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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale
Experiencing or witnessing a traumatic event can indeed lead to the development of a trauma- related disorder. When a person’s natural coping mechanisms are overwhelmed by what they’re experiencing — physically, mentally, or both — their body does what it can to protect them. This includes short-term effects like emotional numbing or keeping them in a state of alertness. However, sometimes the effects of trauma linger, persisting throughout life, causing anxiety, trouble sleeping, and intrusive thoughts that can interfere with daily activities.
Choice B rationale
While genetics can play a role in the development of trauma-related disorders, it is not the sole cause. Trauma-related disorders typically develop after exposure to a traumatic or stressful event.
Choice C rationale
A chemical imbalance in the brain can be a result of trauma, but it is not the cause of trauma- related disorders. These disorders typically develop after exposure to a traumatic or stressful event.
Choice D rationale
Physical harm can indeed be traumatic and lead to the development of trauma-related disorders, but it is not a requirement. Trauma can also result from psychological, emotional, or environmental stressors.

A. The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with feelings of fear. B. The amygdala-centered (ACC) circuit of the brain is associated with feelings of apprehension. C. The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with phobias. D. The amygdala-centered (ACC) circuit of the brain is associated with feelings of panic.

Correct Answer is A

Explanation

Choice A rationale
The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with feelings of fear. Anxiety disorders are characterized by an overactivation of this circuit, leading to excessive fear responses14.
Choice B rationale
The amygdala-centered (ACC) circuit of the brain is not typically associated with feelings of apprehension. The ACC is more commonly associated with processing emotions and fear learning14.
Choice C rationale
The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is not specifically associated with phobias. While this circuit plays a role in fear responses, it is not specific to phobic responses14.
Choice D rationale
The amygdala-centered (ACC) circuit of the brain is associated with feelings of panic. However, it is not the only brain circuit involved in anxiety. Other circuits, including the CSTC, also play important roles14.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is manning a phone line for trauma and crisis support. A client on the phone inquires, “Could you explain how trauma-related disorders develop?” Which response should the nurse provide?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?

Correct Answer is A

Explanation

A nurse is caring for a 9-year-old child who mimics shooting a gun with their hand whenever someone enters the room or tries to interact with them. This is an example of which manifestation of post-traumatic stress disorder?

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A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder?

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