Chapter 19 Flashcards

Trauma and Stressor-related disorders

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1
Q

This chapter will discuss about trauma and stressor-related disorders from the study guide information and the long blackboard powerpoints

A
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2
Q

All of us experience stress in our daily lives, and responses to these stress vary from person to person.

one may develop a severe emotional reaction ( strong agitation of feelings ) and another resilient individual may be harder aware of a traumatic event.

sometimes, emotional problems and mental disorders develop as the response to trauma

physical trauma
- resulting from bodily injury

psychological trauma
- emotional injury caused by an overwhelmingly stressful event that threatens survival and sense of security

A
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3
Q

not everyone that experiences a traumatic event develops emotional injuries ; this can be explained by the concept of ?

A

resilience

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4
Q

what does resilience mean?

A

the capacity to withstand stress and catastrophe

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5
Q

resilience develops overtime when there are what?

A

positive self-concept and measured self-worth and when problem solving, communication and coping skills have been learned

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6
Q

the strong the resilience the more likely the individuals will be able to ?

A

withstand the negative impact of a potentially traumatic event

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7
Q

notes
exposure to a traumatic or stressful event can lead to trauma - and stressor related disorders such as

reactive attachment disorder

disinhibited social engagement disorder

post traumatic stress disorder

acute stress disorder

adjustment disorder

A
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8
Q

notes
trauma and stressor related disorders can develop at any time throughout a lifespan

  • in children, exposure to trauma can cause enduring emotional problems that lead to any one of these associated disorders
  • one of the most traumatic losses for children is an unexpected death of a loved one, which can lead to multiple psychiatric disorders
  • childhood psychological and physical abuse, including sexual abuse, can lead to life-long struggle with a trauma and stressor-related disorder

we use something called the CDC-Kaiser ACE study which helps us categorize adverse childhood experiences into 3 groups
- abuse
- household challenges
- neglect

A
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9
Q

what is the most diagnosed trauma and stressor-related disorder?

and why do you think that is?

A

post traumatic stress disorder
(PTSD)

war veterans, domestic violence, sexual assaults, people who witness violence or natural disasters

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10
Q

post traumatic stress disorder usually develops _____after the event

A

3-6 months

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11
Q

what is our biggest safety concern with patients who have PTSD?

A

suicide/homicide/aggression/violence

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12
Q

symptoms of PSTD fall into 4 categories, which are?

A

intrusive symptoms, avoidance

negative mood and cognition

hyperarsoual

sleep disturbances or hypervigliance

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13
Q

what does intrusive symptoms/avoidance mean?

A

avoidance of persons, places, objects that are reminder of the traumatic event

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14
Q

what does negative mood and cognition mean ?

A

negative thoughts associated with the event

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15
Q

what is hyperarousal mean ?

A

characterized by aggressive, reckless or self-destructive behaviors

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16
Q

what is sleep disturbances or hyper vigilance mean?

A

literally can’t sleep
or stay away too long

17
Q

in the blackboard powerpoint it mentions how patients with PTSD will go through

derealization

and

depersonalization of emotions

what does both of these terms mean

A

derealization - feelings of unreality

depersonalization - the experience of self or the environment as strong or unreal

18
Q

notes
nursing care focuses on assessing symptoms of PTSD, building strengths and collaborating with the patient in counseling interventions, administration of medication, psychoeducation and family support

A
19
Q

what is the medication treatment for patients who have PTSD? (4)

A

SSRI ( Paxil and Zoloft )
SNRI
benzodiazepines
Beta blockers

20
Q

what are the main medication we will use however,
these are the ones that are highlighted and bolded in the study guide for the treatment for ptsd?

A

off label use of prazosin

( an alpha 1 inhibitor )

21
Q

notes
you may use psychodynamic, cognitive behavior, eye movement, desensitization therapy to help aid patients

A