Nokea
What is the major difference between posttraumatic stress disorder (PTSD) and acute stress disorder?
- A. In acute stress disorder, the client is likely to develop exacerbation of symptoms.
- B. In PTSD, the recovery rate is 80% within 3 months.
- C. The severity and duration of the trauma are the most important variables in acute stress disorder.
- D. In PTSD, the symptoms occur 3 months or more after the trauma.
Correct Answer: D
Rationale: PTSD is characterized by symptoms starting 3 months or more after a trauma, while acute stress disorder occurs within 2 days to 4 weeks post-trauma, with different recovery patterns.
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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 interventions would be most effective for friends and family members to implement in order to boost the self-esteem of a person who has just experienced trauma or abuse?
- A. To identify a list of support people or activities in the community
- B. To remind them to calm down when they appear to be experiencing a flashback
- C. To encourage them to tell their story repeatedly to everyone they meet
- D. To help them to refocus their view of themselves from being victims to being survivors
Correct Answer: D
Rationale: Reframing the person as a survivor rather than a victim fosters empowerment and boosts self-esteem, unlike social support lists or unhelpful flashback interventions.
Which of the following statements regarding the individual responses to trauma and stressors is a positive outcome?
- A. Many individuals are unable to cope with the event, manage their stress and emotions, or resume the daily activities of their lives.
- B. Some individuals may develop enhanced coping as a result of dealing with the stressor.
- C. These events are only significant in individuals who have risk for or actual mental health problems or issues.
- D. Large numbers or groups of people may be affected by a traumatic event.
Correct Answer: B
Rationale: Developing enhanced coping skills after dealing with a stressor is a positive outcome, unlike persistent inability to cope or the misconception that only those with mental health risks are affected.
Which of the following is true about the use of touch with a client with dissociative identity disorder?
- A. It is best not to touch the client without his or her permission.
- B. Make sure the client knows the touch is friendly and supportive.
- C. Touch the client only if you are in his or her direct line of vision.
- D. Touching will convey a sense of security to the client.
Correct Answer: A
Rationale: Given potential abuse histories, obtaining permission before touching respects the client's boundaries and comfort, unlike assuming touch is inherently supportive or safe.
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.