A client has been diagnosed with posttraumatic stress disorder (PTSD) because he experienced childhood sexual abuse (CSA) by his babysitter and her boyfriend from ages 4 to 10. He is admitted for the second time after physically assaulting a woman he said was a prostitute. “She is no better than my babysitter and deserves to be dead. I'd like to kill the sitter too.” With the knowledge of PTSD and CSA, which of the following nursing interventions should be implemented at admission? Select all that apply. 1. Institute precautions for suicide, assault, and escape.
2. Ask him to sign a no harm contract.
3. Provide safe outlets for his anger and rage.
4. Encourage him to express his attitude toward prostitutes during unit group sessions.
5. In one-to-one staff talks, encourage him to safely verbalize his anger toward his babysitter and her boyfriend.
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