The nurse assessing the patient with an acute stress disorder will note the evidence of (select all that apply):
1. diminished awareness of surroundings.
2. derealization.
3. depersonalization.
4. amnesia.
5. irritability.
1, 2, 3, 4
Persons who have been overcome by an acute stress disorder will exhibit diminished orien-tation, reality testing, personal awareness, and frequently amnesia. Irritability is not part of the syndrome.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1250
OBJ: 4 TOP: Acute Stress Disorder
KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity
You might also like to view...
A 16-year-old has been brought to the emergency department by his parents after falling through the glass of a storm door. The fall resulted in a 6-cm laceration of the right antecubital
The nurse caring for this patient knows that the site of the injury will have an invasion of what? A) Interferon B) Phagocytic cells C) Apoptosis D) Cytokines
Which approach describes authentic leadership in terms of the characteristics of leaders?
a. George's b. Terry's c. Walumbwa's d. Luthans and Avolio's
The use of electronic or digital media for communication has had a negative effect on the language development of adolescents. Is this statement true or false?
Indicate whether the statement is true or false
A patient asks the nurse what dose of acetylsalicylic acid (Aspirin) is needed for antiplatelet effects to prevent heart attacks. What dose is most appropriate to reduce platelet aggregation?
A) 100 mg B) 300 mg C) 625 mg D) 1000 mg