What intervention should a nurse include in a care plan for a client with posttraumatic stress disorder (PTSD)?

Assigning the same staff to care for a client with posttraumatic stress disorder (PTSD) is an important intervention as it helps to establish a sense of safety and consistency, which is crucial for someone who has experienced trauma. Predictable relationships with caregivers can foster trust and provide the client with a stable support system, reducing anxiety related to unpredictability and new interactions.

Maintaining consistent caregivers allows the nursing staff to build rapport with the client, facilitating better communication and understanding of the client’s unique needs and triggers. This consistency can contribute to a feeling of security, which is vital in the therapeutic process for those with PTSD. The familiarity of staff helps create an environment where the client may feel more comfortable discussing their feelings and experiences when they choose to do so.

In contrast, encouraging the client to share traumatic experiences at will can lead to emotional distress without adequate support or readiness from the client. Allowing clients to manage their schedules independently could be overwhelming and may not adhere to the structured routine that can be beneficial in managing symptoms. Reducing staff interactions might minimize stress in the short term, but it can also contribute to feelings of isolation and hinder the development of a therapeutic relationship.