A nurse is assessing a client with PTSD. Which of the following statements made by the client indicates a positive outcome of PTSD management?

Choice D rationale:

The statement "I believe that the world is completely dangerous." indicates the presence of negative alterations in cognition and mood symptoms, which are another facet of PTSD. These symptoms often involve a distorted perception of the world, including beliefs about danger and an inability to trust others.

Choice A rationale:

Acupuncture (Choice A) is an alternative therapy that involves inserting thin needles into specific points on the body. While it may have benefits for pain management and relaxation, it is not considered a trauma-focused psychotherapy for PTSD.

Choice B rationale:

Yoga (Choice B) is a mind-body practice that can promote relaxation and stress reduction. While it can be a helpful component of a holistic approach to managing PTSD, it is not specifically classified as trauma-focused psychotherapy.

Choice C rationale:

Cognitive processing therapy (Choice C) is a well-established trauma-focused psychotherapy for PTSD. It involves helping clients process and reframe their traumatic experiences by challenging and modifying negative beliefs and thoughts associated with the trauma.

Choice D rationale:

Biofeedback (Choice D) is a technique that teaches individuals to control physiological functions, such as heart rate and muscle tension, through relaxation techniques. While it can aid in stress management, it is not a trauma-focused psychotherapy.

Choice E rationale:

Virtual reality therapy (Choice E) is a novel approach that uses virtual reality technology to expose individuals to controlled, virtual traumatic scenarios in a therapeutic setting. It can be effective in treating PTSD by allowing controlled exposure to triggers, but it's not a traditional trauma-focused psychotherapy method.