A client who was held hostage during a recent war in the Middle East is diagnosed with posttraumatic stress disorder (PTSD). When developing a plan of care, the nurse should anticipate which nursing diagnosis as being appropriate for this client?
1. Disturbed body image related to trauma of imprisonment
2. Acute pain related to nerve damage secondary to torture
3. Self-care deficit related to refusal to bathe self
4. Anxiety related to flashbacks of torture
Answer: 4
1. Disturbed body image is not necessarily related to PTSD.
2. Acute pain is not necessary related to PTSD.
3. Self-care deficit is not necessarily related to PTSD.
4. Flashbacks cause extreme distress and anxiety in individuals with PTSD.
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