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A client diagnosed with posttraumatic stress disorder (PTSD) is close to discharge. Which client
statement would indicate that teaching about the psychosocial cause of PTSD was effective?
1. "My experience, how I deal with it, and my support system all affect my disease process."
2. "I have learned to try and avoid stressful situations as a way to decrease my emotional pain."
3. "So, natural opioid released during the trauma caused my body to become 'addicted'."
4. "Because of the trauma, I have a negative perception of the world and feel hopeless." -
Answer 1. "My experience, how I deal with it, and my support system all affect my disease
process."
A client diagnosed with PTSD states to the nurse, "All those wonderful people died, and yet I
was allowed to live." Which is the client experiencing?
1. Denial
2. Social isolation
3. Anger
4. Survivor's guilt - Answer 4. Survivor's guilt
Which of the following would the nurse expect to assess in a client diagnosed with
posttraumatic stress disorder? Select all that apply.
1. Dissociative events.
2. Intense fear and helplessness.
3. Excessive attachment and dependence toward others.
4. Full range of affect.
5. Avoidance of activities that are associated with the trauma. - Answer 1. Dissociative events
(detachment from situation or feelings)
2. Intense fear and helplessness
5. Avoidance of activities that are associated with the trauma
When treating individuals with posttraumatic stress disorder, which variables are included in the
recovery environment?
, Other variables of the recovery environment include cohesiveness and protectiveness of family
and friends, attitudes of society regarding the experience, and cultural and subcultural
influences.
A newly admitted client is diagnosed with posttraumatic stress disorder. Which behavioral
symptom would the nurse expect to assess?
1. Recurrent, distressing flashbacks.
2. Intense fear, helplessness, and horror.
3. Diminished participation in significant activities.
4. Detachment or estrangement from others. - Answer 3. Diminished participation in
significant activities.
1 is an emotional symptom.
2 is a cognitive symptom.
4 is an interpersonal symptom.
Which statement made by a student nurse indicates effective learning about preventing
posttraumatic stress disorder during a mass casualty event?
1. "I should take a break whenever needed."
2. "I should not work more than 18 hours per day."
3. "I should monitor my own stress level and performance."
4. "I should avoid talking about my feelings with managers or staff." - Answer 1. "I should take
a break whenever needed."
The nurse shouldn't work more than 12 hours in a day. All nurses should monitor each other's
stress and performance levels, and feeling should be talked about with managers and staff.
Which characteristic distinguishes posttraumatic stress disorder from other anxiety disorders?
1. Lack of interest in family and others
2. Reliving the trauma in dreams and flashbacks
3. Avoidance of situations that resemble the stress
4. Blunted affect when discussing the traumatic situation - Answer 2. Reliving the trauma in
dreams and flashbacks