A client has returned from combat, and is re-experiencing combat in dreams and feels helpless and anxious. What disorder does the nurse suspect this client is experiencing?
1. Generalized anxiety disorder
2. Obsessive compulsive disorder
3. Post-traumatic stress disorder
4. Panic disorder
Correct Answer: 3
Rationale 1: Generalized anxiety disorder is incorrect because the symptoms include restlessness, fatigue, nervousness, and sleep disturbances.
Rationale 2: Obsessive compulsive disorder is incorrect because OCD describes recurrent, disturbing thoughts or repetitive behaviors that interfere with a person's normal activities or relationships.
Rationale 3: Post-traumatic stress disorder is a type of anxiety that develops in response to re-experiencing a previous traumatic life event, such as combat experience, physical or sexual abuse, a natural disaster, or a murder. The person might dream about the event or be constantly reminded of the event by everyday occurrences. This re-experiencing of the trauma leads to feelings of helplessness and anxiety that affect the person's ability to function normally.
Rationale 4: Panic disorder is incorrect because these are symptoms of post-traumatic stress disorder. Panic disorder is characterized by intense feelings of immediate apprehension, fearfulness, terror, or impending doom, accompanied by increased autonomic nervous system activity.
Global Rationale: Post-traumatic stress disorder is a type of anxiety that develops in response to re-experiencing a previous traumatic life event, such as combat experience, physical or sexual abuse, a natural disaster, or a murder. The person might dream about the event or be constantly reminded of the event by everyday occurrences. This re-experiencing of the trauma leads to feelings of helplessness and anxiety that affect the person's ability to function normally. Generalized anxiety disorder is incorrect because the symptoms include restlessness, fatigue, nervousness, and sleep disturbances. Obsessive compulsive disorder is incorrect because OCD describes recurrent, disturbing thoughts or repetitive behaviors that interfere with a person's normal activities or relationships. Panic disorder is incorrect because these are symptoms of post-traumatic stress disorder. Panic disorder is characterized by intense feelings of immediate apprehension, fearfulness, terror, or impending doom, accompanied by increased autonomic nervous system activity.
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