Exam 16: Trauma, Stressor-Related, and Dissociative Disorders

A person runs from a crowded nightclub after a pyrotechnics show causes the building to catch fire.Which division of the autonomic nervous system will be stimulated in response to this experience?

A store clerk was killed during a robbery 2 weeks ago.His widow,who has a long history of schizoaffective disorder,cries spontaneously when talking about his death.Select the nurse's most therapeutic response.

Which scenario demonstrates a dissociative fugue?

A soldier returned home from active duty in a combat zone in Afghanistan and was diagnosed with posttraumatic stress disorder (PTSD).The soldier says,"If there's a loud noise at night,I get under my bed because I think we're getting bombed." What type of experience has the soldier described?

Two weeks ago,a soldier returned to the U.S.from active duty in a combat zone in Afghanistan.The soldier was diagnosed with posttraumatic stress disorder (PTSD).Which comment by the soldier requires the nurse's immediate attention?

Four teenagers died in an automobile accident.One week later,which behavior by the parents of these teenagers most clearly demonstrates resilience? The parents who:

A soldier returns to the United States from active duty in a combat zone in Afghanistan.The soldier is diagnosed with posttraumatic stress disorder (PTSD).The nurse's highest priority is to screen this soldier for:

Which assessment finding best supports dissociative fugue? The patient states:

A child drowned while swimming in a local lake 2 years ago.Which behavior indicates the child's parents have adapted to their loss? The parents:

A patient states,"I feel detached and weird all the time.It is as though I am looking at life through a cloudy window.Everything seems unreal.It really messes up things at work and school." This scenario is most suggestive of which health problem?

The gas pedal on a person's car stuck on a busy interstate highway,causing the car to accelerate rapidly.For 20 minutes,the car was very difficult to control.Afterward,this person's cortisol regulation was compromised.Which assessment finding would the nurse expect associated with the dysregulation of cortisol?

The nurse interviewing a patient with suspected posttraumatic stress disorder should be alert to findings indicating the patient: (select all that apply)

After the sudden death of his wife,a man says,"I can't live without her…she was my whole life." Select the nurse's most therapeutic reply.

A soldier in a combat zone tells the nurse,"I saw a child get blown up over a year ago,and I still keep seeing bits of flesh everywhere.I see something red,and the visions race back to my mind." Which phenomenon associated with posttraumatic stress disorder (PTSD)is the soldier describing?

The unlicensed assistive personnel (UAP)says to the nurse,"That patient with amnesia looks fine,but when I talk to her,she seems vague.What should I be doing for her?" Select the nurse's best reply.

A soldier returned home last year after deployment to a war zone.The soldier's spouse complains,"We were going to start a family,but now he won't talk about it.He will not look at children.I wonder if we're going to make it as a couple." Select the nurse's best response.

The nurse who is counseling a patient with dissociative identity disorder should understand that the assessment of highest priority is:

A young adult says,"I was sexually abused by my older brother.During those assaults,I went somewhere else in my mind.I don't remember the details.Now,I often feel numb or unreal in romantic relationships,so I just avoid them." Which disorders should the nurse suspect based on this history? Select all that apply.

Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? Select all that apply.

Select the correct etiology to complete this nursing diagnosis for a patient with dissociative identity disorder.Disturbed personal identity related to: