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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Having a physical disability can be considered an ACE as it can lead to increased stress, potential for bullying, and other negative experiences. Children with physical disabilities may face unique challenges that can contribute to the development of anxiety disorders.
Choice B rationale
Performing well in school is generally considered a positive experience and is not an ACE. Academic success can contribute to a child’s self-esteem and sense of accomplishment.
Choice C rationale
Having a family with a strong social support system is a protective factor against the development of anxiety disorders and is not considered an ACE. A strong support system can provide a child with resources, emotional support, and a sense of security.
Choice D rationale
Having caregivers who have steady employment is not considered an ACE. Steady employment can provide financial stability and reduce stress in the household, which can be protective against the development of anxiety disorders.
Correct Answer is A
Explanation
Choice A rationale
Quality education does not typically include coverage for medical expenses. Education and healthcare are generally considered separate entities, with different funding and administration.
Choice B rationale
Individuals who attain a quality education are indeed more likely to secure a job that pays a living wage. Education often provides the skills and knowledge necessary for higher-paying
jobs, which can lead to improved health outcomes through increased access to healthcare, healthier lifestyles, and better living conditions.
Choice C rationale
While technology and virtual healthcare services are increasingly being integrated into various aspects of society, quality education does not inherently provide increased access to virtual visits with primary care physicians.
Choice D rationale
The requirement to purchase healthy lunches at school is not a characteristic of quality education. While nutrition is important for overall health and academic performance, it is not a defining factor of the quality of education.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.