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a.

DSM IV Criteria of the disease presented Recurrent, intrusive, distressing memories of the event Flashbacks Avoidance of thought, feelings, or conversations associated with the trauma Avoidance of activities, places, or people that arouse memories of the trauma Feeling detached or estranged from others Restricted range of affect Sense of foreshortened future Difficulty falling or staying asleep Irritability or anger outbursts Difficulty concentrating Hypervigilance Exaggerated startle response b. Description of the character inflicted with the psychiatric disorder Charlie Fineman (Adam Sandler) lost his family in the terrorist attacks of Sept. 11, still grieves over their deaths. He lost everything that he had to live for. The grief caused him to quit his job and isolate himself from everyone around him. Five years have passed since Charlie lost his family, and now the once-successful and sociable man has become a withdrawn shadow of his former self. c. Signs and symptoms as depicted in the movie, inclusive of the scenes

d. Key Nursing Interventions with rationale for the management of the said conditions Nursing Interventions When approaching the client, be nonthreatening and professional Educate yourself about the clients experience and about posttraumatic Rationale The clients fears may be triggered by authority figure of other characteristics Learning about the clients experience will help prepare you for the clients feelings and

behavior Assess the clients history of substance abuse Remain nonjudgmental in your interactions with the client Encourage the client to talk about his or her experience(s); be accepting and nonjudgmental of the clients accounts and perceptions Encourage the client to express his or her feelings through talking, writing, crying, or other ways in which the client is comfortable Help the client learn and practice stress management and relaxation techniques, assertiveness or selfdefense training, or other skills as appropriate Help the client arrange for follow-up therapy as needed

the details of his or her experience Client often use substances to help repress emotions It is important not to reinforce blame that the client may have internalized related to the experience Retelling the experience can help the client to identify the reality of what has happened and help to identify and work through related feelings Identification and expression of feelings are central to the grieving process

The clients traumatic experience may have resulted in a loss of or decrease in selfconfidence, sense of safety, or ability to deal with stress Recovering from trauma may be a long-term process. Follow-up therapy can offer continuing support in the clients recover.

e. Milieu Management f. Learning Derived