NORCET 2 -2021 (Shift-2)
Mental Health Nursing
Medium
Following are associated with post traumatic stress disorder except?
Appeared in: NORCET 2 -2021 (Shift-2)
Explanation
- The question asks to identify the option that is NOT a feature of Post-Traumatic Stress Disorder (PTSD).
- A core symptom of PTSD is 'Negative alterations in cognition and mood', which includes anhedonia—the inability to experience pleasure or a diminished interest in previously enjoyable activities.
- Therefore, 'Cheerfully enjoying the moments' is the opposite of anhedonia and is not associated with PTSD, making it the correct answer.
- Individuals with PTSD often report feeling emotionally numb or detached, which prevents them from experiencing positive emotions like joy and happiness.
Why Other Options Were Wrong
- Option A: This relates to the 'Intrusion' symptoms of PTSD. The person may have recurrent, involuntary, and intrusive distressing memories of the traumatic event, which can manifest as constantly talking about it or ruminating on it.
- Option B: A heightened or exaggerated startle response is a classic sign of hyperarousal, which falls under the 'Alterations in arousal and reactivity' category of PTSD symptoms.
- Option C: Persistent negative emotional states, such as sadness, fear, anger, guilt, or shame, are key features of the 'Negative alterations in cognition and mood' symptom cluster in PTSD.
Related Visual
- Visual 1: Diagram - A chart illustrating the four main symptom clusters of PTSD: Intrusion, Avoidance, Negative Alterations in Cognition/Mood, and Alterations in Arousal/Reactivity, with examples for each.
- Visual 2: Infographic - A comparison table showing the key differences between Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD), focusing on the duration of symptoms.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical manifestations of Post-Traumatic Stress Disorder (PTSD) as background academic context rather than a clinical decision trigger.
- Nurses must be able to recognize the diverse symptoms of PTSD to provide trauma-informed care, which involves creating a safe, supportive, and non-judgmental environment.
- Early identification of PTSD symptoms, including anhedonia and hyperarousal, is crucial for timely referral to mental health specialists for evidence-based treatments like psychotherapy and medication.
- What if? If a patient displays these symptoms for only three weeks after a traumatic event, the diagnosis would more likely be Acute Stress Disorder (ASD), as PTSD requires symptoms to persist for more than one month.
How to Approach the Question
- First, identify the core concept of the question, which is the signs and symptoms of Post-Traumatic Stress Disorder (PTSD).
- Note the keyword 'except'. This means you are looking for the option that is NOT a symptom of PTSD.
- Evaluate each option against the known clinical criteria for PTSD.
- Option A (talking about the moment) relates to intrusive thoughts.
- Option B (startle reflex) relates to hyperarousal.
- Option C (sadness) relates to negative mood alterations.
Concept Tested & Keywords
- Concept Tested: Clinical manifestations of Post-Traumatic Stress Disorder (PTSD).
- Stem keywords: post traumatic stress disorder, associated with
- Lead-in keywords: except
- Negative lead-in flag: Question asks for the exception.
Question ID
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Practise the full NORCET 2 -2021 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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