NURS 420 Exam 3 Study Guide
Questions And Correct Answers
What cis cAcute cStress cDisorder c(ASD)? c- ccorrect cansExposure cto ctraumatic cevents
ccauses canxiety, cdetachment cand cother cmanifestations cfor cat cleast c3 cdays cbut cnot
clonger cthan c1 cmonth cfollowing cthe cevent
What cis cposttraumatic cstress cdisorder c(PTSD)? c- ccorrect cansExposure cto ctraumatic
cevents ccauses canxiety, cdetachment, cand cother cmanifestations cabout cthe cevent cfor
clonger cthan c1 cmonth cfollowing cthe cevent. cManifestations ccan clast cfor cyears.
What cis cAdjustment cDisorder? c- ccorrect cansA cstressor ctriggers ca creaction ccausing
cchanges cin cmood cand/or cdysfunction cin cperforming cusual cactivities. cThe cstressor
cand ceffects care cless csevere cthan cwith cASD cor cPTSD.
What care csome ctypes cof cdissociative cdisorders? c- ccorrect
cansDepersonalization/derealization cdisorder
Dissociative camnesia c
Dissociative cfugue
Dissociative cidentity cdisorder
What cis cdepersonalization/derealization cdisorder? c- ccorrect cansThis cdisorder cis
ccharacterized cby ca ctemporary cchange cin cawareness cdisplaying cdepersonalization,
cderealization, cor cboth, coften cin cresponse cto cstress
What cis cdepersonalization? c- ccorrect cansDepersonalization cis cthe cfeeling cthat ca
cperson cis cobserving cone's cown cpersonality cor cbody cfrom ca cdistance
What cis cderealization? c- ccorrect cansDerealization cis cthe cfeeling cthat coutside cevents
care cunreal cor cpart cof ca cdream, cor cthat cobjects cappear clarger cor csmaller cthan cthey
cshould
,What cis cdissociative camnesia? c- ccorrect cansInability cto crecall cpersonal cinformation
crelated cto ctraumatic cor cstressful cevents. cThe camnesia ccan cbe cof cevents cof ca
ccertain cperiod cof ctime cor cjust ccertain cdetails
What cis cdissociative cfugue? c- ccorrect cansA ctype cof cdissociative camnesia cin cwhich
cthe cclient ctravels cto ca cnew carea cand cis cunable cto cremember cone's cown cidentity
cand cat cleast csome cof cone's cpast. cCan clast cweeks cto cmonths cand cusually cfollows
ca ctraumatic cevent
What cis cdissociative cidentity cdisorder? c- ccorrect cansClient cdisplays cmore cthan cone
cdistinct cpersonality, cwith ca cstressful cevent cprecipitating cthe cchange cfrom cone
cpersonality cto canother
How ccan cPTSD cbe cprevented? c- ccorrect cans- cDuring cthe cincident, cbe caware cof
cneed cfor cbreaks, crest, cadequate cwater, cand cnutrition c
- cProvide cemotional csupport cfor cthose cinvolved cin cthe cincident c
- cEncourage cstaff cto csupport ceach cother c
- cDebrief cwith cothers cfollowing cthe cincident c
- cEncourage cexpression cof cfeelings cby call cinvolved c
- cUse coffered ccounseling cresources
What care csome crisk cfactors cfor cASD, cPTSD, cand cadjustment cdisorder? c- ccorrect
cans- cExposure cto ca ctraumatic cevent cor cexperience c(motor cvehicle ccrash, csexual
cassault, cphysical cabuse). cFor cadjustment cdisorder, cthe cevent cor cexperience ccan
cbe cless csevere c(breakup cof ca crelationship cor closs cof cemployment) c
- cExposure cto ctrauma cexperienced cduring ca cnatural cdisaster c(fire, cstorm), cor ca
cman-made cexperience c(terrorism) c
- cExposure cor crepeated cre-exposure cto ctrauma cin can coccupational csetting
c(experienced cby cmedical cpersonnel cor claw cenforcement cofficers) ccan cprecipitate ca
ctrauma- cand cstressor-related cdisorder
- cLiving cthrough ca ctraumatic cevent cexperienced cby ca cfamily cmember cor cclose
cfriend c(an cairplane ccrash cor chomicide)
What cis cPTSD ca crisk cfactor cfor? c- ccorrect cansPTSD cis ca crisk cfactor cfor cother
cdisorders, cincluding cdissociative cdisorders, canxiety, cdepression, cand csubstance cuse
