A nurse is educating a client with PTSD about the first-line pharmacological treatments. According to the National Institute for Health and Care Excellence (NICE), which of the following medications is recommended as a first-line treatment for PTSD?
Sertraline.
Venlafaxine.
Amitriptyline.
Mirtazapine.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Assessing the client's physical health is a priority because physical health issues can significantly impact the overall well-being of an individual with PTSD. Trauma and chronic stress can lead to physical health problems, including sleep disturbances, cardiovascular issues, and gastrointestinal problems. Addressing these physical concerns is essential for a holistic approach to care.
Choice B rationale:
Assessing the client's coping skills is important, but it may not be the top priority. Coping skills assessment is essential for treatment planning, but addressing immediate physical health needs and safety concerns takes precedence, especially if the client is experiencing acute distress.
Choice C rationale:
Assessing the client's social support is important for long-term recovery, but it may not be the primary assessment in the initial stages of care. Social support can contribute to resilience, but addressing physical health and acute distress is more critical initially.
Choice D rationale:
Assessing the client's past trauma history is relevant for understanding the context of the disorder, but it might not be the priority in the moment. Trauma history can be explored in therapy sessions, but addressing immediate physical and emotional needs comes first.
Correct Answer is D
Explanation
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.
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