A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?

"I was in a terrible car crash 2 years ago and I have been unable to drive a car since then

"My parents fought a lot when I was a child. Now when I hear people yelling or fighting. I feel like I left my body."

"I was in a car crash 2 weeks ago and I have nightmares when sleep

"I was physically abused when I was a child and have frequent flashbacks since then.

Answer and Explanation

The Correct Answer is C

A. This statement describes a long-term reaction to a traumatic event, which is more consistent with post-traumatic stress disorder (PTSD) rather than acute stress disorder (ASD), which occurs within 3 days to 4 weeks of a traumatic event.
B. This statement refers to dissociation related to a past trauma but doesn’t specifically indicate the timeframe for acute stress disorder, which typically involves symptoms that occur shortly after a trauma.
C. Acute stress disorder occurs within 3 days to 4 weeks of a traumatic event and can include symptoms like nightmares, intrusive thoughts, and flashbacks. This statement is consistent with ASD, which is characterized by immediate reactions to a traumatic event.
D. This statement suggests long-term PTSD symptoms (such as flashbacks) after childhood trauma, not acute stress disorder. PTSD typically develops after the symptoms persist for more than a month.

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Correct Answer is B

Explanation

A. Ingesting food containing a disease-carrying organism refers to foodborne transmission, not airborne transmission.
B. Airborne transmission involves pathogens that are carried through the air in tiny droplets or dust particles, which can be inhaled into the lungs, as stated correctly in option B.
C. Direct contact with a pathogen is associated with contact transmission, not airborne.
D. Being bitten by a tick or insect refers to vector-borne transmission, not airborne transmission.

A. Traumatic B. Complicated C. Disenfranchised D. Anticipatory

Correct Answer is D

Explanation

A. Traumatic grief is a response to a sudden, unexpected, or violent death, often associated with shock and difficulty processing the loss.
B. Complicated grief refers to an intense and prolonged grieving process that interferes with daily life, occurring after a loss, not typically before death.
C. Disenfranchised grief occurs when a person’s grief is not acknowledged or validated by society, such as with a stigmatized relationship or loss.
D. Anticipatory grief occurs before a loss, when individuals expect the death of a loved one due to terminal illness. It allows time to process the impending loss and begin grieving before the actual death occurs.

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A nurse is providing care to a client who has acute stress disorder. Which of the following client statements is consistent with this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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