A nurse is assessing a client who has experienced a traumatic event. Which of the following would be considered a traumatic event according to the text?
Taking a vacation.
Changing jobs.
Experiencing a natural disaster.
Celebrating a birthday.
The Correct Answer is C
Choice A rationale:
Taking a vacation (Choice A) might be enjoyable or stressful depending on the circumstances, but it is not generally considered a traumatic event as it does not involve a threat to one's physical or psychological well-being.
Choice B rationale:
Changing jobs (Choice B) is a significant life event, but it is not inherently a traumatic event. It can be a positive or negative experience, depending on the individual's perspective.
Choice C rationale:
Experiencing a natural disaster (Choice C) is a traumatic event according to the text. Natural disasters can result in life-threatening situations, loss of property, and psychological distress, potentially leading to long-lasting effects on mental health.
Choice D rationale:
Celebrating a birthday (Choice D) is a joyful occasion and is not considered a traumatic event. It typically brings positive emotions and does not involve exposure to harm or danger.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
"I keep having nightmares about the accident."
Choice A rationale:
Feeling detached from others is a characteristic of the numbing/avoidance cluster of PTSD symptoms, not intrusion symptoms.
Choice C rationale:
Involuntary, distressing thoughts about the traumatic event are indicative of intrusion symptoms, which are encapsulated by Choice B.
Choice D rationale:
Feeling irritable and on edge falls under the hyperarousal symptom category. Choice B, the correct choice, relates to nightmares about the traumatic incident, a classic intrusion symptom. These nightmares can re-traumatize the individual, making sleep challenging and contributing to the overall distress associated with PTSD.
Correct Answer is A
Explanation
Choice A rationale:
Intrusion symptoms. This choice is accurate because the client's statement about recurring nightmares and intrusive thoughts related to the accident aligns with the intrusion symptoms of post-traumatic stress disorder (PTSD). Intrusion symptoms involve distressing memories, nightmares, and flashbacks that "intrude" into the person's consciousness. Now, let's address the other choices:
Choice B rationale:
Avoidance symptoms. This choice is incorrect for this scenario. Avoidance symptoms in PTSD involve efforts to avoid reminders, thoughts, or situations associated with the traumatic event. The client's statement does not specifically reflect avoidance behaviors.
Choice C rationale:
Negative alterations in cognition and mood. This choice is also incorrect in this context. Negative alterations in cognition and mood include feelings of detachment, negative beliefs, and distorted emotions. The client's statement does not directly relate to these alterations.
Choice D rationale:
Alterations in arousal and reactivity. This choice is incorrect for the given statement. Alterations in arousal and reactivity involve symptoms like irritability, hypervigilance, and exaggerated startle response. The client's description of recurring nightmares and intrusive thoughts does not align with this symptom cluster.
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