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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A child’s perception of their parent being mean because they can’t have a dog does not qualify as an adverse childhood experience (ACE). ACEs are traumatic events that can have lasting, negative effects on health and well-being.
Choice B rationale:
Having a parent in prison is considered an ACE. This situation can cause significant stress and instability in a child’s life, potentially leading to long-term health and social issues.
Choice C rationale:
Failing a test, while potentially stressful, is not considered an ACE. It’s a common part of academic life and does not typically result in long-term trauma.
Choice D rationale:
Forgetting lunch at home is not considered an ACE. While it may be an inconvenience, it does not constitute a traumatic event.
Correct Answer is B
Explanation
Choice A rationale:
Depersonalization is a symptom of PTSD, but it involves feeling detached from oneself, not reenacting traumatic events.
Choice B rationale:
Posttraumatic play is a common manifestation of PTSD in children. It involves the child reenacting the traumatic event, which can be seen in the child’s mimicking of shooting a gun.
Choice C rationale:
Omen formation is a belief that there were warning signs predicting the trauma. It’s not related to the child’s behavior.
Choice D rationale:
Time skewing involves a shift in the perception of time during the recall of the traumatic event. It’s not demonstrated in this scenario.
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