ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 27 : Trauma and Stressor Related Disorders Questions
Question 1 of 5
The nurse is assessing a client with posttraumatic stress disorder (PTSD). Which of the following would the nurse categorize as reflecting intrusion? Select all that apply.
Correct Answer: C,E
Rationale: Intrusion symptoms in PTSD include re-experiencing the trauma through flashbacks (
C) and dissociation (E), such as feeling detached or having intrusive memories. Irritability (
A) reflects hyper??? irritation, difficulty sleeping (
B) is an arousal symptom, short-term memory deficits (
D) are not specific to intrusion, and dissociation (E) involves intrusive detachment, making C and E correct.
Question 2 of 5
A group of students is reviewing information about social phobia in preparation for an oral class presentation on this topic. Which of the following would the students expect to include when describing a person with this condition? Select all that apply.
Correct Answer: A,D,E
Rationale: Social phobia (social anxiety disorder) involves fear of negative judgment (
A), distorted self-perception of strengths (
D), and exaggeration of personal flaws (E). Speaking up in crowds (
B) is unlikely due to fear, and insensitivity to criticism (
C) contradicts the heightened sensitivity typical of the disorder.
Question 3 of 5
Which assessment finding exhibited by a patient being assessed for posttraumatic stress disorder (PTSD) would be considered a defining behavior and support such a diagnosis?
Correct Answer: C
Rationale: Vivid flashbacks (
C) are a defining symptom of PTSD, involving intrusive re-experiencing of the trauma. Detailed recall (
A) is not specific, mood swings (
B) suggest other disorders like bipolar, and preoccupation with telling others (
D) is not a core PTSD criterion.
Question 4 of 5
The nurse working with patients diagnosed with posttraumatic stress disorder (PTSD) is aware of the need to intervene early in order to de-escalate a patient's increasing anxiety level. Which patient behavior is likely an early indication of escalating anxiety?
Correct Answer: B
Rationale: Pacing around the unit (
B) is an early behavioral sign of escalating anxiety, indicating restlessness and agitation common in PTSD. Rapid talking (
A) may occur later, staring out the window (
C) suggests dissociation or avoidance, and refusing therapy (
D) is a later-stage behavior.
Question 5 of 5
The head nurse in the ED has received word that a major fire in a high-rise office tower will result in many injured persons being brought to the hospital within the next few minutes. The head nurse tells the staff, 'You will need to assess for acute stress reactions as well as treating physical problems.' Which patient is exhibiting symptoms characteristic of acute stress reaction?
Correct Answer: B
Rationale: Acute stress reaction (ASR) includes symptoms like intrusive auditory hallucinations, such as hearing a loved one?s pleas (
B), reflecting re-experiencing of the trauma. Mood swings (
A) suggest bipolar disorder, confusion (
C) may indicate shock or dissociation, and repetitive reassurance (
D) is a coping behavior, not specific to ASR.