A 73-year-old patient presents at a veteran’s mental health clinic and reports having frequent nightmares that disturb their sleep.

A 73-year-old patient presents at a veteran’s mental health clinic and reports having frequent nightmares that disturb their sleep. The patient experienced combat during the Vietnam War and states that the nightmares stem from this experience. The patient also reports a pervasive distrust of others, an inability to be happy, feeling angry most of the time, poor concentration, frequently feeling on edge, and angry outbursts. The patient avoids gun ranges, fireworks displays, and other places with loud noises. The patient has a few veteran friends but no other social contacts. The patient reports feeling “weak” for asking but requests a month’s supply of a sleep aid. The nurse practitioner provides a short-term prescription. The patient declines further medication management visits, fearing judgment from others. Given the patient’s concerns and suspected diagnosis, which of the following interventions is most appropriate? Recommending peer support Referring to a crisis line Referring to primary care Requiring additional visits.

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