A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago.
The nurse should identify that the client is experiencing which of the following stress-related disorders?
Irritable bowel syndrome (IBS).
Acute stress disorder (ASD).
Episodic acute stress.
Posttraumatic stress disorder (PTSD). .
The Correct Answer is D
Choice A rationale:
Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. It’s not a stress-related disorder.
Choice B rationale:
Acute stress disorder (ASD) occurs immediately after a traumatic event, not a year later.
Choice C rationale:
Episodic acute stress involves frequent bouts of stress, not flashbacks of a traumatic event.
Choice D rationale:
Posttraumatic stress disorder (PTSD) is a disorder characterized by failure to recover after experiencing or witnessing a terrifying event. The condition may last months or years, with triggers that can bring back memories of the trauma accompanied by intense emotional and physical reactions, such as flashbacks, as described in the scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
During the orientation phase, the nurse and patient get to know each other and establish a plan of care, making this the correct choice.
Choice B rationale:
Identifying the patient’s coping mechanisms is typically part of the working phase, not the orientation phase.
Choice C rationale:
Determining if the patient has been helped is part of the termination phase, not the orientation phase.
Choice D rationale:
Asking the patient for the name they prefer could be done at any time, but it is not a specific action taken during the orientation phase.
Correct Answer is C
Explanation
Choice A rationale:
Explaining that the hospital follows a preferred provider organization structure does not help the patient obtain health insurance.
Choice B rationale:
Reviewing the benefits of obtaining health insurance through a health maintenance organization does not help the patient obtain health insurance.
Choice C rationale:
Asking social services to help the patient use the state health care exchange to shop for health insurance coverage is the best action as it directly addresses the patient’s need.
Choice D rationale:
Suggesting the patient consider contacting the state to enroll in Medicaid may not be appropriate if the patient does not meet the eligibility criteria for Medicaid.
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