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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Helping the client identify anxiety triggers is a crucial step in managing chronic anxiety. This allows the client to develop coping strategies and minimize stressors.

B. Repressing feelings of anxiety is not a healthy coping mechanism. Acknowledging and addressing anxiety through appropriate strategies is essential.

C. While contacting a counselor is beneficial, weekly contact is not typically needed for chronic anxiety management unless specified by the care plan.

D. It is unrealistic to eliminate all stress and anxiety. The goal is to manage and cope with these feelings, not to eliminate them completely.

A. Panic B. Moderate C. Mild D. Severe

Correct Answer is A

Explanation

A. The client’s physical symptoms (chest pain, headache, shortness of breath) and statements about not understanding why his wife left indicate a panic level of anxiety, which is marked by intense physical and emotional distress.

B. Moderate anxiety involves increased nervousness or slight discomfort but does not cause the severe physical symptoms seen in panic anxiety.

C. Mild anxiety presents with slight restlessness or tension, without significant physical symptoms.

D. Severe anxiety would involve significant impairment in thinking or perception but is more focused on a sense of being overwhelmed or immobilized, rather than exhibiting full panic symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?

Correct Answer is A

Explanation

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

Correct Answer is A

Explanation

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