What intervention has highest priority when a patient diagnosed ...

[daltonest1984]

What intervention has highest priority when a patient diagnosed with acute stress disor-der (ASD) reports difficulty sleeping and is observed to have an exaggerated startled re-sponse 6 weeks after the trauma occurred?
 
  a. Short-term therapy will be suggested.
  b. Antianxiety medication will be prescribed.
  c. The patient will be scheduled for a consult at the sleep patient.
  d. The patient will be assessed for possible posttraumatic stress disorder (PTSD).

Question 2

A worker has recently been involved in assisting with the cleanup from a flood that washed away many homes in his area and caused loss of life. Which crisis intervention would assist the worker in dealing with the traumatic experience?
 
  a. Arranging for his minister to meet with him
  b. Suggesting he be admitted to a mental health facility
  c. Providing him the opportunity to talk about the experience
  d. Encouraging him to leave the area in order to forget the experience

[spencer.martell]

Answer to Question 1

ANS: D
If symptoms of ASD persist for more than 1 month, an assessment for other diagnoses may also be considered, such as posttraumatic stress disorder (PTSD). The remaining options do not address the issue of a more complex diagnosis and would be treating only isolated symptoms.

Answer to Question 2

ANS: C
The worker needs to be able to express his feelings and deal with the pain associated with the crisis event. Nurses can help facilitate understanding of the event by listening and teaching. The remaining interventions are not considered crisis interventions.