Chapter 9 Stress And Adaptation Case Study

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Case Study, Chapter 9, Stress and Adaptation Mrs. S confides in the nurse that she is terrified of her husband. She reports that at times, he is so kind, and then later he is angry and has become physically abusive at times. She also reports that he frequently wakes up at night screaming and trying to crawl under the bed. (Learning Objectives: 5, 7, and 11) 1. What does the nurse suspect? The nurse suspects Post -traumatic stress disorder (PTSD) (Porth, 2014). Additional questioning reveals that Mr. S has just returned to the United States following a 3-year deployment in the military. The nurse strongly recommends that Mr. S see a health care provider as soon as possible. 2. What questions might be helpful in identifying the cause of these manifestations? Questions that might be helpful in identifying the cause of the manifestations include the following: -Has Mr. S been…show more content…
What other manifestations would make the nurse suspect PTSD? Manifestations associated with PTSD include the following: -Intrusion(flashbacks) - Avoidance(emotional numbing) -Negative alterations in cognition and mood(dissociative amnesia) -Marked alterations in arousal and reactivity (Porth, 2014). 4. What three criteria must be met to confirm the diagnosis of PTSD? The three criteria that confirm the diagnosis of PTSD include the following: -The disturbance must persists for more than one month -The disturbance causes clinically significant distress or impairment of social or other areas of functioning -The disturbance is not attributable to the effects of alcohol, medication, or other medical conditions (Porth, 2014). 5. Other than combat, what are some other causes of PTSD? Other causes of PTSD include the following: -Weather related disasters(hurricanes and floods) -Terrorist bombings -Airplane crashes -Rape or child abuse -Intimate partner violence -Torture -Brutal assault -Sudden death of a loved one -A difficult diagnosis (Porth,
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