A nurse is assessing a client with PTSD. Which of the following statements made by the client indicates a positive outcome of PTSD management?
"I am experiencing a reduction in PTSD symptoms.".
"I have improved coping skills and resilience.".
"I have restored self-esteem and identity.".
"I have reintegration into society and relationships.".
The Correct Answer is B
Choice A rationale:
If the client states, "I am experiencing a reduction in PTSD symptoms," it reflects a positive change but not necessarily a comprehensive improvement. Reduction in symptoms could be due to various factors, and it might not indicate overall progress in managing PTSD.
Choice B rationale:
This choice indicates a positive outcome because improved coping skills and resilience are fundamental aspects of successful PTSD management. This suggests that the client has learned to deal with triggers and stressors more effectively, leading to better emotional regulation and adaptation.
Choice C rationale:
"I have restored self-esteem and identity" is important for psychological well-being, but it specifically focuses on self-esteem and identity rather than the broader range of symptoms associated with PTSD. While this could be a part of the recovery process, it's not as comprehensive as improved coping skills and resilience.
Choice D rationale:
"I have reintegration into society and relationships" also reflects progress, but it pertains to the social aspects of recovery rather than the individual's internal coping mechanisms. Social reintegration is crucial, but it may not directly correlate with better management of PTSD symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Avoiding thoughts, feelings, people, places, or activities associated with the trauma is a symptom of post-traumatic stress disorder (PTSD), but it is not a re-experiencing symptom. This behavior is part of the avoidance and numbing cluster of symptoms in PTSD.
Choice B rationale:
Having persistent negative beliefs and emotions is another symptom of PTSD, but it is not a re-experiencing symptom. This is related to the negative alterations in cognitions and mood that individuals with PTSD may experience.
Choice C rationale:
Experiencing intrusive and distressing memories of the trauma is a re-experiencing symptom of PTSD. Individuals with PTSD may have flashbacks, nightmares, or intrusive thoughts about the traumatic event, causing distress and emotional turmoil.
Choice D rationale:
Feeling detached or estranged from others is a symptom of PTSD but is not considered a re-experiencing symptom. It falls under the category of alterations in arousal and reactivity, affecting the individual's ability to connect with others emotionally.
Correct Answer is ["A","B","C"]
Explanation
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.
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