The client is in the hospital after her house collapsed during a hurricane. She has been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue monitoring her respiratory function and to complete intravenous antibiotic administration.

For each client statement, click to highlight the statement(s) below that require follow up teaching by the nurse.

•  I am at high risk for post-traumatic-stress disorder because I have acute stress disorder
•  I can use holistic approaches like meditation to help my symptoms.
•  I can learn to manage my thoughts better through therapy.
• Many people have the same response to a stressful situation as I am having.
•  This diagnosis means that I am crazy.
•  I will probably need to be on medication for the rest of my life.

A) Correct- The client's statement suggests a misconception about the progression from acute  stress disorder (ASD) to post-traumatic stress disorder (PTSD). While ASD is an initial response  to trauma, it doesn't necessarily indicate a high risk for developing PTSD. The nurse should  provide education about the differences and the various factors that influence the development of  PTSD. 

B) Incorrect- This statement reflects the client's proactive approach to using holistic approaches  like meditation to manage symptoms. Meditation and other relaxation techniques can be  beneficial for managing stress and anxiety related to the traumatic event. 

C) Incorrect- This statement reflects the client's motivation to learn how to manage their  thoughts better through therapy. Therapy can be highly effective for addressing trauma-related  distress and helping clients develop coping strategies. 

D) Incorrect- This statement reflects the client's recognition that their response is shared by many  people in similar situations. Validating the client's experience and normalizing their feelings can  be therapeutic. 

E) Correct- This statement reflects a common misconception and stigma associated with mental  health diagnoses. The nurse should reassure the client that a diagnosis of acute stress disorder does not equate to being "crazy" and provide information about the nature of the disorder and  available treatments. 

F) Correct- The statement implies a potential pessimistic outlook on treatment. While medication  might be part of the treatment plan, it's important to emphasize that treatment approaches are  individualized. Encouraging an open dialogue about various treatment options, including therapy  and coping strategies, is essential.