Common manifestations following a traumatic experience that leaves a nurse thinking a client is experiencing physiologic hyperarousal include which of the following? Select all that apply
A) Urinates frequently
B) Startles easily
C) Overreacts to others
D) Avoids places associated with the event
E) Has vivid dreams
Ans: B, C
After a traumatic experience, the stress system seems to go on permanent alert, as if the danger might return at any time. In this state of physiologic hyperarousal, the traumatized person is hypervigilant for signs of danger, startles easily, reacts irritably to small annoyances, and sleeps poorly. The state of hyperarousal causes the affected individual to be irritable and overreact to others, which cause others to avoid the person. Frequent urination and vivid dreams are not associated with posttraumatic stress disorder. Avoiding places associated with the trauma is common but not associated with hyperarousal.
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