Trauma, Crisis, Disaster, and related Disorders Assessment

A nurse is caring for a client following a suicide attempt. Which of the following statement by the nurse reflects a trauma informed approach?

"This must be difficult. Can you tell me about what has happened to you?" • This reflects a trauma informed approach, allowing the nurse to consider the clients cultural context and how they may express trauma or describe a traumatic experience.

A nurse is developing education for a parenting class about adverse childhood events. Which of the following statements should the nurse include in the education?

"Children who are exposed to repeated adverse childhood events are at an increased risk for developing physical and mental health issues"

A nurse is caring for a client who is recently diagnosed with PTSD. The client asked, "what is the difference between acute stress disorder and PTSD?" Which of the following responses should the nurse make?

"PTSD is diagnosed if the symptoms persist for longer than one month."

A nurse is working with a local crisis response team to evaluate students following a school shooting. After ensuring the safety of the students which of the following trauma informed approaches should the team take next?

Establish a supportive environment that facilitates trust and transparency

A nurse is caring for a client who has depression, diabetic poly neuropathy, and significant neuropathy pain. The nurse here as an assistive personnel say, "they are admitted frequently and always report being in pain. I think they are just a drug seeker." Which of the following responses should the nurse make?

"It is not appropriate to stereotype clients. Seems like you have bias which can affect client care."

A nurse is working with an interdisciplinary disaster response team planning care for coastal community following a category five hurricane. What are the correct steps for disaster management?

1. Determine the challenges the community is facing 2. Assess the clients ability to function and cope with the current situation 3. Determine the resources the client has available to them 4. Partner with a client to develop a plan

A nurse is analyzing assessment data for a group of clients. Which of the following clients is at greatest risk of developing PTSD?

A 36-year-old client who has a maxillofacial fracture caused by their partner • This client is potentially a victim of interpersonal violence and as a result at high risk for developing PTSD

A nurse is planning care for a client who has acute stress disorder. Expected nonessential and contraindicated nursing interventions would be:

Expected • assess for environmental safety risks • use screening tools to monitor manifestations Nonessential • repeat vital signs every hour Contraindicated • rotate staff as often as possible • ask closed ended questions • encourage client to share details regarding the trauma

A nurse is developing a plan of care for a 14 year old client who has a history of child maltreatment. The staff of reported that anytime an alarm occurs, the client has found sitting in a closet. Which of the following most accurately describes the clients response?

Fear conditioning • this is a learned response that causes the client to re-experience their trauma and response to a trigger

A nurse is providing care for a client who has PTSD. The client states, "I always have to watch my back!" Which of the following manifestations of PTSD is the client experiencing?

Hypervigilance • this is a state of high and consistent alertness to potential threats in their surroundings • The individual has a sense of being inconsistent in danger

A nurse is preparing a teaching for high school students regarding trauma and interpersonal violence. Which of the following statement should the nurse plan to include in the teaching?

Interpersonal violence includes physical, sexual, and emotional maltreatment which are types of trauma •Interpersonal violence is a type of trauma where force or power is threatened or an acted against another person. •This act includes physical, sexual, and emotional maltreatment or neglect

A nurse has attended an in-service education regarding trauma informed care approach. Which of the following statements by them a nurse reflects an accurate description for the goal of trauma informed approach?

Nurses should understand the effects of trauma and structure client care to promote positive outcomes

A nurse over here is a coworker say, "I get that some people have a hard childhood, but eventually they need to get over it." Which of the following responses should the nurse make?

People who experience adverse childhood events are changed biologically and genetically.

A nurse is providing parenting education to a group of new parents at the area community center. Which of the following types of trauma prevention is the nurse providing?

Primary prevention • primary prevention focuses on preventing adverse experiences before they occur • secondary prevention focuses on screening to identify and follow up with those who have experienced past trauma or at high risk for developing mental health problems • tertiary prevention focuses on helping those who have been diagnosed with a mental health condition

A nurse is providing care for an adolescent who sustained injuries in assault. Which of the following action should the nurse take first?

Provide a safe and secure environment for the adolescent

A nurse is preparing educational material for guardians on trauma prevention, and developing childhood resilience. Which of the following technique should the nurse include?

• Foster a hopeful perspective of the future • encourage the development of thinking and learning • provide secure and supportive relationships and places

A nurse at a clinic a screening clients for trauma. The nurse should identify that which of the following factors increase our clients risk for developing a trauma related disorder?

• The client has a history of physical abuse • The client belongs to a marginalized group • The client was active military during the Iraq war

A nurse has attended an in-service regarding nursing care for a client to experience trauma. Which of the following statement by the nurse represent an understanding of trauma?

"Trauma is a broad term that refers to a persons physical, psychological, or emotional response to an adverse event."

A nurse is assigned to triage clients following an explosion at an oil refinery. Which of the following symptoms are consistent with a trauma response involving the sympathetic nervous system?

• increased heart rate • shallow breathing • muscle tension • anxiety

A nurse is caring for a client who Was brought to the emergency room following displacement from their home due to a flood. When assessing the client, which of the following clinical manifestations with the nurse anticipate are related to the experience of trauma?

• anxiety • sleep disturbance • anger • Depression