The nurse is caring for a client who suffers from post-traumatic stress disorder (PTSD) following the loss of her husband and children in an automobile accident while they were on a family vacation. Which interventions by the nurse are appropriate for this client?
assist the client to develop adequate coping techniques
encourage the client to try different relaxation techniques
listen to the client in a supportive and nonjudgmental manner
allow the client a safe and secure environment to express her feelings
encourage the client to avoid going out in public until she has worked through all the stages of grief
Numbers 1, 2, 3, and 4 are correct.
Rationale: There are several nursing interventions to help the client suffering from PTSD. Most clients will require a combination of different techniques to maximize coping skills. Every client is different, and some clients will try many techniques before finding what works best for them. The nurse should help the client develop adequate coping techniques and practice using a variety of techniques. The client should also be encouraged to try relaxation techniques. Listening to the client in a supportive and nonjudgmental manner paves the way for therapeutic communication and offers a safe environment for the client. A client who does not feel as if the environment is safe and secure is less likely to express her feelings and may delay her progress. There is no need for the client to wait until she has worked through all the stages of grief before going out in public; doing so may delay healing and keeps the client from attending to the necessary duties of everyday life, such as working, shopping for food, and keeping physician appointments.
