A client was involved in a motor vehicle accident 1 week ago, in which she struck and killed a pedestrian
She has been having trouble remembering the event and feels as if she is walking around in a dreamlike state. From what condition is the client suffering?
A) Post-traumatic stress disorder
B) Acute stress disorder
C) Dissociative stress disorder
D) Amnesic stress disorder
Ans: B
Feedback:
Acute stress disorder (ASD) occurs within the first month of exposure to extreme trauma: combat, rape, physical assault, near-death experience, or witnessing a murder. Symptoms begin during or shortly after the event. The symptom of dissociation is a state of detachment in which people experience the world as dreamlike and unreal. Poor memory of specific events surrounding the trauma also may accompany the dissociative state. When symptoms of ASD continue for longer than 1 month and are accompanied by functional impairment or stress, the diagnosis changes to acute post-traumatic stress disorder (PTSD).
You might also like to view...
A night shift nurse who has returned from maternity leave is much stressed. The nurse has difficulty focusing on her tasks. Which of the following would apply to the nurse?s level of stress? Select all that apply
1. Family problems related to different shift schedules 2. The physiological stress adjusting to the shift 3. A change in the family dynamics 4. Being married 5. Assistance from other nursing staff
It has been calculated that a patient in the intensive care unit needs 1800 calories each day to sustain normal metabolic functioning
The nurse calculates that which of the following number of calories are needed to sustain central nervous system functioning? 1. 1440 calories 2. 720 calories 3. 900 calories 4. 360 calories
A significant number of patients taking metoclopramide (Reglan) may have which of the following adverse CNS effects?
A. Tremor, stiffness, rigidity B. Tingling, numbness, loss of balance C. Seizures, hyperactivity, and mania D. Drowsiness, fatigue and insomnia
Which of the following is the best personal protective equipment for an obstetric delivery?
A) Gloves B) Gloves, gown C) Gown, gloves, mask D) Mask, booties