A nurse is providing care to a client who has acute stress disorder.
Which of the following client statements is consistent with this disorder?.
"I was in a car crash 2 weeks ago and I have nightmares when I sleep.”.
"I was in a terrible car crash 2 years ago and I have been unable to drive a car since then.”.
"I was physically abused when I was a child and have frequent flashbacks since then.”.
"My parents fought a lot when I was a child.
The Correct Answer is A
Choice A rationale:
The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.
Choice B rationale:
This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.
Choice C rationale:
Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.
Choice D rationale:
The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
A necklace is not a risk as it does not pose a threat to the client’s safety.
Choice B rationale:
Lace-up tennis shoes are allowed as they do not pose a risk to the client’s safety.
Choice C rationale:
Nylon socks are allowed as they do not pose a risk to the client’s safety.
Choice D rationale:
Cotton underwear is allowed as it does not pose a risk to the client’s safety.
Choice E rationale:
A glass-framed picture should be taken back home as it can be broken and potentially used to harm oneself.
Correct Answer is B
Explanation
Choice A rationale:
Opiate withdrawal is a condition that occurs when a person stops using opiates after prolonged use. It is characterized by symptoms such as restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, and cold flashes. The AIMS assessment is not typically used for this condition.
Choice B rationale:
Tardive dyskinesia is a movement disorder characterized by irregular, involuntary movements most commonly in areas of the face, around the eyes, and of the mouth, including the jaw, tongue, and lips. The AIMS assessment is a clinical outcome checklist completed by a healthcare provider to assess the presence and severity of abnormal movements of the face, limbs, and body in patients with tardive dyskinesia.
Choice C rationale:
Alcohol withdrawal is a condition that can occur when a person who has been drinking too much alcohol every day suddenly stops drinking alcohol. Symptoms can include tremors, anxiety, nausea and vomiting, headaches, increased heart rate, and seizures. The AIMS assessment is not typically used for this condition.
Choice D rationale:
Lithium toxicity, also known as lithium overdose, can occur if you take too much lithium, a mood-stabilizing medication. Symptoms can include hand tremor, increased thirst, increased urination, diarrhea, vomiting, weight gain, and impaired memory. The AIMS assessment is not typically used for this condition.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.