A 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
A) Irritability
B) Difficulty sleeping
C) Flashbacks
D) Acting as if the event is reoccurring
E) Dissociation
Ans: C, D
Intrusion is reflected by flashbacks and nightmares as well as altered memory function. Intrusive symptoms also include dissociative reactions (feeling or acting as if the event is reoccurring). Irritability and difficulty sleeping reflect hyperarousal. Dissociation reflects avoidance and numbing.
You might also like to view...
The nurse is assessing a client's sensory reception and perception. The client has a history of a motor vehicle accident several years ago that resulted in a spinal cord injury
This client is at risk for altered sensory reception of which type of stimuli? 1. Visual 2. Auditory 3. Gustatory 4. Visceral
The nurse has provided preoperative instructions to a client scheduled for surgery at an ambulatory care center. Which statement, made by the client, would indicate that further instruction is needed?
A) "If I do not follow the instructions, my surgery could be cancelled." B) "The nurse will explain the details of the surgery before I sign a consent." C) "My medical records will be sent to the ambulatory care center prior to my surgery." D) "The physician will update my family after the procedure and provide specific discharge instructions."
A 23-year-old woman is concerned about a mass she found on palpation. Upon examination of the patient, the mass feels cystic, round, and mobile with discrete borders. The diagnostic study that is recommended is:
A. CT scan B. Mammogram C. Biopsy D. Ultrasound
You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of:
a. depression. b. autistic disorder. c. mania. d. schizophrenia.