A nurse is creating a plan of care for a client who has posttraumatic stress disorder (PTSD). Which of the following interventions should the nurse include in the plan?
Assign the same staff to care for the client.
Allow the client privacy when experiencing flashbacks.
Discourage the client from expressing feelings of trauma.
Address the client in an authoritative manner.
The Correct Answer is A
Choice A reason: Assigning the same staff promotes consistency, trust, and therapeutic rapport. Clients with PTSD often struggle with hypervigilance and mistrust. Familiar caregivers reduce anxiety, provide stability, and help the client feel safe, which is essential for recovery.
Choice B reason: Allowing privacy during flashbacks is unsafe. Flashbacks can cause disorientation, panic, or self-harm behaviors. The nurse should remain present to provide grounding techniques and reassurance, ensuring the client’s safety during these episodes.
Choice C reason: Discouraging expression of trauma feelings is harmful. Clients with PTSD benefit from therapeutic communication and opportunities to process their experiences. Suppressing emotions can worsen symptoms and hinder recovery.
Choice D reason: Addressing the client in an authoritative manner increases anxiety and can trigger trauma responses. PTSD clients require calm, respectful, and supportive communication to avoid re-traumatization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Clients admitted involuntarily still retain the right to refuse medications unless a court order or emergency situation overrides this right. This statement is incorrect.
Choice B reason: Involuntary admission does not automatically mean a client is incompetent. Competency must be legally determined by a court, not assumed based on admission status.
Choice C reason: Restraints cannot be prescribed on an as-needed basis. They require a specific, time-limited order and must be used only when absolutely necessary to protect the client or others.
Choice D reason: Providers have a duty to warn identifiable individuals if a client makes a credible threat of serious harm. This is a legal and ethical responsibility to protect others from danger, making this the correct statement.
Correct Answer is D
Explanation
Choice A reason: Verbalizing difficulty coping reflects ongoing distress rather than adherence. While expressing feelings is important, it does not demonstrate improvement or engagement with treatment goals.
Choice B reason: Frequently seeking reassurance indicates dependence and persistent insecurity. This behavior suggests limited progress in self-efficacy and coping skills, which are essential for adherence.
Choice C reason: Hygiene deficiencies are a hallmark of depressive symptoms and indicate poor functioning. This finding suggests the client is not adhering to treatment or is still severely impaired.
Choice D reason: Increased social engagement is a strong positive indicator of adherence. Clients with major depressive disorder often isolate themselves. Re-engaging socially demonstrates improved mood, motivation, and participation in therapeutic activities, all of which reflect adherence to the treatment plan.
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