A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago.
The nurse should identify that the client is experiencing which of the following stress-related disorders?

Irritable bowel syndrome (IBS).

Acute stress disorder (ASD).

Episodic acute stress.

Posttraumatic stress disorder (PTSD). .

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. It’s not a stress-related disorder.

Choice B rationale:

Acute stress disorder (ASD) occurs immediately after a traumatic event, not a year later.

Choice C rationale:

Episodic acute stress involves frequent bouts of stress, not flashbacks of a traumatic event.

Choice D rationale:

Posttraumatic stress disorder (PTSD) is a disorder characterized by failure to recover after experiencing or witnessing a terrifying event. The condition may last months or years, with triggers that can bring back memories of the trauma accompanied by intense emotional and physical reactions, such as flashbacks, as described in the scenario.

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Correct Answer is D

Explanation

Choice A rationale:

Communication is important in patient care, but it’s not the foundation for all aspects of care.

Choice B rationale:

Collaboration is necessary for a team approach to care, but it’s not the foundation.

Choice C rationale:

Critical thinking is a part of clinical judgment, but it’s not the foundation.

Choice D rationale:

Clinical judgment is the foundation for all aspects of patient care. It involves using critical thinking, communication, and collaboration skills.

A. The client's provider testifies that the client's condition required a different method of moving her. B. Another staff nurse describes how a reasonably prudent nurse would have performed under the same circumstances. C. An expert nurse describes how the nurse could have handled the same situation differently. D. The plaintiff's attorney states that the nurse could have prevented the client's injury.

Correct Answer is B

Explanation

Choice A rationale:

The client’s provider’s testimony about the client’s condition requiring a different method of moving her is relevant but does not legally determine the nurse’s liability.

Choice B rationale:

The standard that will legally determine the nurse’s liability is how a reasonably prudent nurse would have performed under the same circumstances. This is the principle of reasonable care, which is used in negligence cases.

Choice C rationale:

While an expert nurse’s description of how the situation could have been handled differently is informative, it does not legally determine the nurse’s liability.

Choice D rationale:

The plaintiff’s attorney’s statement that the nurse could have prevented the client’s injury is an assertion, not a legal standard for determining liability.

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A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago.The nurse should identify that the client is experiencing which of the following stress-related disorders?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is B

Explanation

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A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago.
The nurse should identify that the client is experiencing which of the following stress-related disorders?