Clients from other countries who suffered traumatic oppression in their native countries may develop PTSD. Which is least helpful in dealing with their PTSD?

Assimilating quickly into the culture of their current country of residence

The nurse who is assessing a client with PTSD would expect the client to report which data

Inability to relax Increased alcohol consumption Insomnia even when fatigued Suspicion of strangers

Education for clients with PTSD should include which information?

Avoid drinking alcohol. Eat well-balanced, nutritious meals. Find and join a support group in the community.. Get regular exercise, such as walking.

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Med Surg I Chapt 13

Mental Health

Term	Definition
Trauma is a severe event leading to an overwhelming coping ability
Trauma examples are Assault Combat Abuse Natural Disasters Severe Illness
PTSD Symptom Reexperiencing=Flashbacks/Nightmares Avoidance=Avoid Reminders Hyperarousal=Hypervigilance Negative Mood=Guilt, Detachment
PTSD=Last more than a month
Acute Stress Disorder= 3 days to 1 month
Risk factors for PTSD/Related disorders are Childhood Trauma Combat Exposure Sexual Assault Poor Support System
Adjusted Disorder=Difficulty coping with stress Dissociative Amnesia=Memory loss Dissociative Identity Disorder (DID) =Multiple identities Depersonalization=Feeling detached
Dissociation mechanisms protect person from overwhelming trauma
PTSD treatments are CBT Exposure/Group Therapy SSRIs/SNRIs
Grounding Techniques are used during flashbacks such as Deep breathing Identify objects in the room State current date/time Sensory Awareness
Nurse interventions are Promote safety Encourage expression Teach grounding techniques Encourage routines Monitor for substance abuse
AVOID TOUCHING DETAILED TRAUMA DISCUSSION EARLY This may RETRAUMATIZE the client
DID Characteristics are 2 or more identities Memory gaps Trauma history common
Depersonalization= feeling detached from self
Derealization= feeling environment is unreal
Therapeutic Communication "You are safe right now" "What are you experiencing?"
Avoid challenging memories or confrontations
Which behavior might the nurse assess in a 3-year-old child with RAD? Extreme resistance to social contact with parents and staff
Which action would be most helpful for a client with dissociative disorder having difficulty expressing feelings? Journaling
Which statement is true about touching a client who is experiencing a flashback? The nurse should touch the client only after receiving permission to do so
Clients from other countries who suffered traumatic oppression in their native countries may develop PTSD. Which is least helpful in dealing with their PTSD?	Assimilating quickly into the culture of their current country of residence
The nurse working with a client during a flashback says, “I know you’re scared, but you’re in a safe place. Do you see the bed in your room? Do you feel the chair you’re sitting on?” The nurse is using which technique?	Grounding
Nursing interventions for clients with PTSD who are hospitalized include use of deep breathing and relaxation techniques.
The nurse who is assessing a client with PTSD would expect the client to report which data	Inability to relax Increased alcohol consumption Insomnia even when fatigued Suspicion of strangers
Education for clients with PTSD should include which information?	Avoid drinking alcohol. Eat well-balanced, nutritious meals. Find and join a support group in the community.. Get regular exercise, such as walking.

Created by: Daarina Jones

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