A nurse is collecting an admission history for a client who has acute stress disorder (ASD).

Which of the following information should the nurse expect to collect?

A. The client remembers many details about the traumatic incident

B. The client expresses heightened elation about what is happening

C. The client states he first noticed manifestations of the disorder 6 weeks after the traumatic

incident occurred.

D. The client expresses a sense of unreality about the traumatic event

D. The client expresses a sense of unreality about the traumatic event

A nurse is caring for a client who has derealization disorder. Which of the following findings

should the nurse identify as an indication of derealization?

A. The client explains that her body seems to be floating above the ground

B. The client has the idea that someone is trying to kill her and steal her money

C. The client states that the furniture in the room seems to be small and far away

D. The client cannot recall anything that happened during the past 2 weeks

C. The client states that the furniture in the room seems to be small and far away

A nurse in an acute mental health facility is planning care for a client who has dissociative fugue.

Which of the following interventions should the nurse add to the plan of care?

A. Teach the client to recognize how stress brings on a personality change in the client

B. Repeatedly present the client with information about past events

C. Make decisions for the client regarding routine daily activities

D. Work with the client on grounding techniques

D. Work with the client on grounding techniques

A nurse working in an acute mental health facility is caring for a 35-year-old female client who

has manifestations of depression. The client lives at home with her partner and two young

children. She currently smokes and has a history of chronic asthma. Which of the following