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Question ⬇

Psychosocial Integrity

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34. A client was admitted yesterday with a diagnosis of acute traumatic stress disorder. What should a nurse expect this client's assessment to reveal? Select all that apply.

Choices

Choices ⬆ ⬇

1. Increased intimacy.

2. Amnesia.

3. Flashbacks.

4. Expressions of guilt.

5. Sleep disturbances.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Think of acute anxiety and eliminate signs and symptoms that are not related to increases in anxiety.

Content Area: Mental Health, Anxiety; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Psychosocial Integrity/Mental Health Concepts

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Rationale ⬆

Psychosocial Integrity

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3.  4.  5.  

Answer 1 is incorrect because the client is likely to experience a decrease in feelings of intimacy. Answer 2 is incorrect because the client usually does not have amnesia, but rather experiences intrusive thoughts of the events in the form of flashbacks. Answer 3 is correct because the client experiencing acute traumatic stress disorder will have flashbacks (e.g., repetitive intrusive images) of the traumatic event. Answer 4 is correct because the client often expresses guilt and shame over the event. Answer 5 is correct because the client has disturbed sleep patterns during this phase.

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