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?
Derealization.
Hypervigilance.
Dissociative amnesia.
Depersonalization.
The Correct Answer is C
Choice A rationale
Derealization involves feeling detached or disconnected from one’s surroundings, not changing details of a traumatic event.
Choice B rationale
Hypervigilance involves being overly alert or watchful, especially to potential danger, not changing details of a traumatic event.
Choice C rationale
Dissociative amnesia can involve difficulty remembering important information about a traumatic event, which can lead to inconsistencies in the child’s recollections.
Choice D rationale
Depersonalization involves feeling detached or disconnected from oneself, not changing details of a traumatic event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Maintaining an upright posture during a client interview is generally seen as a sign of attentiveness and professionalism. It shows that the nurse is focused on the conversation and respects the client’s concerns.
Choice B rationale
Sitting at a slight angle across from the clients is a part of active listening and is considered a positive nonverbal communication technique. It allows the nurse to maintain eye contact and observe the client’s nonverbal cues.
Choice C rationale
Maintaining eye contact throughout the interview is a positive nonverbal communication technique that shows the nurse is paying attention and is interested in what the client is saying. However, it’s important to note that in some cultures, direct eye contact may be considered disrespectful or intrusive.
Choice D rationale
Leaning away from the client throughout the interview can be perceived as a sign of disinterest or discomfort. It may give the impression that the nurse is not engaged in the conversation or is maintaining a distance from the client. This can hinder the development of a therapeutic nurse-client relationship.
Correct Answer is D
Explanation
Choice A rationale
While a family history of anxiety disorders can increase the risk of developing such disorders, positive childhood experiences can serve as protective factors, reducing the likelihood of developing an anxiety disorder.
Choice B rationale
Although a family history of cancer can cause stress and anxiety, especially if the client is recently unemployed and potentially struggling with financial instability, this does not necessarily mean they are most likely to develop an anxiety disorder. Unemployment can indeed be a source of stress, but it is not a direct cause of anxiety disorders.
Choice C rationale
Not graduating from high school or not completing the GED test can lead to lower socioeconomic status and fewer job opportunities, which can be stressful. However, these factors alone do not make someone most likely to develop an anxiety disorder.
Choice D rationale
A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorders is most likely to develop an anxiety disorder. Adverse childhood experiences, such as abuse and neglect, are significant risk factors for the development of anxiety disorders later in life. Furthermore, having parents with a history of anxiety disorders suggests a possible genetic predisposition.
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