Advanced Psychiatric Mental Health Nursing
552 – Exam 3 – Comprehensive Study Guide
and Q&A Review Material
Introduction:
This document provides a comprehensive set of practice
questions and detailed answers for Exam 3 in Advanced
Psychiatric Mental Health Nursing 552. It covers trauma- and
stressor-related disorders (including PTSD, Acute Stress
Disorder, Adjustment Disorders, RAD/DSED), dissociative
disorders, and OCD, integrating DSM-5 diagnostic criteria,
epidemiology, risk factors, differential diagnoses,
comorbidities, and treatment options. The material aligns with
DSM-5 and Sadock content and serves as a complete exam
preparation resource.
Exam Questions and Detailed Answers:-
TRAUMA/STRESS DISORDERS-PTSD-DIAGNOSITC/CLINICAL-
FEATURES
what are the diagnostic, clinical, and asociated features of
PTSD. ---Correct Answer---DSM5 274
1. The development of characteristic symptoms following
exposure to 1 or more traumatic events.
,2. Emotional reactions to the traumatic event right here,
helplessness, horror are no longer a part of criterion A.
*Clinical presentation.*
1. In some individuals, fear based re-experiencing, emotional,
and behavioral symptoms may predominate.
2. In others, anhedonic or dysphoric mood states and negative
cognitions may be most distressing.
3. And some other individuals, arousal and reactive
externalizing symptoms are prominent, while in others
dissociative symptoms predominate.
4. Some individuals exhibit combination of the symptom
patterns
*Associated features supporting diagnosis.*
Development, such as loss of language in young children, may
occur. Auditory pseudo- hallucinations, such as having the
sensory experience of hearing one's thoughts spoken in one or
more different voices, as well as paranoid ideation, can be
present. Following prolonged, repeated, and severe traumatic
event, the individual may additionally experience difficulties
in regulating emotions or maintaining stable interpersonal
relationships, or dissociative symptoms. When the traumatic
event produces violent death, Symptoms of both problematic
bereavement and PTSD may be present.
,TRAUMA/STRESS DISORDERS-PTSD-FUNCTIONAL
CONSEQUENCES
what are the functional consequence for individuals with
PTSD. ---Correct Answer---DSM 278
PTSD is associated with high levels of social, occupational, and
physical disability, as well as considerable economic cost and
high levels of medical utilization. Impaired functioning is
exhibited across social, interpersonal, developmental,
educational, physical health, and occupational domains. in
community and veteran samples, PTSD is associated with poor
social and family relationships, absenteeism from work, lower
income, and lowered educational and occupational success.
TRAUMA/STRESS DISORDERS-PTSD-COURSE/PROGRESSION
what is the usual course and progression of PTSD ---Correct
Answer---DSM 276
1. PTSD can occur at any age, beginning after the first year of
life. Symptoms usually begin within the first 3 months after
the trauma.
2. Duration of the symptoms varies with complete recovery
within 3 months occurring in approximately one half of adults,
, while some individuals remain symptomatic for longer than 12
months and sometimes for more than 50 years.
3. Symptom recurrence and intensification may occur in
response to reminders of the original trauma, ongoing life
stressors, or newly experienced traumatic events.
4. For older individuals, declining health, worsening cognitive
functioning, and social isolation may exacerbate PTSD
symptoms.
5. Young children may report new onset of frightening dreams
without contents specific to the traumatic event.
6. Before age six, young children are more likely to express
reexperiencing symptoms through play that refers directly or
symbolically to the trauma.
7. Older children and adolescents may judge themselves as
cowardly.
8. PTSD into older adulthood may express fewer symptoms of
hyperarousal, avoidance, and negative cognition and mood
compared with younger adults with PTSD, although adults
exposed to traumatic events during later life may display more
avoidance, hyperarousal, sleep problems, and crying spell than
do younger adults exposed to the same traumatic event.
9. An older individuals, the disorder is associated with
negative health perceptions, primary care utilization, and
suicidal ideation.
