Podcast
Questions and Answers
What characterizes Adjustment Disorder with Disturbance of Conduct?
What characterizes Adjustment Disorder with Disturbance of Conduct?
Which of the following is an example of Adjustment Disorder with Disturbance of Conduct?
Which of the following is an example of Adjustment Disorder with Disturbance of Conduct?
What distinguishes Adjustment Disorder with Mixed Disturbance of Emotions and Conduct from other types?
What distinguishes Adjustment Disorder with Mixed Disturbance of Emotions and Conduct from other types?
What indicates a diagnosis of Adjustment Disorder Unspecified?
What indicates a diagnosis of Adjustment Disorder Unspecified?
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Which condition must be differentiated from Adjustment Disorder with Disturbance of Conduct?
Which condition must be differentiated from Adjustment Disorder with Disturbance of Conduct?
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What biological factor can increase the risk for maladaptive stress responses?
What biological factor can increase the risk for maladaptive stress responses?
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Which psychosocial factor is related to adjustment disorders?
Which psychosocial factor is related to adjustment disorders?
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What aspect does the transactional model of stress/adaptation consider in stress responses?
What aspect does the transactional model of stress/adaptation consider in stress responses?
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Which of the following is a nursing diagnosis for trauma-related disorders?
Which of the following is a nursing diagnosis for trauma-related disorders?
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What is a short-term goal for patients diagnosed with post-trauma syndrome?
What is a short-term goal for patients diagnosed with post-trauma syndrome?
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Which type of stressor does the transactional model differentiate?
Which type of stressor does the transactional model differentiate?
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What emotional state is associated with a situational crisis in trauma-related disorders?
What emotional state is associated with a situational crisis in trauma-related disorders?
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What can complicate grieving after a trauma?
What can complicate grieving after a trauma?
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What is a key feature of trauma-informed care?
What is a key feature of trauma-informed care?
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Which principle of trauma-informed care emphasizes actively resisting retraumatization?
Which principle of trauma-informed care emphasizes actively resisting retraumatization?
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What therapeutic technique is particularly effective for clients with PTSD?
What therapeutic technique is particularly effective for clients with PTSD?
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What distinguishes PTSD from acute stress disorder?
What distinguishes PTSD from acute stress disorder?
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Which of the following is NOT a component of trauma-informed care?
Which of the following is NOT a component of trauma-informed care?
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Which of the following symptoms is not a contraindication for EMDR therapy?
Which of the following symptoms is not a contraindication for EMDR therapy?
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What is the first-line medication class used for treating PTSD?
What is the first-line medication class used for treating PTSD?
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Which of the following statements about PTSD is correct?
Which of the following statements about PTSD is correct?
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Which therapeutic approach focuses on adaptive progression through the grief process?
Which therapeutic approach focuses on adaptive progression through the grief process?
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What does the principle 'realizes' in trauma-informed care refer to?
What does the principle 'realizes' in trauma-informed care refer to?
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Which disorder is characterized as a reaction to an extreme trauma?
Which disorder is characterized as a reaction to an extreme trauma?
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What characterizes complicated grieving?
What characterizes complicated grieving?
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What is a common effect demonstrated by EMDR during the processing of painful emotions?
What is a common effect demonstrated by EMDR during the processing of painful emotions?
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What is a primary evaluation goal in addressing adjustment disorders related to grief?
What is a primary evaluation goal in addressing adjustment disorders related to grief?
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Which medication class includes paroxetine and sertraline?
Which medication class includes paroxetine and sertraline?
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What is a common situation that may lead to an adjustment disorder?
What is a common situation that may lead to an adjustment disorder?
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Which treatment modality is NOT typically used for adjustment disorders?
Which treatment modality is NOT typically used for adjustment disorders?
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Which outcome criterion reflects a client's ability to cope effectively with change in lifestyle?
Which outcome criterion reflects a client's ability to cope effectively with change in lifestyle?
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What aspect is assessed to evaluate a client's progress in managing grief?
What aspect is assessed to evaluate a client's progress in managing grief?
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Which of the following is a condition treated with psychopharmacology beyond PTSD?
