(Select all that apply): A nurse is conducting an assessment of a client with acute stress disorder (ASD). Which physical signs might the nurse find in the client?

Gastrointestinal problems.

Cardiovascular problems.

Chronic pain.

Substance use disorder.

Eating disorders.

Answer and Explanation

Correct Answer : A,B

Choice A rationale:

Gastrointestinal problems, such as nausea, vomiting, and diarrhea, can be physical signs of acute stress disorder. The stress response can impact the gastrointestinal system due to the activation of the "fight or flight" response.

Choice B rationale:

Cardiovascular problems, such as increased heart rate and blood pressure, are also common physical signs of acute stress disorder. The body's physiological response to stress can lead to cardiovascular changes.

Choice C rationale:

Chronic pain is not typically considered a primary physical sign of acute stress disorder. While stress can exacerbate existing pain conditions, it is not among the hallmark physical symptoms of this disorder.

Choice D rationale:

Substance use disorder might develop as a maladaptive coping mechanism in response to stress, but it is not a direct physical sign that a nurse would observe upon assessment.

Choice E rationale:

Eating disorders are not typically considered a primary physical sign of acute stress disorder. While stress can affect eating habits, it is not one of the characteristic physical symptoms associated with this disorder.

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Correct Answer is C

Explanation

Physical signs.

Choice A rationale:

Psychological signs involve cognitive and mental aspects of PTSD, such as flashbacks and intrusive thoughts.

Choice B rationale:

Emotional signs encompass mood-related manifestations like fear, anger, and guilt.

Choice D rationale:

Social signs refer to difficulties in interpersonal relationships and isolation. In contrast, Choice C, physical signs, include symptoms like headaches and chronic pain which are commonly associated with PTSD due to the physiological stress response triggered by the traumatic event. This response can lead to increased muscle tension and altered pain perception, resulting in these physical symptoms. Such somatic complaints are integral to the diagnosis of PTSD, and they often coexist with other psychological and emotional symptoms.

A. Intrusive memories. B. Negative mood. C. Dissociation. D. Avoidance. E. Arousal.

Correct Answer is C

Explanation

Choice A rationale:

Intrusive memories are characterized by the sudden and distressing re-experiencing of the traumatic event. These memories can be in the form of flashbacks or nightmares and are not directly related to the client's reported inability to remember aspects of the event and feeling detached.

Choice B rationale:

Negative mood, while common in PTSD, pertains to feelings of sadness, anger, or guilt. It is not the primary symptom described in this scenario, where the client is struggling with memory gaps and detachment.

Choice C rationale:

The nurse is observing dissociation in this client. Dissociation involves feeling disconnected from oneself or the environment, often as a defense mechanism in response to trauma. This can manifest as depersonalization (feeling detached from one's own body) or derealization (feeling detached from one's surroundings).

Choice D rationale:

Avoidance refers to the avoidance of reminders or situations associated with the traumatic event. While it can be a symptom of PTSD, it doesn't fully capture the reported memory issues and detachment observed in this client.

Choice E rationale:

Arousal symptoms involve heightened physiological responses such as hypervigilance, irritability, and exaggerated startle responses. These symptoms are not the primary focus of the scenario, which is centered around memory gaps and detachment.

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(Select all that apply): A nurse is conducting an assessment of a client with acute stress disorder (ASD). Which physical signs might the nurse find in the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who experienced a traumatic event presents with physical symptoms such as headaches and chronic pain. These symptoms can be attributed to which clinical manifestation of PTSD?

Correct Answer is C

Explanation

A nurse is assessing a client who experienced a traumatic event one week ago. The client is unable to remember important aspects of the event and reports feeling detached from their surroundings. Which symptom is the nurse observing in this client?

Correct Answer is C

Explanation

A nurse is assessing a client for potential PTSD symptoms. Which statement by the client indicates they are experiencing intrusion symptoms?

A nurse is planning care for a client with PTSD. Which intervention is appropriate for addressing avoidance symptoms?

A nurse is caring for a client with post-traumatic stress disorder (PTSD). The client states, "I keep having nightmares about the accident and I can't get them out of my head." This statement is an example of which symptom cluster of PTSD?

A client with PTSD is experiencing alterations in arousal and reactivity. Which nursing intervention would be most appropriate for this symptom cluster?

A nurse is providing care to a client with PTSD. The client avoids going to the site where the traumatic event occurred. This behavior is an example of which symptom cluster of PTSD?

(Select all that apply): A nurse is conducting an assessment of a client with acute stress disorder (ASD). Which physical signs might the nurse find in the client?

A nurse is assessing a client who has experienced a traumatic event. Which of the following would be considered a traumatic event according to the text?

A nurse is educating a group of individuals about trauma and its effects. Which of the following statements accurately describe traumatic events? Select all that apply.