A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?

Provide a quiet room away from the recreational area.

Acquaint the client with the rules of the unit.

Ensure that the client eats a well-balanced diet.

Introduce the client to other clients with a similar diagnosis.

Answer and Explanation

The Correct Answer is A

A.   Providing a quiet room is important. This is because individuals with PTSD are often hypersensitive to noise and other stimuli, which can trigger flashbacks or other
symptoms. A quiet environment can help to reduce anxiety and promote relaxation.
B.   Acquainting the client with the unit rules is important, but connecting the client with peers who understand their experiences can be more therapeutic initially.
C.   Ensuring a well-balanced diet is essential but might not be the priority in the immediate plan of care for someone newly admitted with PTSD.
D.   Introducing the client to others with similar diagnoses helps foster a sense of belonging.
However, this is a long-term rather than an immediate intervention.

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Correct Answer is C

Explanation

A. Initiating an exercise program might be helpful, but it doesn't directly address the delayed responses or aid in communication.
B. Asking the client to describe her depression might be beneficial, but it may not be suitable if the client's responses are delayed.
C. Spending time in silence with the client can create a safe and supportive environment, allowing the client to communicate at her own pace without feeling pressured.
D. Observing for signs of psychosis is important but doesn't directly address the delayed responses.

A. Position a table between the client and the nurse for extra personal space. B. Reduce the noise level in the room by turning off the television and radio. C. Sit within two feet of the client to enhance the level of safety and security. D. Dim the lights in the room to help the patient feel calm. E. Dim the lights in the room to help the patient feel calm.

Correct Answer is B

Explanation

A. Positioning a table might create a barrier and hinder rapport-building during the interview.
B. Reducing noise levels helps create a more conducive environment for communication and allows better focus during the interview.
C. Sitting too close might invade the client's personal space and could be uncomfortable or threatening.
D. Dimming the lights might not be suitable as it can hinder communication and create a less engaging environment for the interview.

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A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?

Correct Answer is C

Explanation

The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?

Correct Answer is B

Explanation

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