A nurse is discussing the effectiveness of PTSD management with a client. Which of the following factors can influence the effectiveness of treatment?
Severity of the trauma.
Availability of treatment options.
Adherence and compliance of the client.
All of the above.
None of the above.
The Correct Answer is D
Choice A rationale:
The severity of the trauma can influence the effectiveness of treatment since more severe traumas might require more intensive interventions. Higher severity could also lead to increased resistance to treatment.
Choice B rationale:
The availability of treatment options is significant because limited options might restrict the client's access to suitable interventions, potentially affecting the treatment's success.
Choice C rationale:
Adherence and compliance of the client play a vital role. If the client does not follow the treatment plan consistently, the effectiveness of any intervention can be compromised.
Choice D rationale:
This is the correct answer as all of the mentioned factors can impact the effectiveness of PTSD management. The severity of trauma, treatment availability, and client adherence are interrelated aspects that collectively influence the outcome.
Choice E rationale:
"None of the above" is not the correct answer since each of the factors mentioned can indeed impact the effectiveness of treatment in various ways.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Sertraline is recommended as a first-line pharmacological treatment for PTSD by the National Institute for Health and Care Excellence (NICE) It is a selective serotonin reuptake inhibitor (SSRI) that has shown effectiveness in reducing PTSD symptoms, particularly in terms of intrusive thoughts and avoidance behaviors.
Choice B rationale:
Venlafaxine is also an antidepressant, but it is generally considered a second-line treatment option for PTSD. It might be considered if SSRIs are ineffective or not tolerated due to its different mechanism of action as a serotonin-norepinephrine reuptake inhibitor (SNRI)
Choice C rationale:
Amitriptyline is a tricyclic antidepressant that is not commonly recommended for the first-line treatment of PTSD. SSRIs like sertraline are preferred due to their generally more favorable side effect profiles.
Choice D rationale:
Mirtazapine is another antidepressant with different pharmacological properties compared to SSRIs. However, like venlafaxine, it is typically considered a second-line option for treating PTSD.
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.
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