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:

PTSD can indeed occur after experiencing or witnessing a traumatic event. Trauma can lead to a range of psychological and physiological responses that characterize PTSD.

Choice B rationale:

PTSD is characterized by four main types of symptoms: re-experiencing, avoidance, negative alterations in cognition and mood, and alterations in arousal and reactivity. Re-experiencing symptoms involve intrusive memories or flashbacks, avoidance symptoms involve efforts to avoid reminders of the trauma, negative alterations in cognition and mood encompass feelings of guilt, blame, and distorted thoughts, while alterations in arousal and reactivity can include irritability and exaggerated startle response.

Choice C rationale:

Cognitive-behavioral therapy (CBT) is indeed a recognized and effective treatment option for PTSD. CBT helps individuals identify and change negative thought patterns and behaviors associated with their trauma, aiming to reduce distress and improve coping mechanisms.

Choice D rationale:

PTSD is not limited to a specific duration for diagnosis. Symptoms must persist for more than a month and cause significant impairment in functioning, but there is no requirement for symptoms to last for more than one year.

Choice E rationale:

While it is true that individuals with a history of mental illness are generally more susceptible to developing various mental health conditions, this statement is not wholly accurate. PTSD can affect anyone exposed to traumatic events, regardless of their mental health history.

Choice A rationale:

Encouraging the client to avoid talking about the traumatic event would not be a suitable intervention for a client with post-traumatic stress disorder (PTSD) Avoidance can exacerbate symptoms and hinder the healing process. Discussing the traumatic event in a safe and therapeutic environment is an essential part of PTSD treatment.

Choice B rationale:

Assisting the client in identifying and challenging negative thoughts is a crucial intervention for individuals with PTSD. Cognitive Behavioral Therapy (CBT) is a recommended approach for treating PTSD, and it involves addressing distorted or negative thought patterns that contribute to the distressing symptoms. By challenging and reframing these thoughts, clients can learn to manage their symptoms and regain a sense of control.

Choice C rationale:

Encouraging the client to engage in risky behaviors to cope with stress is not appropriate and can potentially worsen the client's condition. Engaging in risky behaviors could lead to harm and complicate the treatment process. Instead, promoting healthy coping mechanisms and stress-reduction strategies would be more beneficial.

Choice D rationale:

Referring the client to a support group for individuals with anxiety disorders might not be the most suitable intervention for PTSD. While anxiety disorders and PTSD share some similarities, they are distinct conditions with different treatment approaches. A support group specifically focused on PTSD would provide more tailored and effective assistance.