ATI Trauma, Crisis, Disaster and Related Disorders Questions

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 SNS? SATA a. Increased heart rate b. Shallow breathing c. Muscle tension d. Immobility e. Anxiety f. Fatigue

a, b, c, e

A nurse is caring for a client who was diagnosed with adjustment disorder after losing their job 2 months ago. For which of the following manifestations should the nurse monitor the client? a. Persistent avoidance b. Psychosis c. Dissociative amnesia d. Suicidal ideation

d. Suicidal ideation

A nurse is at a clinic screening clients for trauma. The nurse should identify that which of the following factors increases a client's risk for developing a trauma-related disorder? a. The client has a history of physical abuse b. The client belongs to a marginalized group c. The client was active military during the Iraq war d. The client is from a large family e. The client is male f. The client has stable income

a, b, c

A nurse is caring for a client who was brought to the ER following displacement from their home due to a flood. When assessing the client, which of the following clinical manifestations would the nurse anticipate are related to the experience of trauma? SATA a. Anxiety b. Sleep disturbance c. Anger d. Depression e. Hallucinations f. Elevated mood

a, b, c, d

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? a. Anosognosia b. Hypervigilance c. Anhedonia d. Dissociative amnesia

b. Hypervigilance

A nurse is caring for a client who has depression, diabetic polyneuropathy, and significant neuropathic pain. The nurse hears a PA say "they are admitted frequently and always report being in pain. I think they are a drug seeker" which of the following responses should the nurse make? a. "You certainly call things like you see them. I am going to ignore you said that!" b. "Yes, this client is always in pain. You should remember that it is our job to take care of people like them." c. "What is bothering you? Just keep your comments and opinions to yourself." d. "It is not appropriate to stereotype clients. It seems like you may have bias which could affect client care."

d. "It is not appropriate to stereotype clients. It seems like you may have bias which could affect client care."

A nurse is analyzing assessment data for a group of clients. Which of the following clients is at greatest risk of developing PTSD? a. A 23-year-old client who has a tibial fracture following a motor vehicle accident b. A 72-year-old client who lost their partner to metastatic breast cancer c. A 29-year-old client who has Type 1 diabetes mellitus and is postoperative following an appendectomy d. A 36-year-old client who has a maxillofacial fracture caused by their partner

d. A 36-year-old client who has a maxillofacial fracture caused by their partner

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. - Repeat vital signs every hour - Ask close-ended questions - Rotate staff as often as possible - Assess for environmental safety risks - Encourage the client to share details regarding trauma - Use screening tools to monitor manifestations

- Nonessential - Contraindicated - Contraindicated - Expected - Contraindicated - Expected

A nurse is working with an interdisciplinary disaster response team planning care for a coastal community following a category 5 hurricane. Place the following steps of disaster management in the correct order: - Partner with the client to develop a plan - Determine the resources the client has available to them - Determine the challenges the community is facing - Assess the client's ability to function and cope with the current situation

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

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? SATA Has sad expression, eyes downcast, and does not react to others trying to speak to them Shared in group therapy session how their job as a law enforcement officer exposes them to many "bad situations, like parents hurting their children and seeing dead people." Overheard another employee saying to client, "Maybe if you weren't always bothering innocent people and trying to give everyone a ticket, you wouldn't be here." Client left area and returned to their room

Overheard another employee saying to client, "Maybe if you weren't always bothering innocent people and trying to give everyone a ticket, you wouldn't be here."

A nurse is preparing educational material for guardians on trauma prevention and developing childhood resilience. Which of the following techniques should the nurse include? SATA a. Foster a hopeful perspective of the future b. Encourage development of thinking and learning c. Provide secure and supportive relationships and places d. Ignore tantrums e. Discourage expression of anger f. Insist the child verbalizes emotional needs

a, b, c

A community health nurse observes an 8-month-old child being reunited with their parent after being found alone in an automobile. Which of the following responses should the nurse identify as an indication that the child might be experiencing poor attachment? SATA a. The child continues to play with a toy when their parent steps into the room b. The child does not respond when held and embraced by the parent c. The child reaches out to the parent when they enter the room d. The child selects a toy offered them and begins to play while sitting on their parent's lap e. The child cries when the nurse tries to give the child to the parent

a, b, e

A nurse is preparing a teaching for high school students regarding trauma and interpersonal violence. Which of the following statements should the nurse plan to include in the teaching? a. "Interpersonal violence includes physical, sexual, and emotional maltreatment, which are types of trauma." b. "Interpersonal violence are acts of aggression occurs between two adults and is a form of sexual maltreatment." c. "Interpersonal violence occurs most frequently between people who do not know each other." d. "Interpersonal violence is the result of unintentional force and maltreatment against another person."

a. "Interpersonal violence includes physical, sexual, and emotional maltreatment, which are types of trauma."

