A nurse is providing care for a client with post-traumatic stress disorder (PTSD) Which nursing intervention should the nurse implement?
Encouraging the client to avoid talking about the traumatic event.
Assisting the client in identifying and challenging negative thoughts.
Encouraging the client to engage in risky behaviors to cope with stress.
Referring the client to a support group for individuals with anxiety disorders.
The Correct Answer is B
Choice A rationale:
Encouraging the client to avoid talking about the traumatic event would not be a suitable intervention for a client with post-traumatic stress disorder (PTSD) Avoidance can exacerbate symptoms and hinder the healing process. Discussing the traumatic event in a safe and therapeutic environment is an essential part of PTSD treatment.
Choice B rationale:
Assisting the client in identifying and challenging negative thoughts is a crucial intervention for individuals with PTSD. Cognitive Behavioral Therapy (CBT) is a recommended approach for treating PTSD, and it involves addressing distorted or negative thought patterns that contribute to the distressing symptoms. By challenging and reframing these thoughts, clients can learn to manage their symptoms and regain a sense of control.
Choice C rationale:
Encouraging the client to engage in risky behaviors to cope with stress is not appropriate and can potentially worsen the client's condition. Engaging in risky behaviors could lead to harm and complicate the treatment process. Instead, promoting healthy coping mechanisms and stress-reduction strategies would be more beneficial.
Choice D rationale:
Referring the client to a support group for individuals with anxiety disorders might not be the most suitable intervention for PTSD. While anxiety disorders and PTSD share some similarities, they are distinct conditions with different treatment approaches. A support group specifically focused on PTSD would provide more tailored and effective assistance.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Avoiding thoughts, feelings, people, places, or activities associated with the trauma is a symptom of post-traumatic stress disorder (PTSD), but it is not a re-experiencing symptom. This behavior is part of the avoidance and numbing cluster of symptoms in PTSD.
Choice B rationale:
Having persistent negative beliefs and emotions is another symptom of PTSD, but it is not a re-experiencing symptom. This is related to the negative alterations in cognitions and mood that individuals with PTSD may experience.
Choice C rationale:
Experiencing intrusive and distressing memories of the trauma is a re-experiencing symptom of PTSD. Individuals with PTSD may have flashbacks, nightmares, or intrusive thoughts about the traumatic event, causing distress and emotional turmoil.
Choice D rationale:
Feeling detached or estranged from others is a symptom of PTSD but is not considered a re-experiencing symptom. It falls under the category of alterations in arousal and reactivity, affecting the individual's ability to connect with others emotionally.
Correct Answer is C
Explanation
Choice A rationale:
Acupuncture is not one of the therapies that have substantial evidence for effectiveness in treating PTSD. While acupuncture has been explored for various conditions, including pain and anxiety, its evidence for treating PTSD specifically is limited and inconsistent.
Choice B rationale:
Yoga can be beneficial for individuals with PTSD as it combines physical postures, breathing exercises, and meditation, which can help manage stress and anxiety. However, the evidence for its effectiveness is not as strong as for meditation, which has shown more consistent results in reducing PTSD symptoms.
Choice C rationale:
Meditation, particularly mindfulness meditation, has demonstrated some evidence of effectiveness for PTSD. Mindfulness meditation involves focusing on the present moment and accepting thoughts and feelings without judgment. Studies have shown that it can reduce symptoms of hyperarousal, intrusive thoughts, and avoidance behaviors commonly associated with PTSD.
Choice D rationale:
Hypnosis is not considered a first-line therapy for PTSD. While some limited studies have explored its potential benefits, it lacks the robust evidence that other therapies like meditation and cognitive-behavioral therapies possess.
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