Education for clients with posttraumatic stress disorder (PTSD) should include which information? Select all that apply.

Eat well-balanced, nutritious meals.

Find and join a support group in the community.

Discuss intense feelings only during counseling sessions.

Get regular exercise, such as walking.

Avoid drinking alcohol.

Try to solve an important problem independently.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A reason: Eating well-balanced meals supports physical health and resilience, which are important in managing PTSD.

Choice B reason: Joining a support group provides social connection, validation, and shared coping strategies, reducing isolation.

Choice C reason: Limiting discussion of intense feelings only to counseling sessions is restrictive. Clients should be encouraged to express feelings in safe, supportive environments beyond therapy.

Choice D reason: Regular exercise reduces stress, improves mood, and promotes relaxation. Physical activity is a proven adjunct to PTSD management.

Choice E reason: Avoiding alcohol is critical because alcohol worsens symptoms, interferes with sleep, and increases risk of dependence.

Choice F reason: Trying to solve important problems independently is discouraged. PTSD clients benefit from collaborative problem-solving and support systems.

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Correct Answer is A

Explanation

Choice A reason: Forgetting worries is an avoidance strategy, not a healthy coping mechanism. The nurse should encourage verbalization of feelings to promote insight, emotional processing, and adaptive coping.

Choice B reason: Developing insight involves recognizing triggers, patterns, and maladaptive responses. Forgetting worries does not demonstrate insight but avoidance.

Choice C reason: Successful treatment is reflected in improved functioning and adaptive coping, not suppression of worries.

Choice D reason: Coping skills involve constructive strategies such as relaxation, problem-solving, and emotional regulation. Forgetting worries does not reflect improved coping.

A. Encouraging a thorough discussion of the original trauma. B. Timeout during flashbacks to regain self-control. C. Providing private, solitary time for reflection. D. Use of deep breathing and relaxation techniques.

Correct Answer is D

Explanation

Choice A reason: Encouraging a thorough discussion of the original trauma is not appropriate during hospitalization because it can retraumatize the client and worsen symptoms. Trauma-focused therapy should be conducted in a structured, therapeutic setting with trained professionals, not during acute hospitalization when the client is vulnerable.

Choice B reason: Timeout during flashbacks is ineffective because flashbacks are involuntary and overwhelming experiences. Asking the client to regain self-control during a flashback places unrealistic expectations on them and can increase feelings of helplessness. Instead, grounding techniques and supportive presence are more effective.

Choice C reason: Providing private, solitary time for reflection is contraindicated because isolation can intensify intrusive thoughts, flashbacks, and feelings of detachment. Clients with PTSD benefit more from structured support, therapeutic communication, and guided coping strategies rather than solitary reflection.

Choice D reason: Deep breathing and relaxation techniques are evidence-based interventions that help reduce hyperarousal, anxiety, and stress responses in PTSD. These techniques promote self-regulation, decrease sympathetic nervous system activation, and empower the client with practical coping skills. This makes it the most appropriate intervention in a hospitalized setting.

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Education for clients with posttraumatic stress disorder (PTSD) should include which information? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with generalized anxiety disorder (GAD) states, "I have learned that the best thing I can do is to forget my worries." How would the nurse evaluate this statement?

Correct Answer is A

Explanation

Nursing interventions for a hospitalized client with PTSD include:

Correct Answer is D

Explanation

Which of the four classes of medications used for panic disorder is considered the safest because of its low incidence of side effects and lack of physiologic dependence?

A client with a history of explosive outbursts becomes angry and states, "I am really getting angry.” The nurse sees this behavior as:

When assessing a client with anxiety, the nurse's questions should be:

The client asks the nurse, "What does somatization mean?" How should the nurse reply?

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The nurse is caring for a client with a conversion disorder. Which of the following assessments would the nurse expect to see?

A client who suffers from frequent panic attacks describes the attack as feeling disconnected from himself. The nurse notes in the client's chart that the client reports experiencing:

In the psychiatric setting, what is the most effective intervention in preventing the hostile client's behavior from escalating to physical aggression?