A nurse is caring for a client who has been diagnosed with acute stress disorder. Which of the following client statements aligns with this diagnosis?
“I was in a car crash two weeks ago and I have nightmares when I sleep.”.
“I was physically abused as a child and have frequent flashbacks since then.”.
“I was in a terrible car crash two years ago and I have been unable to drive since then.”.
“My parents fought a lot when I was a child.
The Correct Answer is A
Choice A rationale
Acute Stress Disorder (ASD) is a mental health condition that can occur in the immediate aftermath of a traumatic event, with symptoms starting within four weeks of the event and lasting for a minimum of three days and up to one month. This client’s statement about experiencing nightmares following a car crash two weeks ago aligns with the diagnosis of ASD.
Nightmares are a common symptom of ASD, often replaying the traumatic event, leading to disrupted sleep and increased distress.
Choice B rationale
This statement is more indicative of Post-Traumatic Stress Disorder (PTSD), a related but distinct condition from ASD. PTSD is characterized by persistent and intrusive memories of the traumatic event, which can include flashbacks, and symptoms must last for more than a month and cause significant distress or functional impairment. The chronic nature of the symptoms described by the client, including frequent flashbacks since childhood, is more consistent with PTSD than ASD.
Choice C rationale
This statement could suggest a condition known as Specific Phobia, Situational Type. This is a type of anxiety disorder characterized by an intense, persistent fear of certain situations. The individual will avoid the situation or endure it with intense fear or anxiety. In this case, the client’s inability to drive following a car crash two years ago could indicate a specific phobia related to driving.
Choice D rationale
The experience described by the client in this statement is indicative of a dissociative symptom, which can be a feature of several different mental health disorders, including but not limited to Dissociative Disorders and PTSD1. The feeling of leaving one’s body is referred to as depersonalization, a type of dissociation that can occur as a response to trauma. However, without more information, it is difficult to align this statement with a specific diag
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While young adults aged between 18 to 25 can be eligible for Medicaid, age alone is not a determining factor. Eligibility is primarily based on income level, family size, disability, and other factors.
Choice B rationale
Losing a job and previously having health insurance from an employer does not automatically qualify someone for Medicaid. While some individuals may qualify for Medicaid after losing their job, it largely depends on their current income, family size, and state regulations.
Choice C rationale
Medicaid is a joint federal and state program that provides health coverage to people with low income, including some low-income adults, children, pregnant women, elderly adults, and people with disabilities. Therefore, a patient whose income is below the poverty line would likely be eligible for Medicaid.
Choice D rationale
Having health insurance but needing a supplemental policy does not necessarily qualify someone for Medicaid. Medicaid is intended to provide health coverage for low-income individuals who meet specific eligibility requirements.
Correct Answer is D
Explanation
Choice A rationale
Minimizing contact with a patient who is angry can create a barrier in the nurse-patient relationship. It’s important for nurses to address the patient’s anger and work through it rather than avoid it.
Choice B rationale
While it’s crucial to explain the importance of treatments, language barriers can make this difficult. The nurse should use a translator or other resources to ensure the patient fully understands.
Choice C rationale
Using clinical terminology can confuse patients who are not familiar with medical jargon. It’s better to use simple, understandable language.
Choice D rationale
Fulfilling promises builds trust and rapport. By allowing a patient to visit with family members, the nurse shows they are reliable and trustworthy.
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