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.

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A rationale
While CBT can help with understanding feelings and thoughts, it doesn’t provide all the answers about why something happened.
Choice B rationale
CBT focuses on thoughts and behaviors, not medical treatments.
Choice C rationale

Planning funeral and burial services is not a typical part of CBT.
Choice D rationale
CBT can help individuals cope with loss and figure out how to move forward, making this the correct answer. Please note that these rationales are based on general nursing knowledge and may not be entirely accurate for these specific questions. For the most accurate information, please refer to your nursing textbooks or speak with a healthcare professional.

A. Chronic trauma B. Vicarious trauma C. Acute trauma D. Historical trauma

Correct Answer is A

Explanation

Choice A rationale
Chronic trauma refers to repeated exposure to traumatic events over a long period. Abuse and neglect since early childhood, as in the case of the adolescent in the question, is a clear example of chronic trauma.
Choice B rationale
Vicarious trauma occurs when an individual becomes traumatized not by directly experiencing a traumatic event, but by exposure to graphic or traumatic material as part of their work. This is not the case for the adolescent in the question.
Choice C rationale
Acute trauma results from a single, unexpected, and stressful event. This does not apply to the adolescent in the question, who has been subjected to abuse and neglect since early childhood.
Choice D rationale

Historical trauma refers to the cumulative emotional and psychological wounding of an individual or generation caused by a traumatic experience or event. This does not apply to the adolescent in the question.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client diagnosed with prolonged grief disorder about the significance of cognitive behavioral therapy (CBT). Which of the following statements from the client indicates a comprehension of the teaching?

Correct Answer is D

Explanation

A nurse is caring for an adolescent who has been subjected to abuse and neglect since early childhood. This is an example of which type of trauma?

Correct Answer is A

Explanation

A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

A nurse is caring for an adolescent with an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?

A nurse is providing care for a client who has recently returned from active combat and lost a close friend during combat. Which statement by the client indicates that they are experiencing traumatic grief?

A nurse is reviewing assessment findings for a 9-year-old child whose family home was destroyed in a wildfire. The nurse should identify that which of the following behaviors is related to the traumatic experience?

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A nurse is caring for a school-age child who witnessed a violent crime. Each time the child recalls the event, the details differ from previous recollections. Which of the following trauma-related symptoms is the child experiencing?

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