A client with acute stress disorder (ASD) tells the nurse, "I can't go near the place where the event happened." What is the nurse's best response?
"You should face your fears and confront that place.”
"Avoiding the place is a good way to prevent triggering your symptoms.”
"It's important to gradually expose yourself to that place to overcome your fear.”
"Let's explore some ways to cope with your feelings of distress when thinking about that place.”
The Correct Answer is D
Choice A rationale:
Urging the client to "face their fears and confront that place" might overwhelm them and exacerbate their distress. Gradual exposure is a more effective approach in managing anxiety related to trauma.
Choice B rationale:
While avoidance might provide temporary relief, it reinforces the fear and prevents the client from processing the traumatic memory. Encouraging avoidance can contribute to the persistence of their symptoms.
Choice C rationale:
Gradual exposure is indeed a recommended therapeutic technique, but directly telling the client to "gradually expose themselves" might not be well received. Collaboration and guidance are important in this process.
Choice D rationale:
This response acknowledges the client's distress and suggests a collaborative approach to coping with their feelings. It opens the door for discussing coping strategies and potentially seeking professional help.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Administering psychological tests is not directly related to protecting the individual's rights and promoting safety. While assessment is important, it's not a primary intervention for safeguarding rights or safety.
Choice B rationale:
Providing education about trauma prevention is valuable, but it doesn't specifically address protecting the individual's rights or ensuring their safety after the traumatic event.
Choice C rationale:
Referring the individual to appropriate services, such as therapy or counseling, can help address their emotional and psychological needs while respecting their rights. This is crucial in promoting their well-being.
Choice D rationale:
Implementing prevention strategies is essential for public health but is not the primary focus when dealing with an individual already diagnosed with acute stress disorder (ASD).
Choice E rationale:
Respecting the individual's privacy and dignity creates a therapeutic and safe environment. Trauma can make individuals feel vulnerable, and ensuring their dignity is upheld helps build trust in the therapeutic relationship.
Correct Answer is C
Explanation
Choice C rationale:
The statement "I'm so relieved that my symptoms will go away within a few days" indicates a need for further education about acute stress disorder (ASD). ASD symptoms typically last for a minimum of 3 days and can persist for up to a month. This statement suggests a misunderstanding about the duration of symptoms and the potential need for appropriate interventions.
Choice A rationale:
The statement "I can't believe I'm feeling so detached from everything" (Choice A) is consistent with the emotional numbing and detachment often experienced by individuals with ASD, and it does not indicate a need for further education.
Choice B rationale:
The statement "I've been avoiding places that remind me of the trauma" (Choice B) is in line with the avoidance symptoms of ASD and does not necessarily indicate a need for further education.
Choice D rationale:
The statement "I've been having nightmares about the event" (Choice D) is indicative of the intrusive symptoms common in ASD and does not necessarily indicate a need for further education.
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