A nurse in a residential mental health facility is planning care for a new client who has obsessive-compulsive disorder (OCD). Which of the following is appropriate for the nurse to include in the plan of care?

Work with the client to create a flexible daily schedule.

Gradually decrease the time allowed for ritualistic behavior.

Offer solutions to assist in problem-solving.

Teach the client to meditate about obsessive thoughts.

Answer and Explanation

The Correct Answer is B

A. While creating a flexible daily schedule may be helpful, it does not directly address the core symptoms of OCD.

B. Gradually decreasing the time allowed for ritualistic behavior is a common technique used in exposure and response prevention therapy, which is an evidence-based treatment for OCD.

C. Offering solutions for problem-solving may be helpful in general, but it may not directly address the specific symptoms of OCD.

D. While meditation can be beneficial for managing stress and anxiety, it may not specifically address the compulsive thoughts and behaviors characteristic of OCD.

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Correct Answer is B

Explanation

A. An air leak noted at the insertion site would result in continuous bubbling in the water seal chamber, not the absence of tidaling.

B. If the tubing is kinked or obstructed, it can prevent the movement of air in and out of the water seal chamber, leading to the absence of tidaling.

C. If water needs to be added to the suction-control chamber, this would affect the level of suction, not the tidaling in the water seal chamber.

D. If the suction is set too low, it would not necessarily affect the tidaling in the water seal chamber; instead, it would result in inadequate drainage or lack of suction.

A. INR 1.1 B. Hyperemesis C. HbA1C 5.6% D. Uncontrolled pain

Correct Answer is B

Explanation

- A: An INR of 1.1 is within the normal range, indicating normal blood clotting ability, which is essential for wound healing. A normal INR does not pose a risk for delayed wound healing.
- B: Hyperemesis can lead to dehydration and malnutrition, both of which are detrimental to wound healing. Dehydration reduces blood volume and flow, impairing the delivery of oxygen and nutrients to the wound site, while malnutrition can weaken the immune response and the formation of new tissue.
- C: An HbA1C level of 5.6% is at the high end of the normal range and does not typically indicate diabetes or impaired glucose control, which are risk factors for delayed wound healing.
- D: While uncontrolled pain can be a concern for patient comfort and may indirectly affect wound healing by reducing mobility, it is not a direct risk factor for delayed wound healing like hyperemesis is.

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A nurse in a residential mental health facility is planning care for a new client who has obsessive-compulsive disorder (OCD). Which of the following is appropriate for the nurse to include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the recovery room is assessing a client who has a new chest tube. The nurse finds that the water seal is no longer tidaling. The nurse should identify the finding as resulting from which of the following?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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