When giving a community lecture about posttraumatic stress ...

[bobypop]

When giving a community lecture about posttraumatic stress disorder (PTSD) for clients and their families, a nurse would include which of the following topics for discussion? Select all that apply.
 
  A) Daily use of a sedative will assist with rest and sleep.
  B) Try to identify triggers that lead to reexperiencing the trauma.
  C) Find people who can assist with watching the client during stressful periods.
  D) Try various treatment options if one does not help.
  E) Do not discuss smoking cessation techniques if the client is stressed.

Question 2

To promote sleep hygiene, a nurse should encourage a client with posttraumatic stress disorder (PTSD) to incorporate which of the following strategies into his routine? Select all that apply.
 
  A) Go to bed at a regular time nightly.
  B) Sleep in during the mornings when he had a restless night of sleep.
  C) Avoid drinking alcohol before bedtime.
  D) Enjoy a cup of caffeinated tea in the midafternoon if he gets sleepy.
  E) Exercise within 2 hours of bedtime to make him tired and enable him to fall to sleep faster.

[katheyjon]

Answer to Question 1

Ans: B, D
When caring for a client with a PTSD, be sure to include the following topic areas in the teaching plan:
 Identification of individual triggers and cues that lead to reexperiencing trauma
 Safety plans for stressful periods
 Recovery plans that focus on personal strengths
 Risk factors for reoccurrence of symptoms
 Various treatment options: if one does not help, others exist
 Avoid substances such as alcohol and drugs
 Nutrition
 Exercise
 Sleep hygiene
 Follow-up appointments
 Community services

Answer to Question 2

Ans: A, C
Some persons with PTSD find that they cannot sleep in their bed but can sleep in a chair. Some of the following strategies may be helpful: Establish and maintain a regular bedtime and rising time. Avoid naps. Abstain from alcohol. (Although alcohol may assist with sleep onset, an alerting effect occurs when it wears off.) Refrain from caffeine after midafternoon. Avoid nicotine before bedtime and during the night. Caffeine and nicotine are strong stimulants and cause fragmented sleep. Exercise regularly, avoiding the 3 hours before bedtime.

[bobypop]

Excellent

[elyse44]

TYSM