,WGU D449 Case Studies | Questions and Answers |
Acute Stress Disorder, Nursing Interventions & Clinical
Judgment | 2026/2027 Updated Complete
Questions and Answers | Updated | 2026/2027 EDITION
TABLE OF CONTENTS / EXAM BLUEPRINT - 200 TRULY UNIQUE Qs -
Case Studies
Section 1: Acute Stress Disorder - Definition Criteria Trauma Response - Q1-22 (22 Qs)
Section 2: Clinical Manifestations - Hypervigilance Sleep Anxiety Dissociation - Q23-44 (22
Qs)
Section 3: Assessment - Mental Status Trauma History Risk - Q45-66 (22 Qs)
Section 4: Nursing Interventions - Grounding & Safety Techniques - Q67-88 (22 Qs)
Section 5: Psychoeducation & Therapeutic Communication - Q89-110 (22 Qs)
Section 6: Coping Strategies - Monitor & Support - Q111-133 (23 Qs)
Section 7: Pharmacology - SSRIs PRN Anxiety - Q134-155 (22 Qs)
Section 8: Clinical Judgment - Prioritization Safety Planning - Q156-177 (22 Qs)
Section 9: Case Studies - Integrated Acute Stress Disorder - Q178-200 (23 Qs)
,ABOUT THIS EXAM
200 original case study questions for WGU D449 Case Studies. Every question 100% unique with
different patient age trauma type clinical presentation vital signs and nursing intervention. Covers
acute stress disorder mental health nursing, case study 28yo post-trauma hypervigilance sleep
disturbance anxiety, nursing interventions grounding & safety techniques psychoeducation &
therapeutic communication monitor & support coping strategies, clinical judgment assessment
clinical judgment intervention & evaluation, evidence-based nursing interventions for acute stress
disorder. Verified unique.
INSTRUCTIONS & PEARLS
Pearls: ASD: Acute Stress Disorder within 3 days to 1 month post-trauma, hypervigilance sleep
disturbance anxiety dissociation. Assessment: Trauma history mental status safety risk suicidal
ideation. Interventions: Grounding Safety Techniques 5-4-3-2-1, Psychoeducation Therapeutic
Communication, Monitor Support Coping Strategies, Pharmacology SSRIs PRN. Clinical
Judgment: Assessment Clinical Judgment Intervention Evaluation Safety Planning. WGU D449
Mental Health Nursing.
, SECTION ONE: QUESTIONS 1-200 - TRULY UNIQUE -
Case Studies - Choose Single Best Answer
SECTION 1: ACUTE STRESS DISORDER - DEFINITION CRITERIA
TRAUMA RESPONSE
Question 1. Case Study: Acute Stress Disorder (ASD) - Patient 19yo
male, Community violence 4 days ago, presents hypervigilance
exaggerated startle guilt within 8 days post-trauma. Definition criteria
trauma response ASD within 3 days to 1 month. HR 108 RR 26 BP 140/90
Temp 37.3. Which ASD diagnostic criterion for WGU D449?
A. Monitor Support Coping Strategies Explain ASD normal response, active
listening, validation - D449 Q1 1921C: Monitor 19yo male hypervigilance
exaggerated startle guilt HR 108 RR 26 BP 140/90 Temp 37.3 assess
coping support network journaling coping skills Psychoeducation &
Therapeutic Communication for ASD case study
B. Psychoeducation Therapeutic Communication Explain ASD normal
response, active listening, validation - D449 Q1 1921B: Explain ASD 19yo
male Community violence 4 days ago normal trauma response active
listening validation hypervigilance exaggerated startle guilt Agitated, safety
concerns for WGU D449
C. Grounding Safety Techniques Explain ASD normal response, active
listening, validation - D449 Q1 1921A: For 19yo male Community violence 4
days ago hypervigilance exaggerated startle guilt apply Psychoeducation &
Therapeutic Communication 5-4-3-2-1 safe space deep breathing safety
planning HR 108 RR 26 BP 140/90 Temp 37.3
D. Clinical Judgment Assessment Intervention Evaluation Safety Explain
ASD normal response, active listening, validation - D449 Q1 1921D: Clinical
judgment for 19yo male Community violence 4 days ago hypervigilance
exaggerated startle guilt assessment HR 108 RR 26 BP 140/90 Temp 37.3
intervention Psychoeducation & Therapeutic Communication evaluation
safety planning evidence-based ASD
CORRECT ANSWER: A. Monitor Support Coping Strategies Explain ASD normal
response, active listening, validation - D449 Q1 1921C: Monitor 19yo male
hypervigilance exaggerated startle guilt HR 108 RR 26 BP 140/90 Temp 37.3 assess
coping support network journaling coping skills Psychoeducation & Therapeutic