cdisorders
What care csome crisk cfactors cfor cASD cand cPTSD? c- ccorrect cans- cSeverity cof cthe
ctrauma c(duration cof cthe cexperience, cthe camount cof cpersonal cthreat cassociated
cwith cthe ctrauma cand cwhether cit coccurs cfar cfrom chome cor cin cfamiliar csurroundings)
c
- cIndividual cvulnerabilities c(past ccoping cmechanisms, cpersonality, cand cpreexisting
cmental cdisorders) c
- cInsufficient ctreatment cfollowing cthe ctrauma c(client csocial csupports, csocietal
cattitudes cabout cthe csituation, cand ccultural cinfluences)
,What care csome crisk cfactors cfor cadjustment cdisorder? c- ccorrect cans- cPattern cof clife-
long cdifficulty caccepting cchange c
- cLearned cpattern cof cdifficulty cwith csocial cskills cor ccoping cstrategies cwhich, cwhen ca
cstressor coccurs, ccan ctrigger ca cstress cresponse cout cof cproportion cto cthe cstressor
What care csome crisk cfactors cfor cdissociative cdisorders? c- ccorrect cans- cTraumatic
clife cevent
- cChildhood cabuse cor ctrauma
What care csome cexpected cfindings cwith cASD cand cPTSD? c- ccorrect cans- cIntrusive
cfindings c(presence cof cmemories, cflashbacks, cdreams cabout cthe ctraumatic cevent) c
- cMemories cof cthe cevent crecur cinvoluntarily cand care cdistressing cto cthe cclient
- cFlashbacks c(dissociative creactions cwhere cthe cclient cfeels cthe ctraumatic cevent cis
crecurring cin cthe cpresent), csuch cas ca cmilitary cveteran cfeeling cthat cthey care creliving
ca ccombat csituation cafter chearing ca charmless cloud cnoise c
- cNight-time cdreams crelated cto cthe ctraumatic cevent c
- cAvoidance cof cpeople, cplaces, cevents, cor csituations cthat cbring cback creminders cof
cthe ctraumatic cevent c
- cTrying cto cavoid cthinking cof cthe cevent
What care csome cmood cand ccognitive calterations cwith cASD cand cPTSD? c- ccorrect
cans- cAnxiety cand cdepressive cdisorders c
- cAnger, cirritability cfrequently cpresent c
- cDecreased cinterest cin ccurrent cactivities c
- cGuilt, cnegative cself-beliefs, cand ccognitive cdistortions, csuch cas, c"I cam cresponsible
cfor ceverything cbad cthat chappens"
- cDetachment cfrom cothers, cincluding cfriends cand cfamily cmembers c
- cInability cto cexperience cpositive cemotional cexperiences, csuch cas clove cand
ctenderness
- cDissociative cmanifestations c(amnesia, cderealization, cdepersonalization)
What care csome cbehavioral cmanifestations cof cASD cand cPTSD? c- ccorrect cans-
cAggression, cirritability, cand cangry cresponses ctoward cothers c
- cHyper-vigilance cand cheightened cstartle cresponses c
- cInability cto cfocus cand cconcentrate con cwork cor cother cactivities c
- cSleep cdisturbances, csuch cas cinsomnia c
- cDestructive cbehavior, csuch cas csuicidal cthoughts cor cthoughts cof charming cothers
What care csome cexpected cfindings cwith cadjustment cdisorders? c- ccorrect
cansDepression c
Anxiety c
Changes cin cbehavior c(arguing cwith cothers cor cdriving cerratically)
What care csome cexpected cfindings cwith cdepersonalization/derealization cdisorder? c-
ccorrect cansReports cof cfeeling cdetached cfrom cone's cown cbody cor cof cfeeling cthat
cone's cpersonal cenvironment cis cunreal
, What care csome cexpected cfindings cwith cdissociative canemia? c- ccorrect cansLack cof
cmemory cthat ccan crange cfrom cname cor cdate cof cbirth cto cthe cclient's centire clifetime
What care csome cexpected cfindings cwith cdissociative cidentity cdisorder? c- ccorrect
cansClient cdisplays ctwo cor cmore cseparate cpersonalities. cEach cpersonality ccan cbe
cvery cdistinct cand cdifferent cfrom cthe cother
What care csome cdiagnostic cprocedures cfor cASD, cPTSD, cand cadjustment cdisorders?
