A client diagnosed with posttraumatic stress disorder is readmitted for suicidal thoughts and continued trouble sleeping. She states that when she closes her eyes, she has vivid memories about being awakened at night. “My dad would be on top of me trying to have sex with me. I couldn't breathe.” Which of the following suggestions would be appropriate for the nurse to make for the insomnia? Select all that apply.
1. Trying relaxation techniques to help decrease her anxiety before bedtime.
2. Taking the quetiapine (Seroquel) 25 mg as needed as prescribed by the primary health care provider.
3. Staying in the dayroom and trying to sleep in the recliner chair near staff.
4. Listening to calming music as she tries to fall asleep.
5. Processing the content of her flashbacks no less than an hour before bedtime.
6. Leaving her door slightly open to decrease noise during the nightly checks.
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