Trauma and Stressor-Related Disorders
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Questions and Answers

What characterizes Adjustment Disorder with Disturbance of Conduct?

  • Violation of the rights of others and societal norms (correct)
  • Lack of significant emotional reactions
  • Purely academic performance issues
  • Emotional disturbances without conduct issues
  • Which of the following is an example of Adjustment Disorder with Disturbance of Conduct?

  • Anxiety disorders requiring no behavioral intervention
  • Vandalism and truancy (correct)
  • High academic performance but social withdrawal
  • Persistent sadness without action
  • What distinguishes Adjustment Disorder with Mixed Disturbance of Emotions and Conduct from other types?

  • It solely features conduct violations
  • It involves significant academic difficulties only
  • It is marked by chronic anxiety without behavioral issues
  • It presents emotional disturbances alongside conduct issues (correct)
  • What indicates a diagnosis of Adjustment Disorder Unspecified?

    <p>Physical complaints and relational withdrawal without defined issues (B)</p> Signup and view all the answers

    Which condition must be differentiated from Adjustment Disorder with Disturbance of Conduct?

    <p>Conduct disorder (C)</p> Signup and view all the answers

    What biological factor can increase the risk for maladaptive stress responses?

    <p>Genetics factors (D)</p> Signup and view all the answers

    Which psychosocial factor is related to adjustment disorders?

    <p>Childhood trauma (A)</p> Signup and view all the answers

    What aspect does the transactional model of stress/adaptation consider in stress responses?

    <p>Interaction between individual and environment (B)</p> Signup and view all the answers

    Which of the following is a nursing diagnosis for trauma-related disorders?

    <p>Risk-prone health behavior (A)</p> Signup and view all the answers

    What is a short-term goal for patients diagnosed with post-trauma syndrome?

    <p>Begin healthy grief resolution (D)</p> Signup and view all the answers

    Which type of stressor does the transactional model differentiate?

    <p>Sudden shock vs. continuous stress (A)</p> Signup and view all the answers

    What emotional state is associated with a situational crisis in trauma-related disorders?

    <p>Anxiety (A)</p> Signup and view all the answers

    What can complicate grieving after a trauma?

    <p>Loss of self due to the trauma (A)</p> Signup and view all the answers

    What is a key feature of trauma-informed care?

    <p>Values awareness and understanding of trauma (C)</p> Signup and view all the answers

    Which principle of trauma-informed care emphasizes actively resisting retraumatization?

    <p>Resists (D)</p> Signup and view all the answers

    What therapeutic technique is particularly effective for clients with PTSD?

    <p>Eye Movement Desensitization and Reprocessing (EMDR) (B)</p> Signup and view all the answers

    What distinguishes PTSD from acute stress disorder?

    <p>The duration between the traumatic event and the onset of symptoms (B)</p> Signup and view all the answers

    Which of the following is NOT a component of trauma-informed care?

    <p>High levels of emotional detachment from clients (D)</p> Signup and view all the answers

    Which of the following symptoms is not a contraindication for EMDR therapy?

    <p>Stable substance abuse (C)</p> Signup and view all the answers

    What is the first-line medication class used for treating PTSD?

    <p>Selective Serotonin Reuptake Inhibitors (SSRIs) (B)</p> Signup and view all the answers

    Which of the following statements about PTSD is correct?

    <p>It can result from both natural and man-made disasters (A)</p> Signup and view all the answers

    Which therapeutic approach focuses on adaptive progression through the grief process?

    <p>Nursing intervention for adjustment disorders (D)</p> Signup and view all the answers

    What does the principle 'realizes' in trauma-informed care refer to?

    <p>Recognizing the widespread impact of trauma on society (B)</p> Signup and view all the answers

    Which disorder is characterized as a reaction to an extreme trauma?

    <p>Post-traumatic stress disorder (PTSD) (A)</p> Signup and view all the answers

    What characterizes complicated grieving?

    <p>Distress that deviates from normative expectations after the death of a significant other (B)</p> Signup and view all the answers

    What is a common effect demonstrated by EMDR during the processing of painful emotions?

