A nurse is caring for an adolescent who has been subjected to abuse and neglect since early childhood. This is an example of which type of trauma?
Chronic trauma
Vicarious trauma
Acute trauma
Historical trauma
The Correct Answer is A
Choice A rationale
Chronic trauma refers to repeated exposure to traumatic events over a long period. Abuse and neglect since early childhood, as in the case of the adolescent in the question, is a clear example of chronic trauma.
Choice B rationale
Vicarious trauma occurs when an individual becomes traumatized not by directly experiencing a traumatic event, but by exposure to graphic or traumatic material as part of their work. This is not the case for the adolescent in the question.
Choice C rationale
Acute trauma results from a single, unexpected, and stressful event. This does not apply to the adolescent in the question, who has been subjected to abuse and neglect since early childhood.
Choice D rationale
Historical trauma refers to the cumulative emotional and psychological wounding of an individual or generation caused by a traumatic experience or event. This does not apply to the adolescent in the question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Post-traumatic play is a way for children to re-enact the traumatic event, and it is a common reaction among children who have experienced trauma. The child in the question mimicking shooting a gun with their hand whenever someone enters the room or tries to interact with them could be an example of this.
Choice B rationale
There is no recognized PTSD symptom or manifestation known as “Men formation.”.
Choice C rationale
Depersonalization involves experiencing a sense of being detached or disconnected from oneself, observing oneself from an outside perspective, or experiencing a sense of unreality. This does not seem to apply to the child’s behavior in the question.
Choice D rationale
Time skewing refers to a shift in the perception of time, which is not evident in the child’s behavior in the question.
Correct Answer is D
Explanation
Choice A rationale
Minimizing contact with a patient who is angry can create a barrier in the nurse-patient relationship. It’s important for nurses to address the patient’s anger and work through it rather than avoid it.
Choice B rationale
While it’s crucial to explain the importance of treatments, language barriers can make this difficult. The nurse should use a translator or other resources to ensure the patient fully understands.
Choice C rationale
Using clinical terminology can confuse patients who are not familiar with medical jargon. It’s better to use simple, understandable language.
Choice D rationale
Fulfilling promises builds trust and rapport. By allowing a patient to visit with family members, the nurse shows they are reliable and trustworthy.
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