The Public Health Nurse receives a report on the number of adults in the state who were admitted for substance abuse treatment.
Which location would the nurse recommend for education to address this health concern?

Choice A rationale:

Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. It’s not a stress-related disorder.

Choice B rationale:

Acute stress disorder (ASD) occurs immediately after a traumatic event, not a year later.

Choice C rationale:

Episodic acute stress involves frequent bouts of stress, not flashbacks of a traumatic event.

Choice D rationale:

Posttraumatic stress disorder (PTSD) is a disorder characterized by failure to recover after experiencing or witnessing a terrifying event. The condition may last months or years, with triggers that can bring back memories of the trauma accompanied by intense emotional and physical reactions, such as flashbacks, as described in the scenario.

Choice A rationale:

An informal spoiler typically indulges their grandchildren with treats and fun, often in a way that may spoil them. This doesn’t fit the scenario described.

Choice B rationale:

A surrogate grandparent steps in to fulfill the parental role when the parents are unavailable or unable to do so. In this case, the grandparent is helping with food preparation due to the parents’ limited time, which aligns with the surrogate role.

Choice C rationale:

A wisdom provider shares life experiences and lessons, but this isn’t mentioned in the scenario.

Choice D rationale:

A formal grandparent adheres to traditional expectations and rules, which isn’t reflected in the scenario.