Disorder Assessment Exam 2025
Questions and Answers
a nurse is caring for a client who recently experienced a traumatic event and is
experiencing flashbacks.
Which of the following client findings require immediate follow-up by the nurse?
Click to highlight the chart entries that require immediate follow-up. To deselect a
finding, click on the finding again. - --Answer --When taking action, the
nurse should immediately address the statement *"Maybe if you weren't always
bothering innocent people and trying to give everyone a ticket, you wouldn't be
here"* by the other employee, which indicates implicit bias against law
enforcement officers on the part of that employee. Implicit biases in health care
increase health inequity and stigma and decrease optimal outcomes for vulnerable
populations. Additionally, implicit biases create environments that perpetuate
traumatic experiences for at-risk clients by compromising psychological safety,
equity, and inclusion.
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,A nurse is caring for a newly admitted client who has experienced a traumatic
event. Which of the following 2 client findings require the nurse to immediately
follow-up? - --Answer --*Client's statement regarding harming others is
correct.* The nurse should assess the client's behavior for indications of violence
or self-harm and notify the health care provider to ensure client's safety and the
safety of others.
Client's inability to relax is incorrect. Feelings of tense muscles is a common
manifestation following exposure to a traumatic experience.
Lack of physical injury to client is incorrect. The lack of injury to the client during
the traumatic event is not relevant to the client's current safety status.
*Client's statement regarding feelings when awakening is correct.* The nurse
should assess the client's behavior for indications of violence or self-harm and
notify the health care provider to ensure client's safety and the safety of others.
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, Client's reluctance to speak to friends is incorrect. Lack of interest in previously
enjoyed activities and friends is a common manifestation following exposure to a
traumatic experience.
A nurse is planning care for a client who has acute stress disorder.
For each potential nursing intervention, click to specify if the potential
intervention is expected, nonessential, or contraindicated for the client. - --
Answer --Rotate staff as often as possible. *contraindicated*
Repeat vital signs every hour. *nonessential*
Assess for environmental safety risks. *expected*
Use screening tools to monitor manifestations. *expected*
Ask close-ended questions. *contraindicated*
Encourage the client to share details regarding trauma. *contraindicated*
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