Trauma, Crisis, Disaster, and Related Disorders - Mental Health

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 would the nurse anticipate are related to the experience of trauma?

- anxiety - sleep disturbance - anger - depression

A nurse is providing care to a 4-year-old child who has recently been diagnosed with reactive attachment disorder. Which of the following statements by the nurse accurately describes this disorder?

"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 is caring for a client following suicide attempt. Which of the following statements by the nurse reflects a trauma-informed approach?

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

A nurse is developing education for a parenting class abt adverse childhood events (ACEs). 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 preparing a teaching for a high school student regarding trauma and interpersonal violence. Which of the following statements should the nurse plan to include in the teaching?

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

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?

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

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 response should the nurse identify as an indication that the child might be experiencing poor attachment?

- the child continues to play with a toy when their parent steps into the room - the child does not respond when held and embraced by the parent - the child cries when the nurse tries to give the child to the parent

A nurse is caring for a client who has depression, diabetic polyneuropathy, and significant neuropathic pain. The nurse hears 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. It seems like you may have buas which could affect client care."

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 a trauma-informed approach?

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

A nurse is caring for a client who. was recently diagnosed with posttraumatic stress disorder (PTSD). The client asks, "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 1 month."

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?

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

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.

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

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

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

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?

- increases heart rate - shallow breathing - muscle tension - anxiety

A nurse at a clinic is 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?

- 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 is analyzing assessment data for a group of clients. Which of the following clients is at greatest risk of developing posttraumatic stress disorder (PTSD)?

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

A nurse is working with a local crisis team to evaluate student 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 developing a plan 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 describe the client's response?

Fear conditioning

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

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

Provide a safe, secure environment for the adolescent

A nurse is providing care for a client who has post traumatic stress disorder (PTSD). The client states, "I always have to watch my back!" Which of the following manifestation of PTSD is the client experiencing?

hyperviligiance

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?

suicidal ideation