A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?

Provide a quiet room away from the recreational area.

Acquaint the client with the rules of the unit.

Ensure that the client eats a well-balanced diet.

Introduce the client to other clients with a similar diagnosis.

Answer and Explanation

The Correct Answer is A

A.   Providing a quiet room is important. This is because individuals with PTSD are often hypersensitive to noise and other stimuli, which can trigger flashbacks or other
symptoms. A quiet environment can help to reduce anxiety and promote relaxation.
B.   Acquainting the client with the unit rules is important, but connecting the client with peers who understand their experiences can be more therapeutic initially.
C.   Ensuring a well-balanced diet is essential but might not be the priority in the immediate plan of care for someone newly admitted with PTSD.
D.   Introducing the client to others with similar diagnoses helps foster a sense of belonging.
However, this is a long-term rather than an immediate intervention.

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Correct Answer is A

Explanation

A. This comment is crucial as it involves access to lethal means, which is a significant risk factor for suicidal behavior.
B. While feelings of emptiness are concerning, it might not immediately indicate imminent danger.
C. Panic attacks might signify anxiety, but this statement doesn't directly suggest an immediate risk of harm.
D. While the daughter being a reason to keep trying is positive, it doesn't address the immediate risk of access to firearms.

A. Invite for a walk when the client's energy is high. B. Engage the client in competitive activities. C. Assign the client to a single room. D. Provide television programs with suspense to keep attention engaged. E. Give concise and firm directions for hygiene and dressing.

Correct Answer is ["A","C","E"]

Explanation

A. Inviting for a walk when the client's energy is high can help channel excess energy and reduce restlessness.
B. Engaging the client in competitive activities might escalate the situation and isn't suitable for managing hyperactivity in bipolar disorder.
C. Assigning the client to a single room can reduce external stimuli and potentially decrease overstimulation that might contribute to the behavior.
D. Providing television programs with suspense might not effectively engage the client or address their needs.
E. Giving concise and firm directions for hygiene and dressing can help provide structure and guidance during times of excessive energy or impulsivity.

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A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the hospital with suicidal ideation. When completing the health history and admission assessment interview, which client comment is most important for the nurse to document?

Correct Answer is A

Explanation

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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