(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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Taking a vacation (Choice A) might be enjoyable or stressful depending on the circumstances, but it is not generally considered a traumatic event as it does not involve a threat to one's physical or psychological well-being.
Choice B rationale:
Changing jobs (Choice B) is a significant life event, but it is not inherently a traumatic event. It can be a positive or negative experience, depending on the individual's perspective.
Choice C rationale:
Experiencing a natural disaster (Choice C) is a traumatic event according to the text. Natural disasters can result in life-threatening situations, loss of property, and psychological distress, potentially leading to long-lasting effects on mental health.
Choice D rationale:
Celebrating a birthday (Choice D) is a joyful occasion and is not considered a traumatic event. It typically brings positive emotions and does not involve exposure to harm or danger.
Correct Answer is A
Explanation
Choice A rationale:
Intrusion symptoms. This choice is accurate because the client's statement about recurring nightmares and intrusive thoughts related to the accident aligns with the intrusion symptoms of post-traumatic stress disorder (PTSD). Intrusion symptoms involve distressing memories, nightmares, and flashbacks that "intrude" into the person's consciousness. Now, let's address the other choices:
Choice B rationale:
Avoidance symptoms. This choice is incorrect for this scenario. Avoidance symptoms in PTSD involve efforts to avoid reminders, thoughts, or situations associated with the traumatic event. The client's statement does not specifically reflect avoidance behaviors.
Choice C rationale:
Negative alterations in cognition and mood. This choice is also incorrect in this context. Negative alterations in cognition and mood include feelings of detachment, negative beliefs, and distorted emotions. The client's statement does not directly relate to these alterations.
Choice D rationale:
Alterations in arousal and reactivity. This choice is incorrect for the given statement. Alterations in arousal and reactivity involve symptoms like irritability, hypervigilance, and exaggerated startle response. The client's description of recurring nightmares and intrusive thoughts does not align with this symptom cluster.
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