Which of the following statements made by a client diagnosed with ...

[jCorn1234]

Which of the following statements made by a client diagnosed with posttraumatic stress disorder (PTSD) leads the nurse to believe the client is experiencing dissociative symptoms?
 
  A) It's like I'm having flashbacks every time I fall asleep.
  B) I describe my feelings like I'm having an out-of-body experience.
  C) Loud noises always make me a little jittery now.
  D) I feel guilty that I survived the attack and my friend didn't.

Question 2

In posttraumatic stress disorder (PTSD), which of the following signs/symptoms could be classified as intrusive? Select all that apply.
 
  A) When the client reexperiences a traumatic image
  B) No longer dream during REM sleep
  C) Have feelings that the event is reoccurring
  D) Complain of excessive sleeping, usually 12 hours or more per day
  E) Feel like they are suspended in outer space and cannot find their way home

[Amiracle]

Answer to Question 1

Ans: B
Dissociation is a disruption in the normally occurring linkages among subjective awareness, feelings, thoughts, behavior, and memories. A person who dissociates is making him- or herself disappear. That is, the person has the feeling of leaving his or her body and observing what happens to him or her from a distance. During trauma, dissociation enables a person to observe the event while experiencing no or only limited pain and to protect him- or herself from awareness of the full impact of the traumatic event. Flashbacks are common with PTSD; loud noises associated with the trauma cause flashbacks. Guilt is common for survivors.

Answer to Question 2

Ans: A, C
Intrusive thoughts often are associated with cues that symbolize or resemble the original event. Sometimes the traumatic images, thoughts, or perceptions are reexperienced. Nightmares are common. Intrusive symptoms also include dissociative reactions (e.g., feeling or acting as if the event is reoccurring). Sleeping is difficult. Terrifying flashbacks and nightmares often include fragments of traumatic events exactly as they happened.

[jCorn1234]

TYSM

[bigcheese9]

Gracias!