A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?
Refer the client to a support group for individuals with PTSD
Encourage the client to practice mindfulness meditation
Provide a structured environment with predictable routines, and consistent staff
Administer a PRN sedative medication as needed
The Correct Answer is C
A. While support groups may be helpful, the immediate intervention for a client experiencing heightened anxiety and hypervigilance is to provide structure and safety.
B. Mindfulness meditation may be beneficial in the long term, but it is not the first intervention in an acute phase where anxiety and hypervigilance are prominent.
C. A structured environment with predictable routines and consistent staff can help clients with PTSD feel more secure and reduce feelings of anxiety, hypervigilance, and paranoia. Predictability and structure are key interventions for clients with PTSD.
D. Administering a PRN sedative medication should be a secondary intervention after providing a supportive and safe environment. Medications may be used as part of treatment, but they do not address the underlying anxiety and hypervigilance as effectively as a structured environment.
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Related Questions
Correct Answer is C
Explanation
A. Persistent low-grade depression without hypomania is not typical of bipolar II disorder, as hypomanic episodes are a key feature of the disorder.
B. Psychosis is more common during full manic episodes, typically seen in bipolar I disorder, not bipolar II.
C. Bipolar II disorder is characterized by hypomanic episodes that alternate with major depressive episodes. Hypomania is a less severe form of mania, and individuals with bipolar II do not experience full manic episodes as in bipolar I.
D. Severe manic episodes are characteristic of bipolar I disorder, not bipolar II, which involves hypomanic episodes instead.
Correct Answer is D
Explanation
A. Hormonal therapy may be used for PMDD but is not a distinguishing factor from PMS.
B. PMDD involves both mood and physical symptoms, unlike PMS, which primarily involves physical symptoms.
C. PMDD symptoms may persist through the beginning of menstruation, unlike PMS, which typically resolves with the onset of the period.
D. Premenstrual dysphoric disorder (PMDD) is a more severe form of premenstrual syndrome (PMS) characterized by mood disturbances, irritability, and functional impairment that significantly affect a person’s ability to function in daily life.
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