NRSG 1340 Exam 2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Give two examples of individual trauma/stressors. - CORRECT ANSWER - - abuse
- illness
Give three examples of group trauma/stressors. - CORRECT ANSWER - - war
- terrorist attack
- natural disaster
If an individual has problems coping with trauma/stress, they are at risk for developing what
disorders? - CORRECT ANSWER - - adjustment disorder
- acute stress disorder
- PTSD
- dissociative disorder
What is posttraumatic stress disorder (PTSD)? What feelings are associated with PTSD? -
CORRECT ANSWER - A disturbing pattern of behavior demonstrated by someone who
has experienced, witnessed, or been confronted with a traumatic event and threatened with death
or serious injury. This results in feelings of
- intense fear
- helplessness
- terror
What are four subcategories of PTSD symptoms? - CORRECT ANSWER --
reexperiencing trauma (ex: dreams, intrusive/recurrent thoughts)
- avoidance
- negative cognition/thoughts
- being on guard/hyperarousal
,Which age population is at highest risk for developing PTSD? - CORRECT ANSWER -
Adolescents
Adolescents suffering from PTSD have increased risk for what five things? - CORRECT
ANSWER - - suicide
- substance abuse
- poor social support
- academic problems
- poor physical health
How does political oppression correlate with PTSD? - CORRECT ANSWER - Alienation
and lower levels of resilience lead to poorer long term outcomes
What are five treatment options for PTSD? - CORRECT ANSWER - - counseling/therapy
(group or individual)
- medications
- CBT and specialized therapy
- exposure therapy
- relaxation techniques
What is a dissociative disorder? - CORRECT ANSWER - Subconscious defense
mechanism used to prevent recognition of a horrific or traumatic event
- can occur during or after event
- becomes easier with repeated use
- onset can be sudden or gradual
Dissociative disorers created disruption in what normal functions? - CORRECT
ANSWER - - consciousness
,- memory
- identity
- environmental perception
- relationships
- ability to perform ADLs
- ability to cope
Dissociatve symtpoms are common in what trauma related disorder? - CORRECT
ANSWER - PTSD
What are the two main types of dissociative disorders? - CORRECT ANSWER --
dissociative amnesia (inability to remember personal life events, selective memory gaps)
- dissociative identity disorder (multiple personality disorder)
What are treatment options for dissociative disorders? - CORRECT ANSWER --
individual or group therapy (focus is reassociation)
- medications for anxiety or depression
True or false: As a part of a trauma/stress related assessment, the client must detail specific
events of the abuse or trauma. - CORRECT ANSWER - False, it is not necessary or
desirable for the client to detail specific events of abuse or trauma
What is expected in the general appearance and motor behavior portion of a trauma/stress
assessment? - CORRECT ANSWER - - client appears hyperalert
- client may have discomfort with physical closeness
- client may appear anxious or agitated
What is expected in the mood/affect portion of a trauma/stress assessment? - CORRECT
ANSWER - Range from passive to angry, frightening, agitated, or hostile
, What is expected in the thought process/content portion of a trauma/stress assessment? -
CORRECT ANSWER - Reports of experiencing
- nightmares
- flashbacks
- intrusive thoughts
- hallucinations
- self destructive thoughts
- fantasies
What is expected in the sensorium and intellectual processes portion of a trauma/stress
assessment? - CORRECT ANSWER - - oriented to reality except during flashbacks
- memory gaps
- intrusive thoughts or ideas of self harm
What is expected in the judgement and insight portion of a trauma/stress assessment? -
CORRECT ANSWER - - may report little idea of relationship between trauma and
symptoms
- others may be quite knowledgeable
- decision making may be impaired
What is expected in the self esteem portion of a trauma/stress assessment? - CORRECT
ANSWER - - low self esteem
- sees self as worthless
What is expected in the roles and relationships portion of a trauma/stress assessment? -
CORRECT ANSWER - - problems with authority
- close relationships difficult or impossible
What are possible nursing diagnoses for patients related to trauma/stress? - CORRECT
ANSWER - - risk for suicide/self-harm
