A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Explanation & Rationale
A. Increasing feelings of anger is a common and expected finding in individuals with posttraumatic stress disorder (PTSD). Anger and irritability are frequently seen as part of the emotional dysregulation that can accompany PTSD, particularly following trauma such as a sexual assault. These feelings may be directed inward or outward and are often exacerbated by the emotional distress related to the trauma. B. Sleeping 12 hr or more each day is not typically associated with PTSD. While individuals with PTSD may have sleep disturbances, such as insomnia or nightmares, excessive sleep (hypersomnia) is not a characteristic feature. Sleep disturbances in PTSD are more often related to difficulty falling or staying asleep due to hyperarousal and intrusive thoughts. C. Increasing sense of attachment to others is not typically expected in PTSD. People with PTSD often experience difficulty trusting others or feeling emotionally connected to people due to the trauma they have experienced. In fact, social withdrawal or detachment is more common in PTSD, as individuals may avoid situations or relationships that could trigger memories of the trauma. D. Constant need to talk about the event is not typical of PTSD. While some individuals might experience intrusive thoughts or memories of the trauma, many people with PTSD avoid talking about the traumatic event or thinking about it because it can be too distressing. Re-experiencing the trauma through flashbacks or nightmares is more common than the need to constantly discuss the event.