Trauma
These medications are first-line pharmacologic treatment for PTSD.
What are SSRIs? Sertraline and paroxetine are FDA-approved.
This disorder involves two or more distinct personality states with memory gaps.
What is dissociative identity disorder (DID)?
This medication is used to reverse opioid overdose.
What is naloxone?
This is the priority intervention during the crisis phase of aggression.
What is ensuring safety of the patient and others?
A patient who dives to the floor when hearing fireworks is experiencing this PTSD symptom category.
What is hyperarousal (exaggerated startle response)?
Inability to recall important personal information after trauma is characteristic of this disorder.
What is dissociative amnesia?
This withdrawal syndrome can be life-threatening and includes tremors, seizures, and hallucinations.
What is alcohol withdrawal (delirium tremens)?
This type of restraint requires continuous monitoring and documentation according to standards of care.
What are physical restraints? Last resort; follow facility policy and CMS guidelines.
This is the priority nursing response when a patient begins dissociating during trauma discussion.
What is grounding the patient in the present moment? Use sensory cues, name/date/location.
The priority nursing intervention when a patient reports depersonalization is this.
What is reality orientation and grounding techniques?
This medication assists with alcohol abstinence by causing unpleasant effects when alcohol is consumed.
What is disulfiram?
History of past violence is the strongest predictor of this.
What is future violent behavior?
A trauma-informed approach prioritizes this principle above all.
What is safety (physical and psychological)?
This is the primary treatment modality for dissociative disorders.
What is psychotherapy? Long-term trauma-focused therapy.
When caring for a patient detoxing from benzodiazepines, this is the priority risk.
What is seizures?
Clenched fists, pacing, and loud speech are examples of this phase of the aggression cycle.
What is the escalation phase?
These four symptom clusters are required for a diagnosis of PTSD.
What are intrusion, avoidance, negative alterations in cognition/mood, and hyperarousal? Must persist >1 month.
Dissociative disorders are most strongly associated with this type of history.
What is severe childhood trauma or abuse?
This stage of change is characterized by the statement, “I know I have a problem and I’m planning to quit soon.”
What is preparation stage? Transtheoretical Model.
This communication technique involves acknowledging the patient’s feelings without validating violent behavior.
What is therapeutic validation with limit-setting?