c- ccorrect cans- cScreening ctools c(the cprimary ccare cPTSD cscreen cand cPTSD
cchecklist) c
- cScreening ctests cfor canxiety cand cdepression
- cAsking cabout csuicidal cideation
- cMental cstatus cexamination
What care csome cdiagnostic cprocedures cfor cdissociative cdisorders? c- ccorrect cans-
cPhysical cassessment, celectroencephalogram, cand cx-ray cstudies cto crule cout
cphysical ctrauma c(traumatic cbrain cinjury, cepilepsy) c
- cScreening cto crule cout csubstance cuse
- cMental cstatus cexamination cand cnursing chistory
What care csome cnursing cactions cwhen cdiagnosing cdissociative cdisorders? c- ccorrect
cans- cAssess crecent cand cremote cmemory cfor cgaps cor ccontraindications c
- cCheck cfor cfamily cand coccupational cdifficulties c
- cAsk cabout coccurrence cof cstressful cevents
- cAssess cfor cdepression, cmood cshifts, cand canxiety
- cUse cscreening ctools c(the cdissociative cdisorders cinterview cschedule, csomatoform
cdissociation cquestionnaire cand cthe cdissociative cexperience cscale)
STOPPED cGOING cTHROUGH cATI cCHAPTER c12 cON cPG c63... cADD cTHE cREST
cIF cNEEDED cOR cTAKE cOUT cSTUFF cTHAT cWAS cALREADY cADDED cIF cNOT
cNEEDED c- ccorrect cans
A cnurse cworking con can cacute cmental chealth cunit cis ccaring cfor ca cclient cwho chas
cposttraumatic cstress cdisorder c(PTSD). cWhich cof cthe cfollowing cfindings cshould cthe
cnurse cexpect? c(SATA) c- ccorrect cans- cDifficulty cconcentrating con ctasks c
- cNegative cself-image c
- cRecurring cnightmares
A cnurse cis cinvolved cin ca cserious cand cprolonged cmass ccasualty cincident cin cthe
cemergency cdepartment. cWhich cof cthe cfollowing cstrategies cshould cthe cnurse cuse cto
chelp cprevent cdeveloping ca ctrauma-related cdisorder? c(Select call cthat capply)
A. cAvoid cthinking cabout cthe cincident cwhen cit cis cover
B. cTake cbreaks cduring cthe cincident cfor cfood cand cwater
C. cDebrief cwith cothers cfollowing cthe cincident
Questions And Correct Answers
What cis cAcute cStress cDisorder c(ASD)? c- ccorrect cansExposure cto ctraumatic cevents
ccauses canxiety, cdetachment cand cother cmanifestations cfor cat cleast c3 cdays cbut cnot
clonger cthan c1 cmonth cfollowing cthe cevent
What cis cposttraumatic cstress cdisorder c(PTSD)? c- ccorrect cansExposure cto ctraumatic
cevents ccauses canxiety, cdetachment, cand cother cmanifestations cabout cthe cevent cfor
clonger cthan c1 cmonth cfollowing cthe cevent. cManifestations ccan clast cfor cyears.
What cis cAdjustment cDisorder? c- ccorrect cansA cstressor ctriggers ca creaction ccausing
cchanges cin cmood cand/or cdysfunction cin cperforming cusual cactivities. cThe cstressor
cand ceffects care cless csevere cthan cwith cASD cor cPTSD.
