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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Choice A rationale:
Prolonged exposure (PE) is a type of cognitive-behavioral therapy that involves confronting and processing traumatic memories. While it is effective for many individuals with PTSD, its effectiveness in reducing symptoms by 50% to 80% in most clients after 8 to 16 sessions is not as consistently reported as with EMDR.
Choice B rationale:
Cognitive processing therapy (CPT) focuses on addressing maladaptive beliefs related to the traumatic event. While it can be effective, its reported symptom reduction rates may vary, and it might not consistently achieve the 50% to 80% reduction mentioned.
Choice C rationale:
Eye movement desensitization and reprocessing (EMDR) is a well-established therapy specifically designed for trauma-related disorders like PTSD. Research indicates that many individuals experience significant symptom reduction within 8 to 16 sessions, with reported rates often falling within the 50% to 80% range.
Choice D rationale:
Acceptance and commitment therapy (ACT) and dialectical behavior therapy (DBT) are therapies often used for conditions like depression and anxiety but may not have as robust a body of evidence for PTSD treatment as EMDR or certain cognitive-behavioral therapies.
Correct Answer is B
Explanation
Choice A rationale:
Being male is not a risk factor for developing PTSD. PTSD can affect individuals of any gender. While there may be differences in the prevalence and expression of symptoms between genders, being male alone is not a risk factor for developing the disorder.
Choice B rationale:
Having a family history of PTSD is a recognized risk factor for developing the disorder. Genetics and family environment can play a role in the predisposition to PTSD. Individuals with a family history of trauma-related disorders might have a higher vulnerability to developing PTSD after exposure to a traumatic event.
Choice C rationale:
Having exposure to media coverage of trauma can contribute to distress, anxiety, and even trigger symptoms in individuals with PTSD. However, it is not considered a primary risk factor for developing the disorder. Other factors, such as personal trauma history and individual vulnerability, play a more significant role.
Choice D rationale:
Having good social support is actually a protective factor against developing PTSD. Adequate social support can buffer the impact of trauma and contribute to better resilience and recovery. It is not a risk factor but rather a positive factor that can help mitigate the effects of trauma.
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