A 35-year-old client with OCD spends several hours each day arranging and rearranging household items in a specific order. The client becomes extremely distressed if the items are not arranged correctly. Which nursing intervention is most appropriate?
Assist the client in developing a structured schedule for activities of daily living
Provide education about the irrationality of the behavior
Collaborate with the client to set realistic goals for behavior change
Encourage the client to resist the urge to rearrange items
The Correct Answer is C
A. A structured schedule may help with overall daily functioning, but it does not specifically address the compulsive behavior.
B. Educating the client about the irrationality of the behavior is unlikely to reduce the compulsions, as this is a hallmark of OCD, where the individual is often unable to control the urges despite understanding their irrationality.
C. Collaborating with the client to set realistic, gradual goals for changing the compulsive behavior is key in treating OCD. This approach allows the client to have input into their treatment plan and promotes realistic, achievable progress.
D. Encouraging the client to resist the urge to rearrange items without providing a structured approach may lead to increased anxiety and frustration. Gradual exposure and behavior modification are more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Blurred vision and ataxia are signs of lithium toxicity. The nurse should withhold the medication and notify the healthcare provider immediately for further evaluation.
B. Administering the next dose of lithium could worsen the toxicity, as these are early signs of lithium overdose.
C. Propranolol is used for controlling tremors or anxiety but does not address lithium toxicity.
D. Levothyroxine is used for thyroid dysfunction, which is not indicated by these symptoms.
Correct Answer is C
Explanation
A. Lorazepam is a benzodiazepine used for anxiety and agitation, but it is not typically used to treat mania.
B. Fluvastatin is a statin medication used to manage cholesterol, not a treatment for mania.
C. Carbamazepine is a mood stabilizer commonly used to treat mania in clients with bipolar disorder, helping to reduce the severity of manic episodes.
D. Propranolol is a beta-blocker used to manage symptoms of anxiety, but it is not used to treat the manic phase of bipolar disorder.
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