Exam Questions and CORRECT Answers
Give two examples of individual trauma/stressors. - CORRECT ANSWER - - abuse
- illness
Give three examples of group trauma/stressors. - CORRECT ANSWER - - war
- terrorist attack
- natural disaster
If an individual has problems coping with trauma/stress, they are at risk for developing what
disorders? - CORRECT ANSWER - - adjustment disorder
- acute stress disorder
- PTSD
- dissociative disorder
What is posttraumatic stress disorder (PTSD)? What feelings are associated with PTSD? -
CORRECT ANSWER - A disturbing pattern of behavior demonstrated by someone who
has experienced, witnessed, or been confronted with a traumatic event and threatened with death
or serious injury. This results in feelings of
- intense fear
- helplessness
- terror
What are four subcategories of PTSD symptoms? - CORRECT ANSWER --
reexperiencing trauma (ex: dreams, intrusive/recurrent thoughts)
- avoidance
- negative cognition/thoughts
- being on guard/hyperarousal
,Which age population is at highest risk for developing PTSD? - CORRECT ANSWER -
Adolescents
Adolescents suffering from PTSD have increased risk for what five things? - CORRECT
ANSWER - - suicide
- substance abuse
- poor social support
- academic problems
- poor physical health
How does political oppression correlate with PTSD? - CORRECT ANSWER - Alienation
and lower levels of resilience lead to poorer long term outcomes
What are five treatment options for PTSD? - CORRECT ANSWER - - counseling/therapy
(group or individual)
- medications
- CBT and specialized therapy
- exposure therapy
- relaxation techniques
What is a dissociative disorder? - CORRECT ANSWER - Subconscious defense
mechanism used to prevent recognition of a horrific or traumatic event
- can occur during or after event
- becomes easier with repeated use
- onset can be sudden or gradual
Dissociative disorers created disruption in what normal functions? - CORRECT
ANSWER - - consciousness
,- memory
- identity
- environmental perception
- relationships
- ability to perform ADLs
- ability to cope
Dissociatve symtpoms are common in what trauma related disorder? - CORRECT
ANSWER - PTSD
What are the two main types of dissociative disorders? - CORRECT ANSWER --
dissociative amnesia (inability to remember personal life events, selective memory gaps)
- dissociative identity disorder (multiple personality disorder)
What are treatment options for dissociative disorders? - CORRECT ANSWER --
individual or group therapy (focus is reassociation)
- medications for anxiety or depression
True or false: As a part of a trauma/stress related assessment, the client must detail specific
events of the abuse or trauma. - CORRECT ANSWER - False, it is not necessary or
desirable for the client to detail specific events of abuse or trauma
What is expected in the general appearance and motor behavior portion of a trauma/stress
assessment? - CORRECT ANSWER - - client appears hyperalert
- client may have discomfort with physical closeness
- client may appear anxious or agitated
What is expected in the mood/affect portion of a trauma/stress assessment? - CORRECT
ANSWER - Range from passive to angry, frightening, agitated, or hostile
, What is expected in the thought process/content portion of a trauma/stress assessment? -
CORRECT ANSWER - Reports of experiencing
- nightmares
- flashbacks
- intrusive thoughts
- hallucinations
- self destructive thoughts
- fantasies
What is expected in the sensorium and intellectual processes portion of a trauma/stress
assessment? - CORRECT ANSWER - - oriented to reality except during flashbacks
- memory gaps
- intrusive thoughts or ideas of self harm
What is expected in the judgement and insight portion of a trauma/stress assessment? -
CORRECT ANSWER - - may report little idea of relationship between trauma and
symptoms
- others may be quite knowledgeable
- decision making may be impaired
What is expected in the self esteem portion of a trauma/stress assessment? - CORRECT
ANSWER - - low self esteem
- sees self as worthless
What is expected in the roles and relationships portion of a trauma/stress assessment? -
CORRECT ANSWER - - problems with authority
- close relationships difficult or impossible
What are possible nursing diagnoses for patients related to trauma/stress? - CORRECT
ANSWER - - risk for suicide/self-harm
