A nurse is providing care for a client with post-traumatic stress disorder (PTSD) Which nursing intervention should the nurse implement?
Encouraging the client to avoid talking about the traumatic event.
Assisting the client in identifying and challenging negative thoughts.
Encouraging the client to engage in risky behaviors to cope with stress.
Referring the client to a support group for individuals with anxiety disorders.
The Correct Answer is B
Choice A rationale:
Encouraging the client to avoid talking about the traumatic event would not be a suitable intervention for a client with post-traumatic stress disorder (PTSD) Avoidance can exacerbate symptoms and hinder the healing process. Discussing the traumatic event in a safe and therapeutic environment is an essential part of PTSD treatment.
Choice B rationale:
Assisting the client in identifying and challenging negative thoughts is a crucial intervention for individuals with PTSD. Cognitive Behavioral Therapy (CBT) is a recommended approach for treating PTSD, and it involves addressing distorted or negative thought patterns that contribute to the distressing symptoms. By challenging and reframing these thoughts, clients can learn to manage their symptoms and regain a sense of control.
Choice C rationale:
Encouraging the client to engage in risky behaviors to cope with stress is not appropriate and can potentially worsen the client's condition. Engaging in risky behaviors could lead to harm and complicate the treatment process. Instead, promoting healthy coping mechanisms and stress-reduction strategies would be more beneficial.
Choice D rationale:
Referring the client to a support group for individuals with anxiety disorders might not be the most suitable intervention for PTSD. While anxiety disorders and PTSD share some similarities, they are distinct conditions with different treatment approaches. A support group specifically focused on PTSD would provide more tailored and effective assistance.
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 B
Explanation
Choice B rationale:
The statement "I try to avoid going to places that remind me of the trauma." indicates the presence of avoidance symptoms, which are a hallmark of PTSD. Avoidance symptoms involve efforts to stay away from situations, places, or people that trigger memories of the traumatic event.
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