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? a. Establish a supportive environment that facilitates trust and transparency b. Provide resources to students for trauma support and recovery c. Explain what trauma is and the symptoms of trauma d. Report any students exhibiting inability to cope with their traumatic event

a. Establish a supportive environment that facilitates trust and transparency

A nurse is developing a plan of care for a 14-year-old client who has a history of child maltreatment. The staff have reported that any time an alarm occurs, the client is found sitting in a closet. Which of the following most accurately describes the client's response? a. Fear conditioning b. Fear extinction c. Self-regulation d. Stress resilience

a. Fear conditioning

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? a. Client's reluctance to speak to friends b. Client's statement regarding harming others c. Lack of physical injury to the client d. Client's statement regarding feelings when awakening e. Client's inability to relax

b, d

A nurse is caring for a client following a suicide attempt. Which of the following statements by the nurse reflects a trauma-informed approach? a. "This must be difficult. Can you tell me about what has happened to you?" b. "You are new to the unit. Why are you here?" c. "You sit alone. Do you really want to be here?" d. "You seem in pain, Why did you try to harm yourself."

a. "This must be difficult. Can you tell me about what has happened to you?"

A nurse is developing education for a parenting class about adverse childhood events (ACEs). Which of the following statements should the nurse include in the education? a. "Prior to age 1, children have natural protection from stressors and are unlikely to experience physiological changes from stress." b. "Children who are exposed to repeated adverse childhood events are at an increased risk for developing physical and mental health issues." c. "Experiences of trauma or adverse childhood events result in permanent changes to the brain that cannot be altered." d. "Children's brains are fully developed by the age of 10, and this provides psychological protection from ACEs that occur prior to that age."

b. "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 was recently diagnosed with PTSD. The client asks, "what is the difference between acute stress disorder and PTSD?" Which of the following responses should the nurse make? a. "With acute stress disorder, the traumatic experience and response to it is less severe." b. "PTSD is diagnosed if the symptoms persist for longer than 1 month." c. "PTSD can only be diagnosed if the trauma is experienced firsthand." d. "Acute stress disorder does not involve arousal symptoms or negative alterations in mood."

b. "PTSD is diagnosed if the symptoms persist for longer than 1 month."

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? a. Secondary prevention b. Primary prevention c. Primordial prevention d. Tertiary prevention

b. Primary prevention

A nurse overhears 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? a. "People who hav experienced adverse childhood events are only found in vulnerable populations." b. "It is completely genetics and biology; some people are just unable to get over their past and move on." c. "People who experience adverse childhood events are changed biologically and genetically" d. "It is only people who experience trauma later in life who will really struggle."

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

A nurse is providing care to a 4-year-old client who has been recently diagnosed with reactive attachment disorder. Which of the following statements by the nurse accurately describes this disorder? a. "The child developed reactive attachment disorder because they were bitten by a dog 2 weeks ago." b. "This child displays inappropriate attachment and is overly familiar with a stranger." c. "Reactive attachment disorder can occur when there is an absence of adequate caregiving, including the child going many hours without being held or touched as an infant." d. "The child has recurring nightmares and often displays outbursts of anger even when they are not provoked by others."

c. "Reactive attachment disorder can occur when there is an absence of adequate caregiving, including the child going many hours without being held or touched as an infant."

A nurse has attended an in-service regarding nursing care for clients who have experienced trauma. Which of the following statements by the nurse represent an understanding of trauma? a. "Trauma is usually a series of events rather than a one-time occurrence." b. "Trauma is a specific term used to describe visible wounds that a client has experienced." c. "Trauma is a broad term that refers to a person's physical, psychological, or emotional response to an adverse event." d. "Trauma is predominantly experienced in adulthood as children cannot recognize trauma."

c. "Trauma is a broad term that refers to a person's physical, psychological, or emotional response to an adverse event."

A nurse is providing care for an adolescent who sustained injuries in assault. Which of the following actions should the nurse take first? a. Identify the adolescent's coping strategies and skills b. Explore the adolescent's feelings about the assault c. Provide a safe, secure environment for the adolescent d. Provide the adolescent with information on support groups

c. Provide a safe, secure environment for the adolescent

A nurse has attended an in-service education regarding trauma-informed care approach. Which of the following statements by the nurse reflects an accurate description for the goal of trauma-informed approach? a. "A trauma-informed approach to care is a process of steps which evaluates injury to determine priority of care." b. "Nurses should focus on immediate client care rather than the trauma that has happened to the client." c. "Trauma-informed care is most important in the emergency department and with first responders. They see the most trauma." d. "Nurses should understand the effects of trauma and structure client care to promote positive outcomes."

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