Trauma and Stressor Related Disorders (9)

Question 1

Delineate risk factors, clinical symptoms, and course of trauma and stressor-related disorders (8)

PTSD Diagnostic Criteria? 3

Answer 1

Going on for >1 month

Significant Distress or functional impairment

Not due to substance or medical condition

Question 2

PTSD Risk Factors

8

EF PHP CPI

Answer 2

Extent, duration, intensity of trauma
Familial dysfunction/disturbance

Poor social support
History of trauma in childhood
Perception of the trauma

Concurrent TBI
Pre-existing mental illness
Intentionally hurt physically/mentally or both

Question 3

PTSD Symptoms

How long do u need to experience symptoms to be diagnosed with PTSD?

Criteria A?

5 symptoms? HANIF

Answer 3

Over 1 month

Criteria A
Exposure to actual or threatened death, serious injury, or sexual violence

Hyperarousal: on edge
Avoidance: stop driving after accident
Negative changes in cognition and mood
Intrusion: nightmares, flashbacks
Functional impairment

Question 4

What 2 meds treat PTSD?

what med for nightmares?

Answer 4

Sertraline & Paroxetine Off-Label

Prazosin for nightmares

Question 5

Dissacociation (symptom)
What is it?
Examples?

Answer 5

A disconnection between patient’s perceptual experience and reality

Often present with PTSD (but does not have to be)

Examples
-Depersonalization: sensation of being detached or outside of one’s body or thinking
-Derealization: sensation that surroundings are not real, distant, dreaming

Question 6

Acute Stress Disorder
Diagnostic Criteria

Time frame?

Answer 6

3 days -1 month

Question 7

Dissociative Identity Disorder?

Dissociative amnesia?

Depersonalization/derealization disorder?

Answer 7

Dissociative Identity Disorder: formerly called multiple personality disorder): at least two distinct personality or identity states

Dissociative amnesia: inability to recall

Depersonalization/derealization disorder: being detached from one’s body or reality

Question 8

Discuss appropriate biopsychosocial nursing assessment and interventions for persons with trauma and stressor related disorders (1)

Answer 8

Assess/observe:
Triggers
Evidence of stress
Current coping

Interventions:
Trauma-Focused Therapy
Provide safe reassuring environment
Know how to be trauma informed
Promote coping
Psychoeducation for families
Advocate for patient