When working with a client with posttraumatic stress disorder who has frequent flashbacks as well
as persistent symptoms of arousal,
effective nursing interventions would include (more than one
answer may be correct)
A. encouraging repression of memories associated with the traumatic event.
B. explaining that physical symptoms are related to the psychological state.
C. teaching stress management techniques.
D. discussing possible meanings of the event.
E. advising the use of alcohol as adjunctive sedation.
ANS:
B, C, D
Rationale: The goal of treatment for posttraumatic stress disorder is to come to terms with the event
rather than repress it; thus option D is correct and option A is incorrect. Option B will help the client
understand the mind-body relation and the fact that relaxation, breathing exercises, and imagery can
be helpful in symptom reduction (option C). Option E is inadvisable. Substance abuse is often a
comorbidity with posttraumatic stress disorder because the client seeks to self-medicate.
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