Author Question: A client diagnosed with posttraumatic stress disorder is experiencing insomnia. Which interventions ... (Read 144 times)

rlane42 · **on:** Jun 25, 2018

A client diagnosed with posttraumatic stress disorder is experiencing insomnia. Which interventions would be beneficial for this client?

Select all that apply.
A) Discuss the importance of exercise before sleep.
B) Instruct in relaxation techniques.
C) Encourage the use of sedatives.
D) Suggest daytime naps.
E) Coach in the use of guided imagery.

Question 2

The nurse is reviewing the effectiveness of care provided to a client diagnosed with posttraumatic stress disorder. Which outcomes would indicate the interventions in the plan of care have been effective?

Select all that apply.
A) The client takes a sedative at least 4 times a day.
B) The client has been sleeping throughout the night.
C) The client keeps all of the lights on at home.
D) The client verbalizes future plans with family and friends.
E) The client will not enter a car with fewer than three people.

yifu223 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, E

Insomnia is a common experience in clients with posttraumatic stress disorder. Relaxation techniques and guided imagery are just two therapies found to be beneficial in clients with this disorder. Daytime naps are to be avoided. Sedatives do not produce long-term relief from insomnia and should not be encouraged. Exercise before sleep would serve as a stimulant and should not be encouraged.

Answer to Question 2

Answer: B, D

Evidence of effective intervention for posttraumatic stress disorder would be the client being able to sleep throughout the night and verbalizing future plans with family and friends. The client who is unable to enter a car with fewer than three people, keeps all of the lights on in the home, or takes sedatives 4 times a day is exhibiting behavior that indicates interventions have not been successful.