    <p>Decreased imagery vividness (C)</p> Signup and view all the answers

    What is a primary evaluation goal in addressing adjustment disorders related to grief?

    <p>Understanding the client’s perspective on the grief process (A)</p> Signup and view all the answers

    Which medication class includes paroxetine and sertraline?

    <p>Selective Serotonin Reuptake Inhibitors (SSRIs) (A)</p> Signup and view all the answers

    What is a common situation that may lead to an adjustment disorder?

    <p>Giving birth to a stillborn child (D)</p> Signup and view all the answers

    Which treatment modality is NOT typically used for adjustment disorders?

    <p>Long-term hospitalization (C)</p> Signup and view all the answers

    Which outcome criterion reflects a client's ability to cope effectively with change in lifestyle?

    <p>Demonstrates acceptable grieving behaviors (A)</p> Signup and view all the answers

    What aspect is assessed to evaluate a client's progress in managing grief?

    <p>Their ability to perform daily activities independently (C)</p> Signup and view all the answers

    Which of the following is a condition treated with psychopharmacology beyond PTSD?

    <p>Adjustment disorder (B)</p> Signup and view all the answers

    Which of the following best describes risk-prone health behavior?

    <p>Inability to adopt health-improving behaviors (A)</p> Signup and view all the answers

    What is a primary long-term goal for patients dealing with trauma?

    <p>To integrate the traumatic experience into their persona (C)</p> Signup and view all the answers

    Which outcome criteria indicates a patient is making progress in their grieving process?

    <p>Expressing a sense of optimism and hope for the future (B)</p> Signup and view all the answers

    Which of the following is a short-term nursing intervention for patients experiencing complicated grieving?

    <p>Assess stages of grief and discuss normalcy (A)</p> Signup and view all the answers

    What should be included in the long-term planning when caring for a patient with a trauma-related disorder?

    <p>Assessing impact of trauma on activities of daily living (B)</p> Signup and view all the answers

    Which adaptive coping strategy is recommended for patients dealing with trauma?

    <p>Engagement in relaxation techniques and art (D)</p> Signup and view all the answers

    What assessment should be conducted to help a patient actualize their loss?

    <p>Inquiring about the timeline and events of the trauma (D)</p> Signup and view all the answers

    Which scenario would indicate a need for further evaluation of the patient's grief process?

    <p>Exhibiting self-destructive thoughts or behaviors (A)</p> Signup and view all the answers

    To ensure safety, which step is essential in the nursing care of a client with a trauma-related disorder?

    <p>Provide reassurance of safety (A)</p> Signup and view all the answers

    Flashcards

    Trauma-Informed Care (TIC)

    A philosophical approach valuing awareness of trauma in assessing, planning, and implementing care. It prioritizes strength, safety, and empowerment for survivors.

    Symptoms of Trauma

    May include dysregulation of opioid, glutamatergic, noradrenergic, serotonergic, and neuroendocrine pathways.

    Post-traumatic Stress Disorder (PTSD)

    A reaction to extreme trauma causing pervasive distress. It is triggered by events like disasters, combat, or violent crimes.

    Trauma-Related Childhood Disorders

    Childhood disorders, like reactive attachment/disinhibited social engagement, arising from inadequate childhood care

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    TIC Principles

    Realization of trauma's impact, recognition of symptoms in all involved, response through integrated practices, and resistance to retraumatization.

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    Acute Stress Disorder vs. PTSD

    Difference is timing; acute stress disorder is short-term, while PTSD is chronic.

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    Adjustment Disorder

    A common reaction to stressful life events (like childbirth, harassment or incarceration).

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    Trauma-Related Disorders (DSM-5)

    Include PTSD, acute stress, adjustment, and unspecified/other specified trauma disorders.

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    Adjustment Disorder with Disturbance of Conduct

    A maladaptive reaction with conduct violating the rights of others or societal norms.

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    Examples of Conduct Disorder

    Truancy, vandalism, reckless driving, fighting, neglecting responsibilities.