Communication for ASD case study
Acute Stress Disorder, Nursing Interventions & Clinical
Judgment | 2026/2027 Updated Complete
Questions and Answers | Updated | 2026/2027 EDITION
TABLE OF CONTENTS / EXAM BLUEPRINT - 200 TRULY UNIQUE Qs -
Case Studies
Section 1: Acute Stress Disorder - Definition Criteria Trauma Response - Q1-22 (22 Qs)
Section 2: Clinical Manifestations - Hypervigilance Sleep Anxiety Dissociation - Q23-44 (22
Qs)
Section 3: Assessment - Mental Status Trauma History Risk - Q45-66 (22 Qs)
Section 4: Nursing Interventions - Grounding & Safety Techniques - Q67-88 (22 Qs)
Section 5: Psychoeducation & Therapeutic Communication - Q89-110 (22 Qs)
Section 6: Coping Strategies - Monitor & Support - Q111-133 (23 Qs)
Section 7: Pharmacology - SSRIs PRN Anxiety - Q134-155 (22 Qs)
Section 8: Clinical Judgment - Prioritization Safety Planning - Q156-177 (22 Qs)
Section 9: Case Studies - Integrated Acute Stress Disorder - Q178-200 (23 Qs)
,ABOUT THIS EXAM
200 original case study questions for WGU D449 Case Studies. Every question 100% unique with
different patient age trauma type clinical presentation vital signs and nursing intervention. Covers
acute stress disorder mental health nursing, case study 28yo post-trauma hypervigilance sleep
disturbance anxiety, nursing interventions grounding & safety techniques psychoeducation &
therapeutic communication monitor & support coping strategies, clinical judgment assessment
clinical judgment intervention & evaluation, evidence-based nursing interventions for acute stress
disorder. Verified unique.
INSTRUCTIONS & PEARLS
Pearls: ASD: Acute Stress Disorder within 3 days to 1 month post-trauma, hypervigilance sleep
disturbance anxiety dissociation. Assessment: Trauma history mental status safety risk suicidal
ideation. Interventions: Grounding Safety Techniques 5-4-3-2-1, Psychoeducation Therapeutic
Communication, Monitor Support Coping Strategies, Pharmacology SSRIs PRN. Clinical
Judgment: Assessment Clinical Judgment Intervention Evaluation Safety Planning. WGU D449
Mental Health Nursing.
, SECTION ONE: QUESTIONS 1-200 - TRULY UNIQUE -
Case Studies - Choose Single Best Answer
SECTION 1: ACUTE STRESS DISORDER - DEFINITION CRITERIA
TRAUMA RESPONSE
Question 1. Case Study: Acute Stress Disorder (ASD) - Patient 19yo
male, Community violence 4 days ago, presents hypervigilance
exaggerated startle guilt within 8 days post-trauma. Definition criteria
trauma response ASD within 3 days to 1 month. HR 108 RR 26 BP 140/90
Temp 37.3. Which ASD diagnostic criterion for WGU D449?
A. Monitor Support Coping Strategies Explain ASD normal response, active
listening, validation - D449 Q1 1921C: Monitor 19yo male hypervigilance
exaggerated startle guilt HR 108 RR 26 BP 140/90 Temp 37.3 assess
coping support network journaling coping skills Psychoeducation &
Therapeutic Communication for ASD case study
B. Psychoeducation Therapeutic Communication Explain ASD normal
response, active listening, validation - D449 Q1 1921B: Explain ASD 19yo
male Community violence 4 days ago normal trauma response active
listening validation hypervigilance exaggerated startle guilt Agitated, safety
concerns for WGU D449
C. Grounding Safety Techniques Explain ASD normal response, active
listening, validation - D449 Q1 1921A: For 19yo male Community violence 4
days ago hypervigilance exaggerated startle guilt apply Psychoeducation &
Therapeutic Communication 5-4-3-2-1 safe space deep breathing safety
planning HR 108 RR 26 BP 140/90 Temp 37.3
D. Clinical Judgment Assessment Intervention Evaluation Safety Explain
ASD normal response, active listening, validation - D449 Q1 1921D: Clinical
judgment for 19yo male Community violence 4 days ago hypervigilance
exaggerated startle guilt assessment HR 108 RR 26 BP 140/90 Temp 37.3
intervention Psychoeducation & Therapeutic Communication evaluation
safety planning evidence-based ASD
CORRECT ANSWER: A. Monitor Support Coping Strategies Explain ASD normal
response, active listening, validation - D449 Q1 1921C: Monitor 19yo male
hypervigilance exaggerated startle guilt HR 108 RR 26 BP 140/90 Temp 37.3 assess
coping support network journaling coping skills Psychoeducation & Therapeutic
Communication for ASD case study
