Nursing interventions for a hospitalized client with PTSD include:
Encouraging a thorough discussion of the original trauma.
Timeout during flashbacks to regain self-control.
Providing private, solitary time for reflection.
Use of deep breathing and relaxation techniques.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Benzodiazepines are not primarily toxic to kidneys or liver when used appropriately.
Choice B reason: Cardiopulmonary damage is not a direct effect of benzodiazepines.
Choice C reason: Personality problems are not a recognized long-term effect of benzodiazepines.
Choice D reason: Benzodiazepines carry a high risk of tolerance, dependence, and withdrawal symptoms with long-term use. This is the most important concern.
Correct Answer is C
Explanation
Choice A reason: This describes somatic symptom disorder, not illness anxiety disorder.
Choice B reason: A variety of symptoms over years is more consistent with somatic symptom disorder.
Choice C reason: Persistent preoccupation with having or acquiring a serious illness is the defining feature of illness anxiety disorder. Clients may misinterpret normal sensations and remain preoccupied despite reassurance.
Choice D reason: Excessive worrying may contribute, but illness anxiety disorder is not simply the eventual result of worry; it is a distinct psychiatric diagnosis.
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