What care csome ctypes cof cdissociative cdisorders? c- ccorrect
cansDepersonalization/derealization cdisorder
Dissociative camnesia c
Dissociative cfugue
Dissociative cidentity cdisorder
What cis cdepersonalization/derealization cdisorder? c- ccorrect cansThis cdisorder cis
ccharacterized cby ca ctemporary cchange cin cawareness cdisplaying cdepersonalization,
cderealization, cor cboth, coften cin cresponse cto cstress
What cis cdepersonalization? c- ccorrect cansDepersonalization cis cthe cfeeling cthat ca
cperson cis cobserving cone's cown cpersonality cor cbody cfrom ca cdistance
What cis cderealization? c- ccorrect cansDerealization cis cthe cfeeling cthat coutside cevents
care cunreal cor cpart cof ca cdream, cor cthat cobjects cappear clarger cor csmaller cthan cthey
cshould
,What cis cdissociative camnesia? c- ccorrect cansInability cto crecall cpersonal cinformation
crelated cto ctraumatic cor cstressful cevents. cThe camnesia ccan cbe cof cevents cof ca
ccertain cperiod cof ctime cor cjust ccertain cdetails
What cis cdissociative cfugue? c- ccorrect cansA ctype cof cdissociative camnesia cin cwhich
cthe cclient ctravels cto ca cnew carea cand cis cunable cto cremember cone's cown cidentity
cand cat cleast csome cof cone's cpast. cCan clast cweeks cto cmonths cand cusually cfollows
ca ctraumatic cevent
What cis cdissociative cidentity cdisorder? c- ccorrect cansClient cdisplays cmore cthan cone
cdistinct cpersonality, cwith ca cstressful cevent cprecipitating cthe cchange cfrom cone
cpersonality cto canother
How ccan cPTSD cbe cprevented? c- ccorrect cans- cDuring cthe cincident, cbe caware cof
cneed cfor cbreaks, crest, cadequate cwater, cand cnutrition c
- cProvide cemotional csupport cfor cthose cinvolved cin cthe cincident c
- cEncourage cstaff cto csupport ceach cother c
- cDebrief cwith cothers cfollowing cthe cincident c
- cEncourage cexpression cof cfeelings cby call cinvolved c
- cUse coffered ccounseling cresources
What care csome crisk cfactors cfor cASD, cPTSD, cand cadjustment cdisorder? c- ccorrect
cans- cExposure cto ca ctraumatic cevent cor cexperience c(motor cvehicle ccrash, csexual
cassault, cphysical cabuse). cFor cadjustment cdisorder, cthe cevent cor cexperience ccan
cbe cless csevere c(breakup cof ca crelationship cor closs cof cemployment) c
- cExposure cto ctrauma cexperienced cduring ca cnatural cdisaster c(fire, cstorm), cor ca
cman-made cexperience c(terrorism) c
- cExposure cor crepeated cre-exposure cto ctrauma cin can coccupational csetting
c(experienced cby cmedical cpersonnel cor claw cenforcement cofficers) ccan cprecipitate ca
ctrauma- cand cstressor-related cdisorder
- cLiving cthrough ca ctraumatic cevent cexperienced cby ca cfamily cmember cor cclose
cfriend c(an cairplane ccrash cor chomicide)
What cis cPTSD ca crisk cfactor cfor? c- ccorrect cansPTSD cis ca crisk cfactor cfor cother
cdisorders, cincluding cdissociative cdisorders, canxiety, cdepression, cand csubstance cuse
cdisorders
What care csome crisk cfactors cfor cASD cand cPTSD? c- ccorrect cans- cSeverity cof cthe
ctrauma c(duration cof cthe cexperience, cthe camount cof cpersonal cthreat cassociated
cwith cthe ctrauma cand cwhether cit coccurs cfar cfrom chome cor cin cfamiliar csurroundings)
c
- cIndividual cvulnerabilities c(past ccoping cmechanisms, cpersonality, cand cpreexisting
cmental cdisorders) c
- cInsufficient ctreatment cfollowing cthe ctrauma c(client csocial csupports, csocietal
cattitudes cabout cthe csituation, cand ccultural cinfluences)
,What care csome crisk cfactors cfor cadjustment cdisorder? c- ccorrect cans- cPattern cof clife-
long cdifficulty caccepting cchange c
- cLearned cpattern cof cdifficulty cwith csocial cskills cor ccoping cstrategies cwhich, cwhen ca
cstressor coccurs, ccan ctrigger ca cstress cresponse cout cof cproportion cto cthe cstressor
What care csome crisk cfactors cfor cdissociative cdisorders? c- ccorrect cans- cTraumatic
clife cevent
- cChildhood cabuse cor ctrauma
What care csome cexpected cfindings cwith cASD cand cPTSD? c- ccorrect cans- cIntrusive
cfindings c(presence cof cmemories, cflashbacks, cdreams cabout cthe ctraumatic cevent) c
- cMemories cof cthe cevent crecur cinvoluntarily cand care cdistressing cto cthe cclient
- cFlashbacks c(dissociative creactions cwhere cthe cclient cfeels cthe ctraumatic cevent cis
