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?

Experiencing or witnessing a traumatic event can lead to the development of a trauma-related disorder.

Developing a trauma-related disorder is a result of genetics - people are born that way.

Developing a trauma-related disorder is due to a chemical imbalance in the brain.

Developing a traumatic disorder requires an experience of physical harm.

Answer and Explanation

The Correct Answer is A

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.

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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.

A. The milieu consists of the physical and psychosocial environmental factors. B. The gathering spaces should have the chairs positioned around the perimeter of the day room. C. Therapeutic milieu requires unstructured programming, allowing clients to focus on their interests. D. The clients can keep any personal items in their rooms.

Correct Answer is A

Explanation

Choice A rationale
The statement that the milieu consists of the physical and psychosocial environmental factors indicates an understanding of therapeutic milieu. The therapeutic milieu refers to the structured and safe environment that is created in a mental health setting to promote therapeutic interaction and healing.
Choice B rationale
The positioning of chairs around the perimeter of the day room does not necessarily indicate an understanding of therapeutic milieu. While the physical arrangement of the environment can contribute to the therapeutic milieu, it is not the defining aspect.
Choice C rationale
The statement that therapeutic milieu requires unstructured programming, allowing clients to focus on their interests, does not accurately reflect the concept of therapeutic milieu. While client interests are important, therapeutic milieu often involves structured activities designed to promote therapeutic interaction and healing.
Choice D rationale
The statement that clients can keep any personal items in their rooms does not necessarily indicate an understanding of therapeutic milieu. While personal items can contribute to a sense of comfort and safety, therapeutic milieu involves more than just the physical environment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?

Correct Answer is A

Explanation

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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?