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    Adjustment Disorder with Mixed Disturbances

    Emotional and conduct disturbances, often involving rule-breaking and violating others' rights.

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    Adjustment Disorder Unspecified

    Maladaptive reaction not fitting other categories; could involve physical complaints or impaired performance.

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    Differential Diagnosis

    Distinguishing between similar conditions (e.g., conduct disorder, antisocial personality) when assessing a patient.

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    Predisposing factors for stress response

    Factors that increase a person's vulnerability to experiencing stress in a maladaptive way. These can include genetics, chronic disorders, and psychosocial factors.

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    Transactional model of stress/adaptation

    A model that highlights the interaction between individual characteristics and the environment in response to stress.

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    Risk-prone health behavior

    A nursing diagnosis for a person whose health status change requires lifestyle modification.

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    Anxiety (moderate to severe)

    A nursing diagnosis where a person experiences excessive anxiety related to situational or maturational crisis.

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    Post-trauma syndrome

    A nursing diagnosis for individuals who have experienced a distressing event beyond typical human experience.

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    Complicated grieving

    A nursing diagnosis related to loss of self or other significant losses due to trauma.

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    Short-term goals for post-trauma syndrome

    Goals for patients to initiate healthy grief resolution and psychological healing in a time frame specific to the individual.

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    Maladaptive Grief

    A complex response to a traumatic event where an individual struggles to process and cope with the event, often exhibiting prolonged grief, self-blame, and difficulty adapting to life after the trauma.

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    Stages of Grief

    A model that describes the emotional and behavioral responses to loss, including denial, anger, bargaining, depression, and acceptance. These stages are not linear and may be experienced in a different order or revisited.

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    Adaptive Coping Strategies

    Healthy and constructive behaviors that help individuals manage stress, regulate emotions, and cope with difficult situations in a positive and productive manner.

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    Community Resources

    Local organizations and services available to support individuals with trauma-related disorders, such as therapy, support groups, hotlines, and social services.

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    Trauma's Impact

    The lasting effects of a traumatic event on an individual's physical, emotional, cognitive, and social well-being, which can include flashbacks, nightmares, emotional dysregulation, and difficulties with relationships.

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    Survivor's Guilt

    The feeling of responsibility or self-blame for a traumatic event, even when the individual was not directly responsible or had no control over the situation.

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    Realistic Goals

    Objectives and aspirations that are achievable and aligned with the individual's current capabilities, resources, and support system.

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    Empathy and Unconditional Positive Regard

    A core nursing principle that involves understanding and validating the patient's feelings and experiences, regardless of their behavior or circumstances, creating a safe and trusting environment.

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    EMDR

    A therapy for PTSD and other trauma-related disorders that uses rapid eye movements to process traumatic memories.

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    EMDR's Effectiveness

    The effectiveness of EMDR is not fully understood, but studies suggest it can reduce the vividness and distress of traumatic memories, making access to them easier.

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    EMDR's Contraindications

    EMDR is not recommended for those with seizure disorders, severe dissociative disorders, or unstable substance abuse or psychosis.

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    Medications for PTSD

    First-line treatment often includes SSRIs (paroxetine, sertraline), SNRIs (fluoxetine, venlafaxine), and TCAs, while other options include MAOIs, anxiolytics, and ketamine.

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    Other PTSD Medications

    Other drugs include trazodone (SARI), benzodiazepines (alprazolam), buspirone, beta-blockers (propranolol), alpha 2 agonists (clonidine), and alpha 1 antagonists (prazosin).

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    Outcomes Criteria for PTSD Treatment

    Success in PTSD treatment is measured by behaviors like accepting grief, reinvesting in life, independent functioning, accepting health changes, and achieving realistic future goals.

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    Nursing Interventions for Adjustment Disorder

    Nurses help clients progress through the grief process, accept health status changes, and develop coping skills to manage new challenges.

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    Adaptive Progression through the Grief Process

    Nurses help clients acknowledge and express emotions, work through their feelings, and develop coping mechanisms to navigate the grieving process.

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    What is Adjustment Disorder?