Which of the following is a condition treated with psychopharmacology beyond PTSD?
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Which of the following best describes risk-prone health behavior?
Which of the following best describes risk-prone health behavior?
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What is a primary long-term goal for patients dealing with trauma?
What is a primary long-term goal for patients dealing with trauma?
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Which outcome criteria indicates a patient is making progress in their grieving process?
Which outcome criteria indicates a patient is making progress in their grieving process?
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Which of the following is a short-term nursing intervention for patients experiencing complicated grieving?
Which of the following is a short-term nursing intervention for patients experiencing complicated grieving?
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What should be included in the long-term planning when caring for a patient with a trauma-related disorder?
What should be included in the long-term planning when caring for a patient with a trauma-related disorder?
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Which adaptive coping strategy is recommended for patients dealing with trauma?
Which adaptive coping strategy is recommended for patients dealing with trauma?
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What assessment should be conducted to help a patient actualize their loss?
What assessment should be conducted to help a patient actualize their loss?
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Which scenario would indicate a need for further evaluation of the patient's grief process?
Which scenario would indicate a need for further evaluation of the patient's grief process?
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To ensure safety, which step is essential in the nursing care of a client with a trauma-related disorder?
To ensure safety, which step is essential in the nursing care of a client with a trauma-related disorder?
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Flashcards
Trauma-Informed Care (TIC)
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
Symptoms of Trauma
May include dysregulation of opioid, glutamatergic, noradrenergic, serotonergic, and neuroendocrine pathways.
Post-traumatic Stress Disorder (PTSD)
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
Trauma-Related Childhood Disorders
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TIC Principles
TIC Principles
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Acute Stress Disorder vs. PTSD
Acute Stress Disorder vs. PTSD
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Adjustment Disorder
Adjustment Disorder
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Trauma-Related Disorders (DSM-5)
Trauma-Related Disorders (DSM-5)
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Adjustment Disorder with Disturbance of Conduct
Adjustment Disorder with Disturbance of Conduct
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Examples of Conduct Disorder
Examples of Conduct Disorder
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Adjustment Disorder with Mixed Disturbances
Adjustment Disorder with Mixed Disturbances
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Adjustment Disorder Unspecified
Adjustment Disorder Unspecified
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Differential Diagnosis
Differential Diagnosis
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Predisposing factors for stress response
Predisposing factors for stress response
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Transactional model of stress/adaptation
Transactional model of stress/adaptation
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Risk-prone health behavior
Risk-prone health behavior
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Anxiety (moderate to severe)
Anxiety (moderate to severe)
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Post-trauma syndrome
Post-trauma syndrome
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Complicated grieving
Complicated grieving
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Short-term goals for post-trauma syndrome
Short-term goals for post-trauma syndrome
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Maladaptive Grief
Maladaptive Grief
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Stages of Grief
Stages of Grief
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Adaptive Coping Strategies
Adaptive Coping Strategies
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Community Resources
Community Resources
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Trauma's Impact
Trauma's Impact
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Survivor's Guilt
Survivor's Guilt
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Realistic Goals
Realistic Goals
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Empathy and Unconditional Positive Regard
Empathy and Unconditional Positive Regard
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EMDR
EMDR
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EMDR's Effectiveness
EMDR's Effectiveness
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EMDR's Contraindications
EMDR's Contraindications
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Medications for PTSD
Medications for PTSD
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Other PTSD Medications
Other PTSD Medications
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Outcomes Criteria for PTSD Treatment
Outcomes Criteria for PTSD Treatment
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Nursing Interventions for Adjustment Disorder
Nursing Interventions for Adjustment Disorder
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Adaptive Progression through the Grief Process
Adaptive Progression through the Grief Process
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What is Adjustment Disorder?
What is Adjustment Disorder?
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What are the Goals of Adjustment Disorder Treatment?
What are the Goals of Adjustment Disorder Treatment?
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What are some common Treatment Modalities for Adjustment Disorders?
What are some common Treatment Modalities for Adjustment Disorders?
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Study Notes
Trauma and Stressor-Related Disorders
- 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
Interventions for Trauma-Related Disorders
- 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.