The nurse who works on an inpatient psychiatric unit is working on developing a treatment plan for a client admitted with PTSD. The client, a military veteran, reports that sometimes he thinks he sees bombs exploding and the enemy rushing toward him. He has had aggressive outbursts and was hospitalized after assaulting a coworker during one of these episodes. Which of these nursing interventions are evidence-based responses? Select all that apply.

Question

Quizplus · Accepted Answer

1.This is correct. Collaborating with the client is an effective intervention that demonstrates an environment of mutual respect and helps establish a trusting relationship when working with a client with PTSD.
2.This is incorrect. The client should be told that hitting others is not acceptable, but the client has not received effective treatment if discharged from the hospital for hitting another client or a staff member. Aggression is a common symptom of PTSD. Collaborating with the client is an effective intervention that demonstrates an environment of mutual respect and helps establish a trusting relationship when working with a client with PTSD.
3.This is incorrect. Sadock and colleagues (2015) reported that little positive evidence exists concerning the use of antipsychotics in PTSD.
4.This is correct. Collaborating with the client is an effective intervention that demonstrates an environment of mutual respect and helps establish a trusting relationship when working with a client with PTSD. Evidence also supports that a group with other people who have experienced similar traumas is helpful in reducing the sense of isolation among those with PTSD.
5.This is incorrect. An antidepressant is not appropriate when the client begins to have a flashback of the trauma.

The Nurse Who Works on an Inpatient Psychiatric Unit Is