A nurse is assessing a client with post-traumatic stress disorder (PTSD) Which statement by the client indicates the presence of negative alterations in cognition and mood symptoms?

Choice A rationale:

Assessing the client's physical health is a priority because physical health issues can significantly impact the overall well-being of an individual with PTSD. Trauma and chronic stress can lead to physical health problems, including sleep disturbances, cardiovascular issues, and gastrointestinal problems. Addressing these physical concerns is essential for a holistic approach to care.

Choice B rationale:

Assessing the client's coping skills is important, but it may not be the top priority. Coping skills assessment is essential for treatment planning, but addressing immediate physical health needs and safety concerns takes precedence, especially if the client is experiencing acute distress.

Choice C rationale:

Assessing the client's social support is important for long-term recovery, but it may not be the primary assessment in the initial stages of care. Social support can contribute to resilience, but addressing physical health and acute distress is more critical initially.

Choice D rationale:

Assessing the client's past trauma history is relevant for understanding the context of the disorder, but it might not be the priority in the moment. Trauma history can be explored in therapy sessions, but addressing immediate physical and emotional needs comes first.

Choice A rationale:

PTSD can indeed occur after experiencing or witnessing a traumatic event. Trauma can lead to a range of psychological and physiological responses that characterize PTSD.

Choice B rationale:

PTSD is characterized by four main types of symptoms: re-experiencing, avoidance, negative alterations in cognition and mood, and alterations in arousal and reactivity. Re-experiencing symptoms involve intrusive memories or flashbacks, avoidance symptoms involve efforts to avoid reminders of the trauma, negative alterations in cognition and mood encompass feelings of guilt, blame, and distorted thoughts, while alterations in arousal and reactivity can include irritability and exaggerated startle response.

Choice C rationale:

Cognitive-behavioral therapy (CBT) is indeed a recognized and effective treatment option for PTSD. CBT helps individuals identify and change negative thought patterns and behaviors associated with their trauma, aiming to reduce distress and improve coping mechanisms.

Choice D rationale:

PTSD is not limited to a specific duration for diagnosis. Symptoms must persist for more than a month and cause significant impairment in functioning, but there is no requirement for symptoms to last for more than one year.

Choice E rationale:

While it is true that individuals with a history of mental illness are generally more susceptible to developing various mental health conditions, this statement is not wholly accurate. PTSD can affect anyone exposed to traumatic events, regardless of their mental health history.