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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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Warming the finger before puncturing it can help increase blood flow and make the process easier. This is an appropriate technique for self-monitoring of blood glucose (SMBG).
B. The center of the finger pad is not the best site for blood glucose testing. The side of the fingertip should be used instead to avoid discomfort and to prevent injury to the nerve endings found in the center of the pad.
C. Washing hands with soap and water is the proper technique for cleansing the hands before performing SMBG to reduce the risk of contamination.
D. A blood glucose level of 110 mg/dL is within the normal range for a non-diabetic person, and could indicate good control for a diabetic. This would be considered an appropriate response, especially if the reading is taken before meals.

A. Suspiciousness of others B. Lack of feelings of remorse C. Requiring frequent reassurance from others D. inflated sense of self

Correct Answer is A

Explanation

A. Clients with paranoid personality disorder typically display pervasive distrust and suspiciousness of others. They often believe that others are out to harm, deceive, or exploit them, even without evidence.
B. A lack of remorse is more characteristic of antisocial personality disorder, not paranoid personality disorder.
C. Needing frequent reassurance is commonly seen in dependent personality disorder, not paranoid type.
D. An inflated sense of self is more aligned with narcissistic personality disorder.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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