Chapter 19 Trauma and Stressor-Related Disorders

Chapter 19  Trauma and Stressor-Related Disorders

Complete Chapter Questions And Answers
 

Sample Questions

___ 1. A nursing instructor is teaching about trauma and stressor-related disorders. Which statement by one of the students indicates that further instruction is needed?
1.
“The trauma that women experience is more likely to be sexual assault and child sexual abuse.”
2.
“The trauma that men experience is more likely to be accidents, physical assaults, combat, or viewing death or injury.”
3.
“After exposure to a traumatic event, only 10 percent of victims develop posttraumatic stress disorder (PTSD).”
4.
“Research shows that PTSD is more common in men than in women.”

____ 2. Which factors differentiate the diagnosis of PTSD from the diagnosis of adjustment disorder (AD)?
1.
PTSD results from exposure to an extreme traumatic event, whereas AD results from exposure to “normal” daily events.
2.
AD results from exposure to an extreme traumatic event, whereas PTSD results from exposure to “normal” daily events.
3.
Depressive symptoms occur in PTSD and not in AD.
4.
Depressive symptoms occur in AD and not in PTSD.

____ 3. Which client would a nurse recognize as being at highest risk for the development of an adjustment disorder?
1.
A young married woman
2.
An elderly unmarried man
3.
A young unmarried woman
4.
A young unmarried man

____ 4. A nursing instructor is explaining the etiology of trauma-related disorders from a learning theory perspective. Which student statement indicates that teaching has been effective?
1.
“How clients perceive events and view the world affect their response to trauma.”
2.
“The psychic numbing in PTSD is a result of negative reinforcement.”
3.
“The individual becomes addicted to the trauma owing to an endogenous opioid response.”
4.
“Believing that the world is meaningful and controllable can protect an individual from PTSD.”

Answer Section

MULTIPLE CHOICE

1. ANS: 4
Chapter: Chapter 19, Trauma and Stressor-Related Disorders
Objective: Describe various types of trauma- and stressor-related disorders and identify symptomatology associated with each; use this information in client assessment.
Page: 476
Heading: Historical and Epidemiological Data
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate

Feedback
1
This statement indicates that teaching has been effective.
2
This statement is correct, indicating that no further teaching is needed.
3
This statement is accurate, indicating the teaching has been effective.
4
Research shows that PTSD is more common in women than in men. This student statement indicates a need for further instruction.

PTS: 1 CON: Patient-Centered Care

2. ANS: 1
Chapter: Chapter 19, Trauma and Stressor-Related Disorders
Objective: Describe various types of trauma- and stressor-related disorders and identify symptomatology associated with each; use this information in client assessment.
Page: 476–477
Heading: Historical and Epidemiological Data
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Patient-Centered Care
Difficulty: Moderate

Feedback
1
PTSD results from exposure to an extreme traumatic event, whereas AD results from exposure to “normal” daily events, such as divorce, failure, or rejection.
2
PTSD results from exposure to an extreme traumatic event.
3
Depressive symptoms can also occur in AD.
4
Depressive symptoms can also occur in PTSD.

PTS: 1 CON: Patient-Centered Care

3. ANS: 3
Chapter: Chapter 19, Trauma and Stressor-Related Disorders
Objective: Describe various types of trauma- and stressor-related disorders and identify symptomatology associated with each; use this information in client assessment.
Page: 477
Heading: Historical and Epidemiological Data
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate

Feedback
1
AD is not common in this group.
2
Although more common in the young, it can occur at any age.
3
Adjustment disorders are more common in women, unmarried persons, and younger people.
4
AD is more common in women.

PTS: 1 CON: Patient-Centered Care

4. ANS: 2
Chapter: Chapter 19, Trauma and Stressor-Related Disorders
Objective: Describe various types of trauma- and stressor-related disorders and identify symptomatology associated with each; use this information in client assessment.
Page: 480
Heading: Application of the Nursing Process—Trauma-Related Disorders > Theories of Etiology Related to Trauma-Related Disorders
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate

Feedback
1
This statement indicates that further education is necessary.
2
Learning theorists view negative reinforcement as behavior that leads to a reduction in an aversive experience, thereby reinforcing and resulting in repetition of the behavior. Psychic numbing decreases or protects an individual from emotional pain and, therefore, the learned response is the repetition of this behavior.
3
This statement is incorrect, indicating that further teaching is needed.
4
This statement indicates that teaching has not been effective.

PTS: 1 CON: Patient-Centered Care