A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)
Feeling mildly anxious.
Showing emotional numbing such as feeling detached from others.
Occurring 2 weeks after the trauma.
Reexperiencing the trauma through dreams or recurrent and intrusive thoughts.
Being on guard, irritable, or experiencing hyperarousal.
Correct Answer : B,D,E
Choice A reason: Feeling mildly anxious can be a normal reaction after a traumatic event and does not necessarily indicate PTSD.
Choice B reason: Emotional numbing and detachment from others are common symptoms of PTSD, reflecting an avoidance of reminders of the trauma.
Choice C reason: The timeframe of symptoms occurring specifically 2 weeks after the trauma is more indicative of acute stress disorder rather than PTSD.
Choice D reason: Reexperiencing the trauma through dreams or intrusive thoughts is a hallmark symptom of PTSD, often leading to significant distress.
Choice E reason: Hyperarousal, including being on guard and irritable, is a symptom of PTSD that involves an increased state of anxiety and heightened emotional response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Sleeping 12 hours or more each day can be a response to various stressors, but it is not a specific or expected finding in PTSD.
Choice B reason: A constant need to talk about the event may be part of the processing of trauma, but it is not an expected finding as many individuals with PTSD may avoid discussing the traumatic event.
Choice C reason: An increasing sense of attachment to others is not typically associated with PTSD, as individuals may instead experience detachment or estrangement from others.
Choice D reason: Increasing feelings of anger are common in individuals with PTSD as they may have difficulty controlling anger and may be easily irritated.
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: A matter-of-fact approach is effective for clients with schizotypal personality disorder as it helps in dealing with their eccentric behaviors and distorted thinking without reinforcing their odd beliefs.
Choice B reason: Clients with avoidant personality disorder may benefit more from a supportive and encouraging approach due to their sensitivity to rejection and feelings of inadequacy.
Choice C reason: For narcissistic personality disorder, a matter-of-fact approach might not be as effective because these clients often require admiration and may not respond well to a straightforward style.
Choice D reason: An antisocial personality disorder client may respond better to a matter-of-fact approach as it sets clear boundaries and expectations without emotional engagement, which they may exploit.
Choice E reason: Paranoid personality disorder clients may find a matter-of-fact approach beneficial as it provides clear and direct communication, which can help reduce their suspicions.
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