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 D
Explanation
Choice A rationale:
While focusing on physical needs is important, it is not the priority when caring for a homeless patient in the emergency department.
Choice B rationale:
Asking about extended family members might be helpful for social support, but it is not the priority.
Choice C rationale:
Suggesting alternatives for housing is part of discharge planning, but it is not the immediate priority when caring for the patient.
Choice D rationale:
Being nonjudgmental is the priority when caring for this patient. It helps to establish trust and open communication, which are crucial for effective care.
Correct Answer is D
Explanation
The correct answer is Choice D: The patient has a history of dehydration and orthostatic hypotension.
Choice A rationale:
This statement provides situational information about the patient's current condition, which is typically covered under "Situation" in the SBAR technique.
Choice B rationale:
This statement involves recommendations for potential interventions and would be appropriate for the "Recommendation" section of the SBAR communication.
Choice C rationale:
This statement details the patient's current vital signs, which also falls under the "Situation" or "Assessment" sections rather than "Background".
Choice D rationale:
Providing the patient's history of dehydration and orthostatic hypotension is crucial background information that helps the healthcare team understand the context and potential reasons for the patient's current condition. Background information includes relevant medical history, which can significantly impact clinical decisions.
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