Author Question: Nurses in the medical centre are working with patients experiencing post-traumatic stress disorder ... (Read 41 times)

Alygatorr01285 · **on:** Jul 22, 2018

Nurses in the medical centre are working with patients experiencing post-traumatic stress disorder (PTSD) after losing family members from severe acute respiratory syndrome.

Which of the following approaches would be appropriate to incorporate into the plan of care? a. Suppression of anxiety-producing memories
b. Reinforcement that the PTSD is short term
c. Promotion of relaxation strategies
d. Focusing on physical needs

Question 2

The client is leaving for surgery, and because of preoperative sedation, needs complete assistance to transfer from the bed to the stretcher. Which of the following should be the nurse's first action?

a. Elevate the head of the bed.
b. Explain the procedure to the client.
c. Place the client in the prone position.
d. Assess the situation for any potentially unsafe complications.

zogaridan · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C

Feedback
A Suppression would be a maladaptive coping mechanism.
B PTSD is not a short-term problem but a long-term one.
C Teaching the patient relaxation strategies can help reduce the stress of anxiety-provoking thoughts and events, as seen in PTSD, and reinforces an adaptive coping strategy. In the presence of anxiety-provoking thoughts and events, a common physiological symptom is muscle tension. Physiological tension will be diminished through a systematic approach to releasing tension in major muscle groups.
D The focus should be on developing adaptive coping mechanisms and lowering the individual's anxiety. The primary focus is not on physical needs for the patient who is experiencing PTSD.

Answer to Question 2

D
Before transferring the client from the bed to the stretcher, the nurse should first assess the situa-tion for any potentially unsafe complications. The nurse should request help to reduce the risk of injury to himself or herself and the client.
The head of the bed should be at the same level as the head of the stretcher. The nurse should first assess the safety of the situation before changing the height of the head of the bed.
The client has had preoperative sedation, which may impair his or her cognition. The nurse should simplify instructions when explaining the procedure to the client, but this should be done immediately before transferring the client. The nurse should first assess the situation for any po-tentially unsafe complications.
The sedated client is transferred most easily in the supine position, unless contraindicated. The nurse should first assess the situation for any potential unsafe complications.