Description
NRNP-6645 Week 9 Assignment Posttraumatic Stress Disorder

Posttraumatic Stress Disorder
It is estimated that more almost 7% of the U.S. population will experience posttraumatic stress disorder (PTSD) in their lifetime (National Institute of Mental Health, 2017). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of anxiousness and depression frequently lead to behavioral issues, adolescent substance abuse issues, and even physical ailments. For this Assignment, you examine a PTSD video case study and consider how you might assess and treat clients presenting with PTSD.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To prepare:
- Review this week’s Learning Resources and reflect on the insights they provide about diagnosing and treating PTSD.
- View the media Presentation Example: Posttraumatic Stress Disorder (PTSD) and assess the client in the case study.
- For guidance on assessing the client, refer to Chapter 3 of the Wheeler text.
Note: To complete this Assignment, you must assess the client, but you are not required to submit a formal comprehensive client assessment.
The Assignment
Succinctly, in 1–2 pages, address the following:
- Briefly explain the neurobiological basis for PTSD illness.
- Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?
- Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.
Solution: NRNP-6645 Week 9 Assignment Posttraumatic Stress Disorder

Posttraumatic Stress Disorder
As explained by Burback et al. (2024), PTSD is usually associated with dysregulation across key brain circuits involved in fear processing as well as stress response. Taking this into account, the amygdala becomes hyperactive, which leads to exaggerated fear alongside threat perception, while the prefrontal cortex (PFC), which responsible for executive control and emotional regulation shows reduced activity, impairing the ability to modulate fear responses. Additionally, Convertino and Mendoza 2023) state that the hippocampus, which supports memory consolidation as well as contextualization, usually exhibits decreased volume and function. This in turn contributes significantly to fragmented and intrusive memories (De Jongh & Hafkemeijer, 2024). Further, the hypothalamic–pituitary–adrenal (HPA) axis is dysregulated, leading to abnormal cortisol patterns and heightened sympathetic nervous system activation. According to xx, imbalances in neurotransmitters especially involving serotonin, and GABA, norepinephrine, further lead to hyperarousal, anxiety, and mood disturbances seen in PTSD.
In light of the DSM-5-TR, PTSD typically requires exposure to a traumatic event (Criterion A), followed by symptoms in four main clusters. These are norepinephrine, intrusion (Criterion B), avoidance (Criterion C), negative alterations in cognition and mood (Criterion D), and marked alterations in arousal and reactivity (Criterion E). These symptoms should persist for more than one month and causing significant functional impairment (Burback et al., 2024). When it comes to the video case, the child experienced a motor vehicle accident, which satisfies Criterion A. Intrusion symptoms experienced by the child are evident particularly through nightmares and distressing recollections (Criterion B). Avoidance is shown by reluctance to
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Solution: (Completed) NRNP-6645 Week 10 Assignment Therapy for Clients With Personality Disorders



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