A nurse is assessing a client with post-traumatic stress disorder (PTSD) Which statement by the client indicates the presence of negative alterations in cognition and mood symptoms?

Choice A rationale:

Prolonged exposure (PE) is a type of cognitive-behavioral therapy that involves confronting and processing traumatic memories. While it is effective for many individuals with PTSD, its effectiveness in reducing symptoms by 50% to 80% in most clients after 8 to 16 sessions is not as consistently reported as with EMDR.

Choice B rationale:

Cognitive processing therapy (CPT) focuses on addressing maladaptive beliefs related to the traumatic event. While it can be effective, its reported symptom reduction rates may vary, and it might not consistently achieve the 50% to 80% reduction mentioned.

Choice C rationale:

Eye movement desensitization and reprocessing (EMDR) is a well-established therapy specifically designed for trauma-related disorders like PTSD. Research indicates that many individuals experience significant symptom reduction within 8 to 16 sessions, with reported rates often falling within the 50% to 80% range.

Choice D rationale:

Acceptance and commitment therapy (ACT) and dialectical behavior therapy (DBT) are therapies often used for conditions like depression and anxiety but may not have as robust a body of evidence for PTSD treatment as EMDR or certain cognitive-behavioral therapies.

Choice A rationale:

Assessing the client's physical health is a priority because physical health issues can significantly impact the overall well-being of an individual with PTSD. Trauma and chronic stress can lead to physical health problems, including sleep disturbances, cardiovascular issues, and gastrointestinal problems. Addressing these physical concerns is essential for a holistic approach to care.

Choice B rationale:

Assessing the client's coping skills is important, but it may not be the top priority. Coping skills assessment is essential for treatment planning, but addressing immediate physical health needs and safety concerns takes precedence, especially if the client is experiencing acute distress.

Choice C rationale:

Assessing the client's social support is important for long-term recovery, but it may not be the primary assessment in the initial stages of care. Social support can contribute to resilience, but addressing physical health and acute distress is more critical initially.

Choice D rationale:

Assessing the client's past trauma history is relevant for understanding the context of the disorder, but it might not be the priority in the moment. Trauma history can be explored in therapy sessions, but addressing immediate physical and emotional needs comes first.