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 car crash 2 weeks ago and I have nightmares when I sleep.”.

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

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

"My parents fought a lot when I was a child.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The client’s statement about experiencing nightmares after a car crash 2 weeks ago is consistent with acute stress disorder, which can occur within 3 days to 1 month after exposure to a traumatic event.

Choice B rationale:

This statement suggests a condition known as post-traumatic stress disorder (PTSD), which is characterized by symptoms that last longer than 1 month and cause significant impairment or distress.

Choice C rationale:

Frequent flashbacks of childhood physical abuse also suggest PTSD, not acute stress disorder.

Choice D rationale:

The feeling of leaving one’s body when hearing people yelling or fighting is indicative of a dissociative disorder, not acute stress disorder.

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Correct Answer is C

Explanation

Choice A rationale:

While it’s important to address the parent’s concerns, this response does not provide the parent with information about why their child might be exhibiting these behaviors.

Choice B rationale:

This response does not address the parent’s question about why their child is exhibiting these behaviors.

Choice C rationale:

This is the best choice because it provides the parent with information about why their child might be exhibiting these behaviors.

Choice D rationale:

This response minimizes the parent’s concerns and does not provide them with information about why their child might be exhibiting these behaviors.

A. Adaptive vs. maladaptive B. Justified vs. unjustified. C. Good vs. bad. D. Right vs. wrong.

Correct Answer is A

Explanation

Choice A rationale:

Adaptive vs. maladaptive refers to how well an individual’s behavior or response helps them cope with stressors. It’s the most relevant concept for understanding and delivering nursing care in this context.

Choice B rationale:

Justified vs. unjustified is not a relevant concept in this context as it pertains to moral or ethical judgments, not stress responses.

Choice C rationale:

Good vs. bad is also not relevant in this context as it’s a subjective judgment, not a measure of stress response.

Choice D rationale:

Right vs. wrong is not relevant in this context as it pertains to moral or ethical judgments, not stress responses.

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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

Correct Answer is C

Explanation

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Correct Answer is A

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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?.