552 – Exam 3 – Comprehensive Study Guide
and Q&A Review Material
Introduction:
This document provides a comprehensive set of practice
questions and detailed answers for Exam 3 in Advanced
Psychiatric Mental Health Nursing 552. It covers trauma- and
stressor-related disorders (including PTSD, Acute Stress
Disorder, Adjustment Disorders, RAD/DSED), dissociative
disorders, and OCD, integrating DSM-5 diagnostic criteria,
epidemiology, risk factors, differential diagnoses,
comorbidities, and treatment options. The material aligns with
DSM-5 and Sadock content and serves as a complete exam
preparation resource.
Exam Questions and Detailed Answers:-
TRAUMA/STRESS DISORDERS-PTSD-DIAGNOSITC/CLINICAL-
FEATURES
what are the diagnostic, clinical, and asociated features of
PTSD. ---Correct Answer---DSM5 274
1. The development of characteristic symptoms following
exposure to 1 or more traumatic events.
,2. Emotional reactions to the traumatic event right here,
helplessness, horror are no longer a part of criterion A.
*Clinical presentation.*
1. In some individuals, fear based re-experiencing, emotional,
and behavioral symptoms may predominate.
2. In others, anhedonic or dysphoric mood states and negative
cognitions may be most distressing.
3. And some other individuals, arousal and reactive
externalizing symptoms are prominent, while in others
dissociative symptoms predominate.
4. Some individuals exhibit combination of the symptom
patterns
*Associated features supporting diagnosis.*
Development, such as loss of language in young children, may
occur. Auditory pseudo- hallucinations, such as having the
sensory experience of hearing one's thoughts spoken in one or
more different voices, as well as paranoid ideation, can be
present. Following prolonged, repeated, and severe traumatic
event, the individual may additionally experience difficulties
in regulating emotions or maintaining stable interpersonal
relationships, or dissociative symptoms. When the traumatic
event produces violent death, Symptoms of both problematic
bereavement and PTSD may be present.
,TRAUMA/STRESS DISORDERS-PTSD-FUNCTIONAL
CONSEQUENCES
what are the functional consequence for individuals with
PTSD. ---Correct Answer---DSM 278
PTSD is associated with high levels of social, occupational, and
physical disability, as well as considerable economic cost and
high levels of medical utilization. Impaired functioning is
exhibited across social, interpersonal, developmental,
educational, physical health, and occupational domains. in
community and veteran samples, PTSD is associated with poor
social and family relationships, absenteeism from work, lower
income, and lowered educational and occupational success.
TRAUMA/STRESS DISORDERS-PTSD-COURSE/PROGRESSION
what is the usual course and progression of PTSD ---Correct
Answer---DSM 276
1. PTSD can occur at any age, beginning after the first year of
life. Symptoms usually begin within the first 3 months after
the trauma.
2. Duration of the symptoms varies with complete recovery
within 3 months occurring in approximately one half of adults,
, while some individuals remain symptomatic for longer than 12
months and sometimes for more than 50 years.
3. Symptom recurrence and intensification may occur in
response to reminders of the original trauma, ongoing life
stressors, or newly experienced traumatic events.
4. For older individuals, declining health, worsening cognitive
functioning, and social isolation may exacerbate PTSD
symptoms.
5. Young children may report new onset of frightening dreams
without contents specific to the traumatic event.
6. Before age six, young children are more likely to express
reexperiencing symptoms through play that refers directly or
symbolically to the trauma.
7. Older children and adolescents may judge themselves as
cowardly.
8. PTSD into older adulthood may express fewer symptoms of
hyperarousal, avoidance, and negative cognition and mood
compared with younger adults with PTSD, although adults
exposed to traumatic events during later life may display more
avoidance, hyperarousal, sleep problems, and crying spell than
do younger adults exposed to the same traumatic event.
9. An older individuals, the disorder is associated with
negative health perceptions, primary care utilization, and
suicidal ideation.
