Nokea
Which of the following statements about posttraumatic stress disorder is accurate?
- A. Estimates are that the disorder is very rare.
- B. Estimates are that up to 60% of people at risk develop PTSD.
- C. Only 20% of victims of rape develop PTSD.
- D. PTSD symptoms usually begin at the time of the trauma
Correct Answer: B
Rationale: Up to 60% of at-risk individuals may develop PTSD, making it relatively common, with symptoms typically starting after a delay, not immediately, and higher prevalence in specific trauma cases.
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Which of the following are events that a person may experience, witness, or be confronted by that may trigger posttraumatic stress disorder (PTSD)?
- A. Being a survivor of a tsunami that resulted in thousands of deaths
- B. Being stranded at the office during a typical winter storm that was anticipated
- C. Being a marine in a combat situation where the entire platoon was wiped out except for one person
- D. Being hidden in a closet and hearing the entire family murdered by someone who broke into the home
- E. Watching televised segments of the moment when the plane hit the second tower on 9/11
Correct Answer: A,C,D,E
Rationale: PTSD triggers involve exposure to actual or threatened death or serious injury, such as surviving a tsunami, combat, or hearing a family murder, or witnessing 9/11, but not a typical, anticipated storm.
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.
The police find a woman wandering around a parking lot, singing very loudly. They bring her to the hospital. She has no knowledge of what she has been doing for the past 12 hours and is dressed in unfamiliar clothing. This is an example of
- A. Dissociation
- B. Manipulation
- C. Psychosis
- D. Regression
Correct Answer: A
Rationale: The woman's memory loss and altered behavior indicate dissociation, a temporary disconnection from awareness, not manipulation, psychosis, or regression to an earlier developmental stage.
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 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.