    A mental health condition characterized by emotional and behavioral difficulties in response to stressful events, such as a new job, divorce, or the death of a loved one.

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    What are the Goals of Adjustment Disorder Treatment?

    Treatment aims to help the individual understand and cope with the stressful event, manage their emotional responses, and develop healthier coping mechanisms.

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    What are some common Treatment Modalities for Adjustment Disorders?

    Therapy options include individual psychotherapy, family therapy, behavior therapy, self-help groups, crisis intervention, and sometimes medication.

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    Study Notes

    • More than 50% of women and 60% of men experience a traumatic event in their lifetime.
    • Less than 10% of those who experience a traumatic event will develop PTSD.
    • Traumatic events are outside the range of usual human experience.
    • PTSD is more common in women, with sexual assault and childhood sexual abuse being major contributors. Men are more likely to experience PTSD from accidents, physical assaults, combat, or witnessing death.
    • Adjustment disorders involve difficulties with stress reactions to normal events and can affect people of any age.
    • Up to 50% of people with medical problems or stressors have adjustment disorders. This is more common in women, unmarried people, and younger people.

    Theories of Predisposing Factors

    • Psychosocial theory: This explores why some people develop PTSD and others don't. Factors include the traumatic experience itself, the recovery environment, and individual psychological traits.
    • Learning theory: Negative reinforcement, avoiding aversive experiences, leads to repetitive behaviors.
    • Cognitive theory: A person's appraisal of an event, their assumptions about the world, and pervasive feelings of helplessness and hopelessness impact vulnerability to PTSD. Fundamental beliefs are paramount in this situation.

    Biological Aspects

    • Opioids peptide response: Increased production during arousal contributes to comfort and control sensations but termination results in withdrawal.

    Trauma-Informed Care (TIC)

    • A philosophical approach focused on understanding trauma's impact when assessing, planning, and implementing care.
    • Emphasizes safety for providers and survivors.
    • Goal is to rebuild a sense of control and empowerment.

    Post-Traumatic Stress Disorder (PTSD)

    • A reaction to extreme trauma.
    • Common causes include natural or man-made disasters, combat, serious accidents, witnessing violent deaths, being a victim of torture, terrorism, rape, or crime.
    • Symptoms must be present for at least one month and significantly impair social, occupational, or other areas of functioning.
      • Intrusion symptoms: re-experiencing the trauma through distressing memories, dreams, or flashbacks.
      • Negative mood: feelings of guilt, helplessness, fear.
      • Dissociative symptoms: inability to recall specific events.
      • Avoidance symptoms: avoiding thoughts, feelings, or places associated with the trauma.
      • Arousal/reactivity symptoms: irritability, difficulty concentrating.

    Acute Stress Disorder

    • Similar to PTSD, but symptoms last 3 days to 1 month after the event.
    • Usually triggered by witnessing or experiencing a traumatic event, such as death, serious injury, or sexual violation.

    Adjustment Disorder (AD)

    • A maladaptive reaction to an identifiable stressor; the reaction must occur within 3 months of the stressor and last no longer than 6 months after.
    • It causes clinically significant emotional or behavioral symptoms
    • Includes: Depressed mood, Anxiety, Mixed Anxiety and Depressed Mood, Conduct Disorder
    • Often includes difficulty functioning socially and occupationally
    • Cognitive therapy: Focuses on identifying and modifying negative thoughts.
    • Prolonged exposure therapy: Gradual confronting trauma-related stimuli.
    • Eye movement desensitization and reprocessing (EMDR): Uses eye movements or other bilateral stimulation while processing traumatic memories.
    • Group/family therapy: Can be effective, particularly for military veterans.

    Nursing Interventions and Goals

    • Short-term goals: Address immediate needs like safety, anxiety management, and building coping skills.
    • Long-term goals: Promote long-term recovery, adjustment, and rebuilding.

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    Description

    Explore the impact of trauma on mental health through this quiz focusing on Trauma and Stressor-Related Disorders. Learn about PTSD, its prevalence, and the factors that contribute to its development. Understand the differences in how trauma affects men and women, and the role of adjustment disorders in coping with stress.

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