Nokea
A man is discovered wandering the street, looking confused and stepping out into traffic. When emergency responders approach the man, he cannot recall his name or where he lives. The responders transport the man to the mental health crisis unit for further evaluation. Which of the following are the man most likely suffering from?
- A. Depersonalization disorder
- B. Dissociative identity disorder
- C. Repressed memories
- D. Dissociative amnesia
- E. False memory syndrome
Correct Answer: A,B,D
Rationale: The man's symptoms suggest dissociative amnesia (memory loss), depersonalization disorder (detachment), or dissociative identity disorder (alternate identities), but not repressed or false memories.
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Which of the following statements by the nurse would be most appropriate to a colleague who very quietly and numbly tells the nurse that she had arrived at the scene of an automobile/pedestrian accident and unsuccessfully performed CPR on a victim 3 days ago? The nurse and her colleague are sitting in the break room and no one else is present.
- A. Tell me what you saw.
- B. That is horrible!
- C. Why did you perform CPR?
- D. I know how you feel. The same thing happened to me several years ago and I never recovered.
Correct Answer: A
Rationale: Encouraging the colleague to describe the event facilitates processing the trauma, reducing the risk of pathological responses, unlike judgmental or unsupportive statements.
Which of the following might the nurse recognize as longer-term responses to trauma and stress?
- A. Acute stress disorder
- B. Posttraumatic stress disorder
- C. Adjustment disorder
- D. Reactive attachment disorder
- E. Dissociative disorder
Correct Answer: B,C,D,E
Rationale: Longer-term responses include PTSD, adjustment disorder, reactive attachment disorder, and dissociative disorder, as they persist beyond the acute phase, unlike acute stress disorder.
Which of the following outcomes would take priority for a client who has survived trauma or abuse?
- A. The client will demonstrate healthy, effective ways of dealing with the stress.
- B. The client will be physically safe.
- C. The client will establish a social support system in the community.
- D. The client will distinguish between ideas of self-harm and taking action on those ideas.
- E. The client will express emotions nondestructively.
Correct Answer: B,D
Rationale: Ensuring physical safety and distinguishing self-harm thoughts from actions are top priorities to prevent immediate harm, surpassing other therapeutic goals.
A nurse is providing education about trauma and its effects to a community group in a community that has just been hit by a devastating tornado. One of the participants asked about what kind of support a survivor of the tornado will need. Which would be the best response of the nurse?
- A. If a person is willing to share his or her feelings about what has happened, he or she is not dealing with their feelings effectively.
- B. It is counterproductive for people to share what has happened to them and their feelings about it as there is nothing more to be done.
- C. If a person is reluctant to share his or her feelings, he or she may be denying his or her importance and may be at increased risk for future problems such as PTSD.
- D. It is best to wait until a survivor's life has returned to normal before dealing with the trauma.
Correct Answer: C
Rationale: Reluctance to share feelings may indicate denial, increasing PTSD risk, while early expression of feelings supports effective trauma processing.
Which of the following should be an action of a nurse who is having feelings of judgment regarding a client's contributory behavior to an automobile accident that resulted in deaths?
- A. Discussing the nurse's personal feelings with a peer or a counselor
- B. Acknowledging the judgment regarding the client's contributory behavior to the client
- C. Sharing the client's horror and encouraging him or her to avoid thinking about it
- D. Letting the client know that he or she is now traumatized beyond repair
Correct Answer: A
Rationale: Discussing personal feelings with a peer or counselor helps the nurse remain nonjudgmental, supporting the client effectively without confirming their trauma as irreparable.