Question from our final that I don't agree with the answer. I won't post the answer yet to prevent bias. Please tell me what you believe the answer is and possibly a rationale.
Your patient is suffering from Post-Traumatic Stress Disorder (PTSD). You know his condition is improving when he states that he:
A.) Acknowledges his fault for the event that occurred.
B.) has been attending to work and spending time with coworkers.
Specializes in Gerontological, cardiac, med-surg, peds.
I agree that this is a poorly written test item and does not accurately assess a student's learning. Since it is not a fair assessment, it needs to be thrown out.
I think that with this question something is missing. For a short term outcome the client will be able to verbalize feelings of guilt, anger, self-blame, hopelessness associated with the trauma. A client with ptsd will have survivor's guilt. So they need to verbalize these feeling and know that they are not to blame for what happened.
I see this is a 3-yr-old question, but that is one of the dumbest things I've ever heard! Acknowledging fault? What if it wasn't their fault--e.g. combat related, or pt was raped or witnessed a murder? Answer B suggests a return to normalcy. I wonder what the instructor's rationale was?
VickyRN, MSN, DNP, RN
49 Articles; 5,349 Posts
I agree that this is a poorly written test item and does not accurately assess a student's learning. Since it is not a fair assessment, it needs to be thrown out.