Posttraumatic Stress Disorder (PTSD) (MOOD & AFFECT) RAPID Reasoning


Prepare students to THINK like a nurse by recognizing RELEVANT mental health as well as physical clinical data!


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This Case Study Begins with the Following Scenario:

Marcus Jackson is a 34-year-old African American male who served four combat tours of duty in Iraq and Afghanistan. He came to the Veterans Administration (VA) today for an outpatient appointment because he has not slept more than two hours a night for the past week.

This is his fourth clinic visit over the past year with the same symptoms: inability to sleep, nightmares, increasing anxiety, and isolation.

Every time he falls asleep, he relives the bombing and has flashbacks of bloody body parts that he witnessed after the explosion. He states that he is more aware of noises and any loud noise such as fireworks and or cars backfiring causes him extreme anxiety.

His medications for PTSD have not been helping control his anxiety. He has been spending more time in his room watching TV and avoids spending time with his wife and children.

Today he told his wife he should have died and not his friends. His primary care provider encouraged voluntary admission and his wife brought Marcus to the emergency department of the closest VA hospital so he can be admitted.

Concepts (in order of emphasis)

  1. Mood and Affect
  2. Stress
  3. Coping
  4. Anxiety
  5. Clinical Judgment

Three Complementary Bonuses

  1. Faculty users guide to successfully implement this active learning tool in your program!
  2. SBAR template. Use this to add and practice SBAR with this scenario!
  3. QSEN/concept based questions in Word doc. Integrate concepts and QSEN competencies into this case study! Several questions related to the primary concept and each QSEN category that can be edited to create a supplement for this case study.

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