A week ago an individual witnessed the explosion of a fuel ...

[swpotter12]

A week ago an individual witnessed the explosion of a fuel tanker, after which a ball of fire came directly at her.
 
  She literally ran for her life. She now reports feeling numb and not being able to respond spon-taneously to others. She feels estranged and detached from others. Whenever anyone mentions the experience, she responds, I need to avoid thinking about it. The nurse taking her history would assess that the client's risk for developing posttraumatic stress syndrome is:
  1. High to moderate
  2. Moderate
  3. Low to moderate
  4. Nonexistent

Question 2

A client comes for treatment for persistent, severe anxiety. An appropriate nursing diagnosis to validate would be:
 
  1. Disturbed sensory perception related to narrowed perceptual field
  2. Risk for injury related to closed perception
  3. Hopelessness related to total loss of control
  4. Risk for other-directed violence related to combative behavior

[ryansturges]

Answer to Question 1

ANS: 1
The client's coping mechanisms are characterized by avoidance. These defenses are not condu-cive to resolution. Unless the experience can be detoxified and integrated, PTSD is likely to de-velop.

Answer to Question 2

ANS: 1
A narrowed perceptual field occurs with severe anxiety; therefore this diagnosis should be con-sidered. Data are not present to support the other diagnoses.