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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Lung cancer is more common in males, particularly due to higher smoking rates historically, although both men and women are at risk.
B. Melanoma of the skin is more common in males, especially in older age groups. While it is important for both genders to protect their skin, men tend to develop more aggressive forms of melanoma.
C. Thyroid cancer is actually more common in women than men, though men are more likely to die from it.
D. Breast cancer is far less common in males than in females, though men can develop it, the incidence is much lower.
E. Colorectal cancer is more common in males than females, with men being at a higher risk overall.
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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