Exam (elaborations)
Chapter 28. Trauma- and Stressor-Related Disorders
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 28. Trauma- and Stressor-Related Disorders
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TownsendPMHN, 10e
Chapter 28 - ETB
Chapter 28. Trauma- and Stressor-Related Disorders abirb.com/test
MULTIPLE CHOICE
1. A client presents in the emergency department with a friend who reports that the client has
been sitting in her apartment “staring off into space” and doesn’t seem interested in doing
anything. During the assessment, the client reveals, with little emaobitribo.cno,mt/theastt she was
raped 4 months ago. Which of these is the most appropriate interpretation of the client’s lack of
emotion?
1. The client is probably hearing voices telling her to be emotionless.
2. The client is experiencing a common symptom of numbing of aebmirbo.ctoimo/nteaslt response.
3. The client is attempting to be secretive and lying, which are common symptoms in post-
traumatic stress disorder (PTSD).
4. The client is having a dissociative episode and revisiting the traumatic event.
ANS: 2
Chapter: Chapter 28, Trauma- and Stressor-Related Disorders
Objective: Describe various types of trauma- and stressor-relatedabdiribs.ocormd/eterst and
identify symptomatology associated with each; use this information in client
assessment.
Page: 580
Heading: Posttraumatic Stress Disorder and Acute Stress Disorder > Background Assessment
Data
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application Analysis [Analyzing]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. The assessment data do not indicate that the client is experiencing
auditory command hallucinations.
2. This is correct. General numbing of emotional
responsivenaebsirsb.cisoma/tcesot mmon symptom of PTSD.
3. This is incorrect. Lying is not a common symptom in PTSD.
4. This is incorrect. The assessment data do not indicate that the client is having a
dissociative episode.
CON: Stress
2. Studies have suggested that reexperiencing a traumatic event can become an addiction of sorts.
The evidence suggests that the reason for this is which of the following?
,Townsend
PMHN, 10e
Chapter 28 - ETB
abirb.com/test
1. Those with addictive personalities tend to experience PTSD more often.
2. Perpetuating the traumatic experience yields secondary gains.
3. The reexperiencing of trauma enhances production of endogenous opioid peptides.
4. Concurrent substance abuse issues are symptoms of PTSD.
ANS: 3
Chapter: Chapter 28, Trauma- and Stressor-Related Disorders
Objective: Describe various types of trauma- and stressor-related disorders and identify
symptomatology associated with each; use this information in client assessment.
Page: 580
Heading: Predisposing Factors to Trauma-Related Disorders > Baiboilrbo.gcoimca/tel sAt spects
Integrated Processes: Nursing Process: Analysis
Client Need: Physiological Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. There are no data that correlate with this statement.
2. This is incorrect. There are no data that state secondary gains, or the advantage that
occurs secondary to the illness, occurs with perpetuating thaebirtbr.acoumm/teas.t
3. This is correct. There is a biological aspect to reexperiencing a traumatic event.
4. This is incorrect. This is too general of a statement, as there are no data that
corroborate this statement. (PTSD can occur without substance abuse and vice
versa.)
CON: Stress
3. The client, a rape survivor, is being treated for PTSD. Which of these statements is a good
indication that the client is beginning to recover from PTSD?
1. “I still have nightmares every night, but I don’t always remember them anymore.”
2. “I’m not drinking as much alcohol as I had been over the past several months.”
3. “This traumatic event immobilized me for a while, but I have faobiurbn.cdomim/teastgery
helpful in reducing my anxiety.”
4. “Whenever I am reminded of the rape, I have to hide until the memory goes away.”
ANS: 3
Chapter: Chapter 28, Trauma- and Stressor-Related Disorders
Objective: Evaluate the nursing care of clients with trauma- and stressor-related disorders.
Page: 583
Heading: Trauma-Informed Care > Diagnosis/Outcome Identification
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
, Townsend
PMHN, 10e
Chapter 28 - ETB
abirb.com/test
Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. This statement indicates unresolved symptoms and possible
amnesia of the trauma.
2. This is incorrect. Decreased drinking indicates improved
caobpiribn.cgo;mh/teoswt ever, evaluation of recovery from PTSD must include
assessment of less-frequent or absent symptoms (e.g., flashbacks, nightmares).
3. This is correct. This statement reflects the client’s awareness of the impact of the
trauma, and she uses imagery as an adaptive coping strategaybi.rb.com/test
4. This is incorrect. This statement reflects that the client is still experiencing
unresolved symptoms.
CON: Stress
4. A military veteran who recently returned from active duty in a Middle Eastern country and
suffers from PTSD states that he will not allow the laboratory technician, who is Iranian, to
draw
his blood. The client states, “He’ll probably use a contaminated e.” Which of these is
naebierbd.cloemo/tnesmt
the most appropriate nursing response by the nurse?
1. “Let me see if I can arrange for a different technician to draw your blood.”
2. “Let me help you overcome your cultural bias by letting him draw your blood.”
3. “There is no other technician, so you’re just going to have to leabt irhbi.cmomd/treastw your
blood.”
4. “I don’t think the technician is really Middle Eastern.”
ANS: 1
Chapter: Chapter 28, Trauma- and Stressor-Related Disorders
Objective: Describe appropriate nursing interventions for behaviors associated with trauma- and
stressor-related disorders.
Page: 583
Heading: Trauma-Informed Care > Planning/Implementation > Post-Trauma Syndrome
Integrated Processes: Caring
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is correct. A client with PTSD may be suspicious of others in their
environment. Use a nonthreatening, matter-of-fact but frienabdirlby.caompp/tersot ach,
and convey an attitude of unconditional acceptance.
2. This is incorrect. This statement reflects an unsubstantiated assumption about the
client’s biases.
3. This is incorrect. This statement does not contribute to the client’s sense of control;
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