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 C
Explanation
Choice A rationale:
Avoiding foods that contain tyramine is important when taking monoamine oxidase inhibitors, not antipsychotics like clozapine.
Choice B rationale:
Limiting fluid intake is not typically necessary when taking antipsychotics.
Choice C rationale:
Medication adherence after the resolution of acute psychosis is crucial when taking antipsychotics to prevent relapse.
Choice D rationale:
Routine red blood cell count laboratory work is not typically necessary when taking antipsychotics like clozapine.
Correct Answer is C
Explanation
Choice A rationale:
Physical harm is not a necessary condition for developing a trauma-related disorder. Emotional and psychological trauma can also lead to these disorders.
Choice B rationale:
Genetics can predispose individuals to trauma-related disorders, but it is not the sole cause. Environmental factors, such as experiencing or witnessing a traumatic event, play a significant role.
Choice C rationale:
Experiencing or witnessing a traumatic event can indeed result in developing a trauma-related disorder. This is because the event can cause significant emotional distress and impact the individual’s ability to cope.
Choice D rationale:
While chemical imbalances in the brain can be associated with trauma-related disorders, they are typically a result of the disorder rather than the cause.
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