crecurring cin cthe cpresent), csuch cas ca cmilitary cveteran cfeeling cthat cthey care creliving
ca ccombat csituation cafter chearing ca charmless cloud cnoise c
- cNight-time cdreams crelated cto cthe ctraumatic cevent c
- cAvoidance cof cpeople, cplaces, cevents, cor csituations cthat cbring cback creminders cof
cthe ctraumatic cevent c
- cTrying cto cavoid cthinking cof cthe cevent
What care csome cmood cand ccognitive calterations cwith cASD cand cPTSD? c- ccorrect
cans- cAnxiety cand cdepressive cdisorders c
- cAnger, cirritability cfrequently cpresent c
- cDecreased cinterest cin ccurrent cactivities c
- cGuilt, cnegative cself-beliefs, cand ccognitive cdistortions, csuch cas, c"I cam cresponsible
cfor ceverything cbad cthat chappens"
- cDetachment cfrom cothers, cincluding cfriends cand cfamily cmembers c
- cInability cto cexperience cpositive cemotional cexperiences, csuch cas clove cand
ctenderness
- cDissociative cmanifestations c(amnesia, cderealization, cdepersonalization)
What care csome cbehavioral cmanifestations cof cASD cand cPTSD? c- ccorrect cans-
cAggression, cirritability, cand cangry cresponses ctoward cothers c
- cHyper-vigilance cand cheightened cstartle cresponses c
- cInability cto cfocus cand cconcentrate con cwork cor cother cactivities c
- cSleep cdisturbances, csuch cas cinsomnia c
- cDestructive cbehavior, csuch cas csuicidal cthoughts cor cthoughts cof charming cothers
What care csome cexpected cfindings cwith cadjustment cdisorders? c- ccorrect
cansDepression c
Anxiety c
Changes cin cbehavior c(arguing cwith cothers cor cdriving cerratically)
What care csome cexpected cfindings cwith cdepersonalization/derealization cdisorder? c-
ccorrect cansReports cof cfeeling cdetached cfrom cone's cown cbody cor cof cfeeling cthat
cone's cpersonal cenvironment cis cunreal
, What care csome cexpected cfindings cwith cdissociative canemia? c- ccorrect cansLack cof
cmemory cthat ccan crange cfrom cname cor cdate cof cbirth cto cthe cclient's centire clifetime
What care csome cexpected cfindings cwith cdissociative cidentity cdisorder? c- ccorrect
cansClient cdisplays ctwo cor cmore cseparate cpersonalities. cEach cpersonality ccan cbe
cvery cdistinct cand cdifferent cfrom cthe cother
What care csome cdiagnostic cprocedures cfor cASD, cPTSD, cand cadjustment cdisorders?
c- ccorrect cans- cScreening ctools c(the cprimary ccare cPTSD cscreen cand cPTSD
cchecklist) c
- cScreening ctests cfor canxiety cand cdepression
- cAsking cabout csuicidal cideation
- cMental cstatus cexamination
What care csome cdiagnostic cprocedures cfor cdissociative cdisorders? c- ccorrect cans-
cPhysical cassessment, celectroencephalogram, cand cx-ray cstudies cto crule cout
cphysical ctrauma c(traumatic cbrain cinjury, cepilepsy) c
- cScreening cto crule cout csubstance cuse
- cMental cstatus cexamination cand cnursing chistory
What care csome cnursing cactions cwhen cdiagnosing cdissociative cdisorders? c- ccorrect
cans- cAssess crecent cand cremote cmemory cfor cgaps cor ccontraindications c
- cCheck cfor cfamily cand coccupational cdifficulties c
- cAsk cabout coccurrence cof cstressful cevents
- cAssess cfor cdepression, cmood cshifts, cand canxiety
- cUse cscreening ctools c(the cdissociative cdisorders cinterview cschedule, csomatoform
cdissociation cquestionnaire cand cthe cdissociative cexperience cscale)
STOPPED cGOING cTHROUGH cATI cCHAPTER c12 cON cPG c63... cADD cTHE cREST
cIF cNEEDED cOR cTAKE cOUT cSTUFF cTHAT cWAS cALREADY cADDED cIF cNOT
cNEEDED c- ccorrect cans
A cnurse cworking con can cacute cmental chealth cunit cis ccaring cfor ca cclient cwho chas
cposttraumatic cstress cdisorder c(PTSD). cWhich cof cthe cfollowing cfindings cshould cthe
cnurse cexpect? c(SATA) c- ccorrect cans- cDifficulty cconcentrating con ctasks c
- cNegative cself-image c
- cRecurring cnightmares
A cnurse cis cinvolved cin ca cserious cand cprolonged cmass ccasualty cincident cin cthe
cemergency cdepartment. cWhich cof cthe cfollowing cstrategies cshould cthe cnurse cuse cto
chelp cprevent cdeveloping ca ctrauma-related cdisorder? c(Select call cthat capply)
A. cAvoid cthinking cabout cthe cincident cwhen cit cis cover
B. cTake cbreaks cduring cthe cincident cfor cfood cand cwater
C. cDebrief cwith cothers cfollowing cthe cincident
