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A nurse admits a client with a preliminary diagnosis of acute stress disorder to the mental health unit. Which assessment requires the nurse’s immediate action? a) There are bruises on the client’s body. b) The client reports not eating or sleeping for 2 days. c) The client was not given the opportunity to talk. d) The client states she has a desire to not live anymore.
The client states she has a desire to not live anymore.
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A client with acute stress disorder states to the nurse, “I keep having horrible nightmares about the car accident that killed my daughter. I should not have taken her with me to the store.” Which response by the nurse is most therapeutic? a) “The accident just happened and could not have been predicted.” b) “Do not keep torturing yourself with such horrible thoughts.” c) “Stop blaming yourself. It is only hurting you.” d) “Let us talk about something that is a bit more pleasant.”
“The accident just happened and could not have been predicted.”
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Treatment of acute stress disorder is
important, as it reduces the risk of developing PTSD.
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History & Physical/Psychiatry/Behavioral Medicine Which of the following historical factors differentiates post-traumatic stress disorder from acute stress disorder? Answers A. The inability of the person to recall an important aspect of the event. B. Avoidance of stimuli that invokes recollections of the event. C. A belief that their future has been foreshortened because of the event. D. The presence of sleep disorder.
Explanations (u) A. See C for explanation. (u) B. See C for explanation. (c) C. Post-traumatic stress disorder and acute stress disorder have many of the same characteristics. A sense of a foreshortened future, such as not expecting a normal life span or a career due to the trauma, distinguishes post-traumatic stress disorder from an acute stress disorder. The other answers are common to both disorders. (u) D. See C for explanation.
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1) adjustement disorder vs depression 2) adjustment disorder vs anxiety disorder 3) adjustment disorder vs post-traumatic stress disorder and acute stress disorder
1) Unlike major depression however, the disorder is caused by an outside stressor and generally resolves once the individual is able to adapt to the situation. 2) anxiety disorder, which lacks the presence of a stressor 3) post-traumatic stress disorder and acute stress disorder, which usually are associated with a more intense stressor. – eg. adjustment – pt just broke up with her bf and is crying adn does bad in classand feels terirble. lac of sleep
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Acute stress disorder: ___ days – __ weeks after life is in jeopardy.
Acute stress disorder (ASD)
A disorder resulting from exposure to a major stressor, with symptoms of anxiety, recurring nightmares, sleep disturbances, problems in concentration, and moments in which people seem to ”relive” the event in dreams and flashbacks for as long as one month following the event.
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