Exam 28: Trauma- and Stressor-Related Disorders

Sandy,a rape survivor,is being treated for PTSD.Which of these statements are good indications that Sally is beginning to recover from PTSD?

George recently lost his wife and two small children in a house fire.George did not return to work after the trauma and thus lost his job.George also withdrew from family and friends.George's pastor reached out and encouraged George to seek psychiatric help,which he did.George is currently a patient at a psychiatric facility.The nurse assigned to George is evaluating the plan of care.Which statements made by George would require the nurse to reevaluate George's care plan? Select all that apply.

Lucia's 8-year-old son went missing 1 year ago.The police have few leads and have lost interest in the case.Lucia visits an outpatient mental health clinic to determine the treatment options available to help her cope with her grief.As Lucia begins speaking with the nurse,she begins sobbing uncontrollably.Which statement made by the nurse demonstrates support of Lucia?

Joe,who recently lost both parents in a tragic automobile accident,has been diagnosed with an adjustment disorder after he struck a friend who told him he needed to "get his feelings out." The stage of grieving that Joe is struggling with is ____________________.

A patient admitted to the hospital with PTSD is ordered the following medications.Which of these medications has a direct use in treating symptoms that are common in PTSD? Select all that apply.

Brandy is an 18-year-old being treated in the Community Mental Health Clinic for an adjustment disorder after receiving news of her parents' impending divorce.While talking about her feelings,she becomes angry and starts shouting and crying.She screams,"I wish they would both die!" Which of these is the most appropriate nursing response?

A patient's wife reports to the nurse that she was told her husband's PTSD may be related to cognitive problems.She is asking the nurse to explain what that means.Which of the following are accurate statements about the cognitive theory as it applies to PTSD? Select all that apply.

Sammy is diagnosed with a trauma disorder and is being treated at an inpatient psychiatric unit.Which nursing short-term goal is most appropriate for Sammy?

Susan is diagnosed with PTSD and informs the nurse that she is experiencing nightmares.The pharmacological intervention that will most benefit Susan is ____________________.

A mother brings her son to the emergency department and tells the nurse that her son must have posttraumatic stress disorder (PTSD),because 2 days ago,he witnessed a car accident in which there were fatalities.She is convinced that her son has PTSD because he has been crying when he talks about the incident.She believes that boys are at greater risk for PTSD because they don't typically cry.She read on the Internet that PTSD can have dangerous consequences,so she wants her son to get some medication "to cure the PTSD before it gets too bad." Which of these statements by the nurse would accurately correct this mother's misunderstanding about PTSD? Select all that apply.

Joe,a patient being treated for PTSD,tells the nurse that his therapist is recommending cognitive therapy.He asks the nurse how that's supposed to help his nightmares.Which of these responses by the nurse provides accurate information about the benefits of this type of therapy? Select all that apply.

A sustained maladaptive response to a traumatic,overwhelming event is defined as ____________________.

Exposure to trauma has been associated with hyperarousal of the sympathetic nervous system,excessive amygdala activity,and decreased volume of the ____________________.

Major Smith,who is being treated for PTSD symptoms following a course of military duty,reports,"I think I was in denial about even having PTSD.I thought I was just having trouble sleeping." Which of these is an accurate evaluation of the patient's comments?

A patient who is being seen in the community mental health center for PTSD is being considered for EMDR (eye movement desensitization and reprocessing)therapy.The nurse is asked to conduct an assessment to validate the patient's appropriateness for this treatment.Which of the following data,collected by the nurse,are most important to document when determining appropriateness for treatment with EMDR? Select all that apply.

Studies have suggested that reexperiencing a traumatic event can become an addiction of sorts.The evidence suggests that the reason for this is which?

Joshua recently moved into a dormitory to begin his first year in college.The dormitory supervisor reprimanded him for not disposing of food items properly,and he responded by throwing all of his belongings from a second-story window while shouting obscenities.The campus police escorted him to campus health services,where he was diagnosed with an Adjustment Disorder With Disturbance of Conduct.Which of the following items in Joshua's history predispose him to this disorder? Select all that apply.

A patient is admitted to the community mental health center for outpatient therapy with a diagnosis of Adjustment Disorder.Which of the following subjective statements by the patient support this diagnosis? Select all that apply.

Which of these statements by the patient are indications of complicated grieving?

Jane presents in the emergency department with a friend,who reports that Jane has been sitting in her apartment "staring off into space" and doesn't seem interested in doing anything.During the assessment,Jane reveals,with little emotion,that she was raped 4 months ago.Which of these is the most appropriate interpretation of Jane's lack of emotion?