Question 1

Four teenagers died in an automobile accident. One week later, which behavior by the parents of these teenagers most clearly demonstrates resilience? The parents who

Accepted Answer

A)  visit their teenager's grave daily. 
B)  return immediately to employment. 
C)  discuss the accident within the family only. 
D)  create a scholarship fund at their child's high school.

Question 2

A patient states, "I feel detached and weird all the time. It is as though I am looking at life through a cloudy window. Everything seems unreal. It really messes up things at work and school." This scenario is most suggestive of which health problem?

Accepted Answer

A)  Acute stress disorder 
B)  Dissociative amnesia 
C)  Depersonalization disorder 
D)  Disinhibited social engagement disorder

Question 3

Which experiences are most likely to precipitate PTSD? (Select all that apply).

Accepted Answer

A)  A young adult bungee jumped from a bridge with a best friend. 
B)  An 8-year-old child watched an R-rated movie with both parents. 
C)  An adolescent was kidnapped and held for 2 years in the home of a sexual predator. 
D)  A passenger was in a bus that overturned on a sharp curve and tumbled down an embankment. 
E)  An adult was trapped for 3 hours at an angle in an elevator after a portion of the supporting cable breaks.

Question 4

A wife received news that her husband died of heart failure and called her family to come to the hospital. She angrily tells the nurse who cared for him, "He would still be alive if you had given him your undivided attention." Select the nurse's best intervention.

Accepted Answer

A)  Say to the wife, "I understand you are feeling upset. I will stay with you until your family comes." 
B)  Say to the wife, "Your husband's heart was so severely damaged that it could no longer pump." 
C)  Say to the wife, "I will call the health care provider to discuss this matter with you." 
D)  Hold the wife's hand in silence until the family arrives.

Question 5

A 10-year-old child was placed in a foster home after being removed from parental contact because of abuse. The child has apprehension, tremulousness, and impaired concentration. The foster parent also reports the child has an upset stomach, urinates frequently, and does not understand what has happened. What helpful measures should the nurse suggest to the foster parents? The nurse should recommend (Select all that apply)

Accepted Answer

A)  conveying empathy and acknowledging the child's distress. 
B)  explaining and reinforcing reality to avoid distortions. 
C)  using a calm manner and low, comforting voice. 
D)  avoiding repetition in what is said to the child. 
E)  staying with the child until the anxiety decreases.
F) minimizing opportunities for exercise and play.

Question 6

A young adult says, "I was sexually abused by my older brother. During those assaults, I went somewhere else in my mind. I don't remember the details. Now, I often feel numb or unreal in romantic relationships, so I just avoid them." Which disorders should the nurse suspect based on this history? (Select all that apply.)

Accepted Answer

A)  Acute stress disorder 
B)  Depersonalization disorder 
C)  Generalized anxiety disorder 
D)  PTSD 
E)  Reactive attachment disorder
F) Disinhibited social engagement disorder

Question 7

A soldier who served in a combat zone returned to the United States. The soldier's spouse complains to the nurse, "We had planned to start a family, but now he won't talk about it. He won't even look at children." The spouse is describing which symptom associated with PTSD?

Accepted Answer

A)  Reexperiencing 
B)  Hyperarousal 
C)  Avoidance 
D)  Psychosis

Question 8

Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with dissociative identity disorder. Disturbed personal identity related to

Accepted Answer

A)  obsessive fears of harming self or others. 
B)  poor impulse control and lack of self-confidence. 
C)  depressed mood secondary to nightmares and intrusive thoughts. 
D)  cognitive distortions associated with unresolved childhood abuse issues.

Question 9

The unlicensed assistive personnel (UAP) says to the nurse, "That patient with amnesia looks fine, but when I talk to her, she seems vague. What should I be doing for her?" Select the nurse's best reply.

Accepted Answer

A)  "Spend as much time with her as you can and ask questions about her life." 
B)  "Use short, simple sentences and keep the environment calm and protective." 
C)  "Provide more information about her past to reduce the mysteries that are causing anxiety." 
D)  "Structure her time with activities to keep her busy, stimulated, and regaining concentration."

Question 10

A soldier returned home from active duty in a combat zone and was diagnosed with PTSD. The soldier says, "If there's a loud noise at night, I get under my bed because I think we're getting bombed." What type of experience has the soldier described?

Accepted Answer

A)  Illusion 
B)  Flashback 
C)  Nightmare 
D)  Auditory hallucination

Exam 16: Trauma, Stressor-Related, and Dissociative Disorders