A client, who is newly admitted with Obsessive-Compulsive Disorder, washes their hands ritualistically before any activity. They arrive late to meals and does not have time to finish eating. The appropriate nursing action would be to:
interrupt the handwashing and insist the client come to meals with everyone else.
provide the client's meals later and after the other clients have eaten.
notify the client when it is 30 minutes before the meal so they can begin their handwashing.
allow the client to continue as is but provide them access to the kitchen.
The Correct Answer is D
a. Interrupt the handwashing and insist the client come to meals with everyone else. Interrupting ritualistic behaviors abruptly can increase distress and is not recommended. It may also reinforce the belief that the ritual is necessary.
b. Provide the client's meals later and after the other clients have eaten. This is not appropriate as it accommodates the OCD behavior and disrupts the mealtime routine for other clients.
c. Notify the client when it is 30 minutes before the meal so they can begin their handwashing. This is not appropriate as it enables the ritualistic behavior and may lead to increased anxiety if the client feels rushed to complete their ritual.
d. Allow the client to continue as is but provide them access to the kitchen. This is correct because it respects the client's autonomy while also providing an opportunity for gradual exposure therapy, where the client can work with the nurse to gradually reduce the time spent on rituals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Zalepion: Zalepion is a hypnotic agent used for the short-term treatment of insomnia. It is not used to treat cognitive impairment in Alzheimer's disease.
b. Donepezil: Donepezil is a cholinesterase inhibitor commonly prescribed to manage symptoms of Alzheimer's disease. It works by increasing the levels of acetylcholine in the brain, which can help improve cognitive function and slow the progression of symptoms
c. Nortriptyline: Nortriptyline is a tricyclic antidepressant, not typically used for cognitive impairment in Alzheimer's disease.
d. Quetiapine: Quetiapine is an antipsychotic medication used to treat mood disorders and schizophrenia. It is not primarily used for treating cognitive impairment in Alzheimer's disease
Correct Answer is D
Explanation
a. Encourage the client to ignore these thoughts and feelings: This invalidates the client's experience and might hinder the therapeutic relationship.
b. Promote safety and immediately terminate the relationship with the client: Termination is a last resort, and transference can be a valuable tool for therapy if addressed constructively.
c. Immediately reassign the client to another staff member: This avoids the issue and doesn't address the underlying cause of transference.
d. Help the client to clarify the meaning of the relationship, based on the present situation. (Correct) Transference is a phenomenon where a client unconsciously redirects emotions and feelings from significant figures in their past onto the nurse. A therapeutic response involves acknowledging these feelings and helping the client explore them in a safe and supportive environment
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