A nurse is assessing a client for potential PTSD symptoms. Which statement by the client indicates they are experiencing intrusion symptoms?

Choice A rationale:

Intrusive memories are characterized by the sudden and distressing re-experiencing of the traumatic event. These memories can be in the form of flashbacks or nightmares and are not directly related to the client's reported inability to remember aspects of the event and feeling detached.

Choice B rationale:

Negative mood, while common in PTSD, pertains to feelings of sadness, anger, or guilt. It is not the primary symptom described in this scenario, where the client is struggling with memory gaps and detachment.

Choice C rationale:

The nurse is observing dissociation in this client. Dissociation involves feeling disconnected from oneself or the environment, often as a defense mechanism in response to trauma. This can manifest as depersonalization (feeling detached from one's own body) or derealization (feeling detached from one's surroundings).

Choice D rationale:

Avoidance refers to the avoidance of reminders or situations associated with the traumatic event. While it can be a symptom of PTSD, it doesn't fully capture the reported memory issues and detachment observed in this client.

Choice E rationale:

Arousal symptoms involve heightened physiological responses such as hypervigilance, irritability, and exaggerated startle responses. These symptoms are not the primary focus of the scenario, which is centered around memory gaps and detachment.

Physical signs.

Choice A rationale:

Psychological signs involve cognitive and mental aspects of PTSD, such as flashbacks and intrusive thoughts.

Choice B rationale:

Emotional signs encompass mood-related manifestations like fear, anger, and guilt.

Choice D rationale:

Social signs refer to difficulties in interpersonal relationships and isolation. In contrast, Choice C, physical signs, include symptoms like headaches and chronic pain which are commonly associated with PTSD due to the physiological stress response triggered by the traumatic event. This response can lead to increased muscle tension and altered pain perception, resulting in these physical symptoms. Such somatic complaints are integral to the diagnosis of PTSD, and they often coexist with other psychological and emotional symptoms.