Difficulty: Medium
Average Score: 68%
Simulated
A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?
Correct answer
C
Rationale
The correct answer is C: Provide a structured environment with predictable routines and consistent staff. This intervention is most appropriate for a client with PTSD experiencing exaggerated startle response, paranoia, and hypervigilance. A structured environment creates a sense of safety and security, helping to reduce anxiety and paranoia. Predictable routines can help the client feel more in control and less overwhelmed by unexpected triggers. Consistent staff members build trust and familiarity, which can decrease hypervigilance and paranoia.
Other choices are incorrect because:
A: Referring the client to a support group may be beneficial, but it does not directly address the client's immediate needs related to exaggerated startle response, paranoia, and hypervigilance.
B: Mindfulness meditation may help with overall anxiety management but may not be as effective in addressing the specific symptoms mentioned.
D: Administering sedative medication as needed may provide temporary relief but does not address the underlying issues or promote long-term coping strategies
Other choices are incorrect because:
A: Referring the client to a support group may be beneficial, but it does not directly address the client's immediate needs related to exaggerated startle response, paranoia, and hypervigilance.
B: Mindfulness meditation may help with overall anxiety management but may not be as effective in addressing the specific symptoms mentioned.
D: Administering sedative medication as needed may provide temporary relief but does not address the underlying issues or promote long-term coping strategies