A client diagnosed with post-traumatic stress disorder is ...

[JGIBBSON]

A client diagnosed with post-traumatic stress disorder is demonstrating signs of increased arousal. Which of the following did the nurse most likely assess in this client?
 
  1. Sleep disturbance
  2. Crying
  3. Irritability
  4. Angry outbursts
  5. Exaggerated startle response
  6. Sleeping

Question 2

The nurse suspects a client is experiencing acute stress disorder when which of the following symptoms are assessed? (Select all that apply.)
 
  1. Sense of detachment
  2. Internal locus of control
  3. Depersonalization
  4. Setting goals
  5. Inability to cope
  6. Hoping for a positive outcome

[k.lashomb]

Answer to Question 1

1, 3, 4, 5
Signs of increased arousal include sleep disturbances, irritability, angry outbursts, difficulty concentrating, hypervigilance, and exaggerated startle response. Crying and sleeping are not signs of increased arousal.

Answer to Question 2

1, 3, 5
The following are symptoms associated with acute stress disorder: a sense of detachment or reduced awareness of surroundings; depersonalization or feelings of unreality, alienation, or amnesia; and the inability to cope effectively. Internal locus of control, setting goals, and hoping for a positive outcome are responses to positively cope with stress.