Studies have suggested that re-experiencing a traumatic event can become an addiction of sorts. The evidence suggests that the reason for this is:
A. People with PTSD often have addictive personalities.
B. Perpetuating the traumatic experience yields secondary gains.
C. The re-experiencing of trauma enhances production of endogenous opioid peptides.
D. People with PTSD often have concurrent substance abuse issues.
C
Hollander and Simeon (2008) report on studies suggesting that the release of endogenous opioid peptides can produce an "addiction to the trauma." There is no evidence suggesting that addictive personality traits are responsible for chronicity in PTSD symptoms. Items B and D are possible outcomes in any individual with PTSD, but neither has been correlated to an "addiction" to re-experiencing trauma.
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The advanced practice registered nurse is leading a group therapy session. A group member talks incessantly and is disrupting the group's dynamics. Which response by the nurse encourages effective communication with the disruptive member?
1. "Why are you acting in this manner?" 2. "In one sentence, tell us what you want us to hear." 3. "It is important to consider the help that the group members are suggesting." 4. "What question can we ask that will make you want to participate in the group?"
The nurse is straining the client's urine and measuring the output. Which should be recorded as objective data?
a. The client complained of abdominal pain this morning. b. There were no stones in the client's strained urine. c. The client said he didn't see any stones in the urine. d. The client states, "It felt like I passed a stone."
A client has the following order: "Apply cold or heat packs as needed for pain relief." The nurse must recognize which of the following?
a. Heat often provides faster relief. b. Combining the two therapies might provide the best relief. c. Either method may cause peripheral nerve damage when used over an extended time frame (i.e., weeks, months). d. Cold is often better tolerated.
Leaders who are learning to share power and staff members who are learning to take on more power during a culture change must learn to deal with
A. Dependency B. Vulnerability C. Technology D. All of the above