exam ii: ch16 - trauma, DID, PTSD

Question 1

what are the 3 E’s of SAMHSA’s trauma definition and what does it determine

Answer 1

1. type of event
2. way it is experienced
3. short/long term lasting effects

determines whether or not a situation is traumatic

Question 2

universal experience of individuals with behavioral health problems
- Recognize what trauma looks like
- Trauma can come in many forms
- Open-mindedness, understanding, compassion

Answer 2

trauma informed care

Question 3

→ exposure to actual/threatened death, serious injury, or sexual violence
- Persistent re-experiencing of highly traumatic event
- Witnessing in person
- Learning the event happened to close family/friend
- Repeated extreme exposure to aversive details (not media or pics)

Answer 3

post traumatic stress disorder

Question 4

what are the 3 categories of PTSD

Answer 4

1. re-experiencing and reliving
2. avoidance and numbing
3. hyperarousal

Question 5

name that PTSD category:
disturbing dreams and flashbacks

Answer 5

re-experiencing, reliving

Question 6

name that PTSD category:
avoiding places, sights, smells
desire to isolate
dec interest in activities

Answer 6

avoidance and numbing

Question 7

name that PTSD category:
difficulty sleeping, outbursts of anger
constant feeling of being on guard

Answer 7

hyperarousal

Question 8

3 nursing interventions for pt with trauma

Answer 8

1. open ended questions
2. affirmation
3. reflective listening

Question 9

what is the difference between acute stress disorder and adjustment disorder

Answer 9

adjustment disorder = less traumatic than acute stress

Question 10

what are the 3 steps of tx for trauma

Answer 10

1. safety
2. reduce arousal
3. let developmental skills catch up

Question 11

can medications treat the underlying cause for trauma

Answer 11

no = they treat the secondary symptoms aim to minimize them

Question 12

what is a schedule 1 controlled substance that may be used to help with trauma

Answer 12

ecstasy

Question 13

what 2 SSRIs are used for trauma

Answer 13

paroxetine and sertraline

Question 14

type of CBT: to face and control their fear. It gradually exposes them to the trauma they experienced in a safe way

Answer 14

exposure therapy

Question 15

type of CBT: make sense of the bad memories. Sometimes people remember the event differently than how it happened. They may feel guilt or shame about something that is not their fault

Answer 15

cognitive restructuring

Question 16

involuntary (unconscious) escape from reality characterized by a disconnection between thoughts, ID, consciousness, and memory

Answer 16

dissociative disorder

Question 17

own ways of perceiving self and environment, may have amnesia

Answer 17

alters

Question 18

dissociative disorders = high risk for _____

Answer 18

self harm

Question 19

type of therapy that can help regain conscious remembrance of traumatic events; consists of rapidly moving eyes while thinking of situation

Answer 19

eye movement desensitization and reprocessing (EMDR)

Question 20

how can benzodiazepines help with DID

Answer 20

can dec anxiety and retrieve old memories