A client is seeking counseling due to difficulty coping with being a victim of a violent attack 16 months ago. Which elements will the nurse assess for when determining the major components of posttraumatic stress disorder (PTSD)? (Select all that apply.)
Feeling mildly anxious.
Showing emotional numbing such as feeling detached from others.
Occurring 2 weeks after the trauma.
Reexperiencing the trauma through dreams or recurrent and intrusive thoughts.
Being on guard, irritable, or experiencing hyperarousal.
Correct Answer : B,D,E
Choice A reason: Feeling mildly anxious can be a normal reaction after a traumatic event and does not necessarily indicate PTSD.
Choice B reason: Emotional numbing and detachment from others are common symptoms of PTSD, reflecting an avoidance of reminders of the trauma.
Choice C reason: The timeframe of symptoms occurring specifically 2 weeks after the trauma is more indicative of acute stress disorder rather than PTSD.
Choice D reason: Reexperiencing the trauma through dreams or intrusive thoughts is a hallmark symptom of PTSD, often leading to significant distress.
Choice E reason: Hyperarousal, including being on guard and irritable, is a symptom of PTSD that involves an increased state of anxiety and heightened emotional response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: Urinary retention and constipation are not typically associated with tardive dyskinesia, which is characterized by involuntary movements.
Choice B reason: Fine hand tremors and pill rolling are more commonly associated with Parkinson's disease rather than tardive dyskinesia.
Choice C reason: Tongue thrusting and lip smacking are classic signs of tardive dyskinesia, often resulting from long-term use of antipsychotic medications.
Choice D reason: Facial grimacing and eye blinking are also indicative of tardive dyskinesia, reflecting involuntary facial movements.
Choice E reason: Involuntary pelvic rocking and hip thrusting movements can be manifestations of tardive dyskinesia, representing involuntary movements of the body.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Assertiveness training is not a direct intervention for situational phobias, although it may help improve overall confidence.
Choice B reason: Systematic desensitization is a common technique used to treat phobias, where the client is gradually exposed to the fear-inducing situation in a controlled manner.
Choice C reason: Flooding is an exposure technique where the client is exposed to a high level of fear-inducing stimuli all at once, which can be effective for some phobias.
Choice D reason: Decatastrophizing helps clients challenge and change catastrophic thoughts that often accompany phobias.
Choice E reason: Simply reminding a person to calm down is not a therapeutic technique and is unlikely to be effective for someone with a situational phobia.
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