Edaptssss - Post Traumatic Stress Disorder/Syndrome

The nurse is teaching a client about psychotherapy options to help with their post-traumatic stress disorder (PTSD). Which options could benefit a client with PTSD? Select all that apply.

Cognitive processing therapy (CPT), prolonged exposure (PE), and eye movement desensitization and reprocessing (EDMR)

Which goal is the priority when planning care for a client with post-traumatic stress disorder?

Provide safety and stabilization

A client's response to trauma includes characteristics that relate to which factors? Select all that apply.

The individual​ The traumatic experience The recovery environment

Which clinical manifestations indicate to the nurse that the client is experiencing post-traumatic stress disorder (PTSD)? Select all that apply.

hypervigilance, intrusive thoughts, irritability, sleep difficulty, and trauma. ​

The nurse is conducting an initial assessment of a client with post-traumatic stress disorder. To assess the client's perception of the precipitating event that led to the crisis, which question is the most appropriate for the nurse to ask?

What brings you to the hospital today?

A nursing student presents to the psychiatric mental health unit to begin their clinical shift. Their assigned client experienced the death of their child at home six months ago. Which statement made by the student needs follow-up from their clinical instructor?

"My client continues to be upset from their child dying. It's been six months and they should be able to cope with it by now."

1 Help the client develop two coping mechanisms to help with anxiety attacks. 2 Monitor risk for self-harm and intervene appropriately. ​ 3 Stay with the client when experiencing flashbacks. ​ 4 Administer prescribed anti-anxiety medications as needed (PRN). ​

1 The client states "I will exercise 2-3 times a week and use mindfulness exercises to help with anxiety." ​ 2 The client contacts the nurse if feelings of harming self or others appear. 3 The client uses eye movement desensitization and reprocessing (EMDR) exercises to process traumatic memories and manage reactions. ​ 4 The client reports being less anxious and able to rest.

The nurse has analyzed assessment data and started Ricardo's plan of care. Choose the appropriate nursing diagnoses based on evidence of assessment findings.

1. Risk for injury ​ 2. Social isolation ​ 3. Post-trauma syndrome ​ 4. Hopelessness ​

1 The Traumatic Experience 2 The Individual​ 3 The Recovery Environment​

1. robbed at gunpoint, unexpected death of a child 2. history of alcohol and substance misuse, bipolar disorder 3. family lives in another state, friends do not believe the client

Based upon prescribed orders and nursing standards of care, the nurse needs to determine which nursing actions need immediate action, urgent action, or routine action.

1.Immediate 2.Routine 3.Immediate 4.Routine 5.Urgent 6. Urgent

Nursing interventions are being planned for Ricardo's care needs. Identify if the interventions in the left column are indicated or not indicated for a client who is experiencing post-traumatic stress disorder.

1.Indicated 2.Indicated 3.Not indicated 4.Indicated 5.Not indicated 6.Indicated

The nurse has developed a plan of care and is determining which nursing interventions take priority. Rank the nursing actions in order of priority, starting with the highest priority.

1.The nurse will assess physiological needs.​ 2 The nurse will assess psychological needs.​ 3 The nurse will administer prescribed medications using the rights of medication administration. ​ 4 The nurse will help the client determine two coping mechanisms to reduce anxiety-related symptoms.​ 5 The nurse will schedule the next psychotherapy session prior to discharge.​

Which client assessment findings would indicate that the client's status improved, declined, or remained unchanged due to the nursing actions? For each finding in the left column, specify if it demonstrates Ricardo's condition has improved, declined, or is unchanged by clicking in the appropriate area.

Ricardo states, "I will take alprazolam 0.25 mg no more than three times a day as needed for my anxiety."​ - Improved Ricardo states, "I am not ready to talk about the war." - Unchanged Ricardo states, "I was able to sleep last night with no nightmares." - Improved Ricardo's wife states, "I have a plan to overdose on my medication to take away the pain." - Declined Ricardo is attending psychotherapy sessions once a day. - Improved

A 45-year-old male client has post-traumatic stress disorder (PTSD), related to military combat. Which action best indicates the client is coping with the diagnosis?

Sleeps through the night uninterrupted

Fill in blank

multisystem one month. depression

The nurse is working with Ricardo, who is seeking care for suicidal ideation. Review the electronic health record before answering the question. Click to select the assessment findings that indicate Ricardo is having a prolonged stress response.

suicide ideation serving 2 tours in Afghanistan impacting their relationship frequent nightmares spends much time alone irritable easily startled disturbing memories