Which statement by the client indicates a need for further education about acute stress disorder (ASD)?
"I can't believe I'm feeling so detached from everything.”
"I've been avoiding places that remind me of the trauma.”
"I'm so relieved that my symptoms will go away within a few days.”
"I've been having nightmares about the event.”
The Correct Answer is C
Choice C rationale:
The statement "I'm so relieved that my symptoms will go away within a few days" indicates a need for further education about acute stress disorder (ASD). ASD symptoms typically last for a minimum of 3 days and can persist for up to a month. This statement suggests a misunderstanding about the duration of symptoms and the potential need for appropriate interventions.
Choice A rationale:
The statement "I can't believe I'm feeling so detached from everything" (Choice A) is consistent with the emotional numbing and detachment often experienced by individuals with ASD, and it does not indicate a need for further education.
Choice B rationale:
The statement "I've been avoiding places that remind me of the trauma" (Choice B) is in line with the avoidance symptoms of ASD and does not necessarily indicate a need for further education.
Choice D rationale:
The statement "I've been having nightmares about the event" (Choice D) is indicative of the intrusive symptoms common in ASD and does not necessarily indicate a need for further education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Administering psychological tests is not directly related to protecting the individual's rights and promoting safety. While assessment is important, it's not a primary intervention for safeguarding rights or safety.
Choice B rationale:
Providing education about trauma prevention is valuable, but it doesn't specifically address protecting the individual's rights or ensuring their safety after the traumatic event.
Choice C rationale:
Referring the individual to appropriate services, such as therapy or counseling, can help address their emotional and psychological needs while respecting their rights. This is crucial in promoting their well-being.
Choice D rationale:
Implementing prevention strategies is essential for public health but is not the primary focus when dealing with an individual already diagnosed with acute stress disorder (ASD).
Choice E rationale:
Respecting the individual's privacy and dignity creates a therapeutic and safe environment. Trauma can make individuals feel vulnerable, and ensuring their dignity is upheld helps build trust in the therapeutic relationship.
Correct Answer is A
Explanation
Choice A rationale:
The nurse's response of acknowledging the client's emotions and normalizing their feelings validates their experience. It emphasizes that such emotional responses are common after traumatic events, helping to reduce the client's distress and potentially fostering a sense of connection.
Choice B rationale:
This response might invalidate the client's emotions and rush their healing process. Telling the client that they will "get over this eventually" oversimplifies their experience and may cause further frustration.
Choice C rationale:
Advising the client to solely focus on avoiding reminders of the trauma (situations that remind them of the event) could lead to avoidance behaviors and hinder their recovery. It's important to gradually address triggers rather than completely avoiding them.
Choice D rationale:
Encouraging the client to "forget about the event completely and move on" could be dismissive of their emotional struggle. Forgetting is not a realistic goal, and suppressing emotions can be harmful in the long run.
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