A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder (PTSD). Which of the following interventions should the nurse implement?
Provide coffee and snacks during the meetings.
Avoid discussing the traumatic events experienced by the veterans.
Change the meeting sites frequently.
Teach the clients to practice deep breathing exercises.
The Correct Answer is D
Choice A reason: Providing coffee and snacks during the meetings is not an effective intervention, as it does not address the psychological needs of the veterans. Coffee may also worsen the symptoms of PTSD, such as anxiety, insomnia, and irritability, as it is a stimulant.
Choice B reason: Avoiding discussing the traumatic events experienced by the veterans is not a helpful intervention, as it may reinforce the avoidance behavior and prevent the veterans from processing and coping with their trauma. The nurse should encourage the veterans to share their experiences and feelings in a safe and supportive environment, and refer them to appropriate counseling services.
Choice C reason: Changing the meeting sites frequently is not a beneficial intervention, as it may create confusion and stress for the veterans. The nurse should establish a consistent and familiar location for the meetings, and ensure that the veterans feel comfortable and secure.
Choice D reason: Teaching the clients to practice deep breathing exercises is a useful intervention, as it can help the veterans manage their stress and anxiety, and reduce the physiological arousal associated with PTSD. Deep breathing exercises can also promote relaxation and mindfulness, and enhance the veterans' well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The Office of the Surgeon General is not responsible for voluntarily reporting cases of Lyme disease to the CDC. The Office of the Surgeon General provides leadership and direction to the U.S. Public Health Service and oversees the operations of the U.S. Public Health Service Commissioned Corps.
Choice B reason: The state health department is responsible for voluntarily reporting cases of Lyme disease to the CDC. The state health department collects and analyzes data on reportable diseases, such as Lyme disease, and submits them to the CDC through the National Notifiable Diseases Surveillance System (NNDSS).
Choice C reason: The hospital infection control department is not responsible for voluntarily reporting cases of Lyme disease to the CDC. The hospital infection control department monitors and prevents nosocomial infections, or infections acquired in the hospital setting, and implements infection control policies and procedures.
Choice D reason: The local Red Cross chapter is not responsible for voluntarily reporting cases of Lyme disease to the CDC. The local Red Cross chapter provides humanitarian services, such as disaster relief, blood donation, health and safety education, and emergency communication.
Correct Answer is C
Explanation
Choice A reason: Asking the client if they have been thinking about harming themselves is not the best response, as it may sound accusatory or judgmental. It may also make the client defensive or reluctant to share their feelings. The nurse should assess the client's suicide risk later, after establishing rapport and trust.
Choice B reason: Asking the client how long they have been feeling this way is not the most appropriate response, as it may imply that the nurse is more interested in the duration of the problem than the client's current situation. It may also suggest that the nurse expects the client to have a clear timeline of their feelings, which may not be the case.
Choice C reason: Telling the client to share what is going on with them right now is the best response, as it shows empathy and genuine interest in the client's perspective. It also invites the client to express their thoughts and emotions, and helps the nurse identify the factors that contribute to the client's sense of meaninglessness.
Choice D reason: Asking the client if they really think their life has no purpose is not a helpful response, as it may sound dismissive or sarcastic. It may also make the client feel invalidated or misunderstood, and reinforce their negative beliefs. The nurse should avoid challenging the client's statements, and instead explore the reasons behind them.
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