A nurse is assessing a rape survivor for post-traumatic stress disorder. The nurse asks the woman, "Do you feel as though you are reliving the trauma?" The nurse is assessing for which of the following?
A) Physical symptoms
B) Intrusive thoughts
C) Avoidance
D) Hyperarousal
B
Feedback:
The question is used to assess the woman for intrusive thoughts that reflect the client reexperiencing the trauma. Physical symptoms would be assessed with questions about sleeping, eating, palpitations and other problems. Avoidance would be reflected in questions involving withdrawal socially, avoiding situations that remind the woman of the rape. Hyperarousal would be noted by irritability and an exaggerated startle response.
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