Which clinical picture can the nurse expect to see most frequently among clients who have been in a bus-train collision and derailment?
1. Denial of the incident, suspicion, extreme withdrawal
2. Highly emotional displays, begging for help
3. Shock, numbness, confusion, disorganization
4. Elation, hyperactivity
ANS: 3
Common immediate responses to a traumatic event include shock, numbness, denial, dissociative behavior, confusion, disorganization, indecisiveness, and suggestibility. The other options contain behaviors that may be observed, but they are far less common than the behaviors given in option 3.
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