12 Trauma + Stressor Related Disorders

Question 1

clients can develop a trauma or stressor related disorder following exposure to….

Answer 1

extreme stressor

-military combat, interpersonal violence, etc

Question 2

acute stress disorder

Answer 2

exposure to traumatic events

• causes anxiety, detachment, + other manifestations about the event
• last for at least 3 days but no more than 1 months following event

Question 3

posttraumatic stress disorder

Answer 3

exposure to traumatic events

• causes anxiety, detachment, + other manifestations about the event
• last for longer than 1 month after event
• can last for years

Question 4

adjustment disorder

Answer 4

stressor triggers a reaction causing changes in mood and/or dysfunction in performing usual activities
-stressor + effects are less severe than ASD + PTSD

Question 5

4 types of dissociative disorders

Answer 5

1 depersonalization/derealization
2 dissociative amnesia
3 dissociative fugue
4 dissociative identity disorder

Question 6

depersonalization/derealization disorder

Answer 6

characterized by temporary change in awareness displaying depersonalization, derealization, or both often in response to stress

Question 7

depersonalization

Answer 7

the feeling that a person is observing one’s own personality or body fr a distance

Question 8

derealization

Answer 8

feeling that outside events are unreal, or part of a dream, or that objects appear larger/smaller than they should

Question 9

dissociative amnesia

Answer 9

inability to recall personal info r/t traumatic or stressful events
-amnesia can be of events of a certain period of time or just certain details

Question 10

dissociative fugue

Answer 10

type of dissociative amnesia

• client travels to a new area and is unable to remember one’s own identity + atleast some of one’s past
• can last weeks to months
• usually follows a traumatic event

Question 11

dissociative identity disorder

Answer 11

more than one distinct personality w a stressful event precipitating the change fr one personality to another

Question 12

PTSD prevention

Answer 12

• be aware of needs for breaks, rest, water, + food
• provide emo support
• encourage staff to support each other
• debrief following incident
• encourage expression of feels
• use offered counseling resource

Question 13

risk factors for adjustment disoder

Answer 13

• traumatic event is less severe than PTSD/ASD (breakup, fired)
• pattern of lifelong difficulty w accepting change
• learned pattern of difficulty w social skills/coping strategies

Question 14

PTSD/ASD

expected findings

Answer 14

• mood/cognitive alterations
• behavioral manifestations
• intrusive findings
• memories of event recur
• flashbacks
• dreams r/t event
• avoidance of ppl, places, situations
• trying to avoid thinking of event

Question 15

PTSD/ASD

mood/cognitive alterations

Answer 15

• anxiety/depression
• anger, irritability
• decr interest in activities
• guilt, neg self-beliefs, cognitive distortn
• detachment fr others
• inability to experience pos emo (love/tendrnss)
• dissoc manifestation (amnesia, derealizatn, depersnalztn)

Question 16

PTSD/ASD

behavioral manifestations

Answer 16

• aggressn.irritability
• hypervigilance w heightened startle response
• inability to focus/concentrate
• sleep disturbance
• destructive behavior (suicidal thoughts/harming others)

Question 17

flashbacks

Answer 17

dissociative rxn where client feels the traumatic event is recurring in the present

Question 18

adjustment disorder

expected findings

Answer 18

• depression
• anxiety
• changes in behavior (arguing w others, driving erratically)

Question 19

Dissociative Disorder

diagnostic procedure

Answer 19

• phsy assessment, EEG, x-ray to rule out physical trauma

- screening tool to rule out substance abuse

Question 20

T/F nurse should always help pt make decisions to lower stress

Answer 20

FALSE,

when pt shows readiness, nurse should encourage independence

Question 21

types of therapeutic procedures

Answer 21

• cognitive behavioral therapy
• prolonged exposure therapy
• psychodynamic psychotherapy
• eye mvmt desensitization + reprocessing [EMDR]
• group or family therapy
• crisis intervention
• somatic therapy for dissoc disorders
• hypnotherapy
• bio/neurofeedback

Question 22

psychodynamic psychotherapy

Answer 22

gets in touch w conscious + unconscious thought process

Question 23

when does crisis intervention occur?

Answer 23

immediately after a traumatic event

Question 24

somatic therapy

Answer 24

psychotherapy works over time to incr awareness ot present + decr dissoc episodes

Question 25

hypnotherapy can be used for..

Answer 25

dissoc disorders