Exam 28: Trauma and Stressor Related Disorders

A mother brings her son to the Emergency Department and tells the nurse that her son must have 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.

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

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.

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?

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.

A nurse who works on an inpatient psychiatric unit is working on developing a treatment plan for a patient admitted with PTSD.The patient,a military veteran,reports that sometimes he thinks he sees bombs exploding and the enemy rushing toward him.He has had aggressive outbursts and was hospitalized after assaulting a coworker during one of these episodes.Which of these interventions by the nurse are evidence-based responses? Select all that apply.

Joshua recently moved into a dormitory to begin his freshman year in college.He was reprimanded by the dormitory supervisor for not properly disposing of food items and 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.

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 response by the nurse at this point?

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.

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

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 being asked to conduct an assessment to validate the patient's appropriateness for this treatment.Which of the following pieces of 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 re-experiencing a traumatic event can become an addiction of sorts.The evidence suggests that the reason for this is:

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 military veteran is being assessed for outpatient therapy after he reports having problems at home and at work.Which of the symptoms that he describes are commonly associated with PTSD? Select all that apply.

According to NANDA (2012),a disorder that occurs after the death of a significant other or any loss perceived as significant to the individual,in which the experience of distress accompanying bereavement fails to follow normative expectations and manifests in functional impairment,is referred to as________________________.

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 ___________________.

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 military vet who recently returned from active duty in a Middle Eastern country and suffers from PTSD states he will not allow the lab tech,who is Iranian,to draw his blood.The patient states "He'll probably use a contaminated needle on me".Which of these is the most appropriate response by the nurse?

A patient being treated for symptoms of PTSD following a shooting incident at a local elementary school reports "I feel like there's no reason to go on living when so many others died." Which of these is the most appropriate response by the nurse at this juncture?

Samuel,a 19-year-old high school student,has been admitted to the psychiatric unit with a diagnosis of adjustment disorder with disturbance of conduct.He assaulted a teacher when he was told he was receiving detentions for a pattern of tardiness.The nurse,while completing rounds,finds the patient in his room crying,and one of his wrists is bleeding from a self-inflicted cut made by a piece of metal from an unknown source.Prioritize each of the following nursing interventions from 1 to 5,with 1 being the highest priority. ___