Quiz 5: NURS 222 - Mental Health (Latest Update )
Review Questions with Verified Answers | 100% Correct | Grade
A.
Acute Stress Disorders (ASD)
-In the weeks after a traumatic event, a patient may develop an anxiety disorder.
-Usually occurs within one month of a traumatic event.
-Lasts at least three days and can persist for up to one month
-Symptoms are similar to symptoms of PTSD
-Exposure to traumatic events cause anxiety, detachment, and other
manifestations about the event for at least 3 days but for not more than 1
month following the event.
What causes ASD?
Traumatic events that cause intense fear, horror, or helplessness
-Death
-Threat of death to oneself or others
-Threat of serious injury to oneself or others
-Threat to the physical integrity of oneself or others
Posttraumatic Stress Disorder (PTSD)
-Exposure to traumatic events causes anxiety, detachment, and other
manifesations about the event for longer than 1 month following the event.
-Manifestations can last for years.
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,4/5/26, 11:11 PM Quiz 5: NURS 222 - Mental Health (Latest Update ) Review Questions with Verified Answers | 100% Correct | Grade A. …
Acute Stress
Disorder/PTSD Expected
findings
-Aggression
-Hypervigilance (state of high alert)
-Decreased focus
-Insomnia
-Suicidal or violent thoughts
Medications for ASD and PTSD
1. Fluoxetine decreases depression and anxiety
2. Venlafaxine decreases depression and anxiety
3. Mirtazapine decreases depression and anxiety
4. Amitriptyline decreases depression and anxiety
5. Prazosin decreases hypervigilance and insomnia
6. Propranolol decreases HR, anxiety, panic hypervigilance, and insomnia.
Adjustment Disorder
-A group of symptoms, such as stress, feeling sad or hopeless, and physical
symptoms that can occur after you go through a stressful life event.
-The symptoms occur because you are having a hard time coping.
-Your reaction is stronger than expected for the type of event that occurred.
-The stressor and effects are less severe than with ASD or PTSD.
Adjustment Disorder
Expected findings
-Depression
-Anxiety
-Argumentative
-Dangerous behavior (i.e. erratic driving)
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,4/5/26, 11:11 PM Quiz 5: NURS 222 - Mental Health (Latest Update ) Review Questions with Verified Answers | 100% Correct | Grade A. …
Diagnostic Procedures for ASD/PTSD/AD
-Primary Care PTSD Screen
-PTSD Checklist
-Screening tests for anxiety and depression
-Asking about suicidal ideation
-Mental status examination
Nursing care for ASD/PTSD/AD
-Build rapport
-Encourage client to share feelings
-Provide safe environment
-Assess for suicidal ideation
-Use strategies to decrease anxiety
Dissociative disorders
-A mental state of disconnection from what is going on without you.
-Similar to a state of daydreaming
-Becomes a disorder when it is intense and often. Affects normal functioning in
daily life.
-Involve disruptions or breakdowns of memory, consciousness, awareness,
identity, and/or perception.
Types of Dissociative Disorders
1. Depersonalization/Derealization Disorder
2. Dissociative Amnesia
3. Dissociative Fugue
4. Dissociative Identity Disorder
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, 4/5/26, 11:11 PM Quiz 5: NURS 222 - Mental Health (Latest Update ) Review Questions with Verified Answers | 100% Correct | Grade A. …
Depersonalization/Derealization Disorder
Involves a persistent or recurring feeling of being detached from one's body
or mental processes, like an outside observer of their life
(depersonalization), and/or a feeling of being detached from one's
surroundings (derealization)
Dissociative Fugue
Example
A worker was denied a job promotion. He did not come home from work and was
reported as missing by his family. He was found a week later, 600 miles away,
living under a different name, working as a short-order cook. When found by
the police, he could not recognize any family member, friend, or coworker,
and he could not say who he was or explain his lack of identification.
Dissociative Identity Disorder (DID)
A condition in which an individual displays multiple identities, or personalities
(formerly "multiple personality disorder.")
DID
Covert Type
-Sudden and dramatic shifts in the way the client perceives, thinks, or feels (as if
they've taken on characteristics of a different person or people).
-May hear that perosn's voice and feel that it is speaking to them.
-Aware their feelings are unusual
-Feel powerless to understand their own behavior.
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