a more permanent problem solution.
2. Medications may mask the real problem at the root of this diagnosis.
3. Adjustment disorders are not commonly treated with medications.
4. Psychoactive drugs carry the potential for physiological and psychological dependence.

A nurse is admitting a client who has been diagnosed with PTSD. Which of the following symptoms might the nurse expect to assess? (Select all that apply.)

1. Feelings of guilt that precipitate social isolation
2. Aggressive behavior that affects job performance 3. Relationship problems
4. High levels of anxiety
5. Escalating symptoms lasting less than one month

A family asks the nurse why their son was diagnosed with PTSD and others in the accident were not. Which of the following information should the nurse offer? (Select all that apply.)

2. Responses are affected by how an individual handled previous trauma.
3. Protectiveness of family and friends can help an individual deal with trauma.
4. Control over the possibility of recurrence can affect the response to trauma.
5. The time in which the trauma occurred can affect the individuals response.

A nurse would recognize which of the following as the best predictors of PTSD in Vietnam veterans? (Select all that apply.)

1. The severity of the stressor
3. The degree of psychosocial isolation in the recovery environment

A client diagnosed with PTSD states, Why did my doctor prescribe an antidepressant ratherthan an antianxiety drug for me? Which of the following are the most appropriate nursing responses? (Select all that apply.)

2. Antidepressants are now considered first-line treatment choice for PTSD.
4. Because of their addictive properties, antianxiety drugs are less desirable.
5. There have been no controlled studies on the effect of antianxiety drugs on PTSD.

Order the eight-phase process of eye movement desensitization and reprocessing (EMDR).

History and treatment planning
Preparation
Assessment
Instillation
Body scan
Closure
Reevaluation

An extremely distressing experience that causes severe emotional shock and may have long lasting psychological effects is called

trauma