Chapter 16: Trauma Stressor-Related and Dissociative Disorders

Question 1

trauma informed care

Answer 1

ask in sensitive manner
use appropriate language
convey they are in a safe place

Question 2

what are 2 types of attachment disorders

Answer 2

reactive attachment disorders
disinhibited social engagement disorder

Question 3

reactive attachment disorder
when diagnosied

Answer 3

early childhood

Question 4

reactive attachment disorder

Answer 4

severe emotional inhibition
child rarely directs attachment to adult caregivers
withdrawn

Question 5

disinhibited social engagement disorder

Answer 5

no normal fear of strangers
unfazed in response to separation from primary caregiver
overly trusting

Question 6

PTSD in children

Answer 6

reduction in play
repetitive play of traumatic event
social withdrawal
negative emotions
blame self
irritability

Question 7

application of the nursing process stages

Answer 7

1, 2, 3

Question 8

stage one of application of the nursing process

Answer 8

provide safety and stabilization

Question 9

stage 2 of application of the nursing process

Answer 9

reduce arousal and regulate emotion through symptom reduction and memory work

Question 10

stage 3 of application of the nursing process

Answer 10

catch up on developmental and social skills

Question 11

window of tolerance

Answer 11

balance between sympathetic and parasympathetic

Question 12

what does EMDR

Answer 12

make disconnect/pause between trauma in the past and now

Question 13

how will we use pharmacological symptoms

Answer 13

treat symptoms

Question 14

major features of PTSD in adults

Answer 14

re-experiencing of the trauma (flashbacks)
avoidance of stimuli associated with trauma
persistent symptoms of increased arousal (hyper vigilance)
alterations in mood (angry/irritable/agitated)

Question 15

what Is the most important diagnosis

Answer 15

safety

Question 16

therapy

Answer 16

exposure
cognitive restructuring
EMDR

Question 17

PTSD timeline

Answer 17

2 months

Question 18

acute stress disorder timeline

Answer 18

3 days to one month
*immediately following the source

Question 19

can acute stress disorder turn into PTSD

Answer 19

yes

Question 20

why is CBT used in acute stress disorder

Answer 20

prevents development of PTSD

Question 21

adjustment disorder

Answer 21

milder, less specific version of ASD and PTSD
having a hard time adjusting

Question 22

what is the underlying cause for dissociative disorders

Answer 22

trauma

Question 23

is dissociation conscious or unconscious/adaptive or maladaptive

Answer 23

unconsious and maladaptive

Question 24

dissociative amnesia
inability to recall

Answer 24

important personal information
- birthdate
- age
- name

Question 25

dissociative amnesia
subtype of dissociative fugue

Answer 25

sudden, unexpected travel away from usual locale, inability to recall identity and information about the past
may develop new identity

Question 26

depersonalization vs derealization

Answer 26

depersonalization:
- focus on self
- altered perception of oneself
derealization:
- focus on outside world
- alteration of the environment as it is perceived

Question 27

depersonalization vs derealization treatment

Answer 27

go away on their own without treatment

Question 28

dissociative identity disorder

Answer 28

presence of two or more distinct personality states
each alternate personality (alter) has own pattern of perceiving, relating to, thinking about the self and environment

Question 29

dissociative identity disorder
treatment

Answer 29

realign personalities and process trauma