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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.
A. Asymmetric lesions with variegated (multiple) colors are characteristic features of melanoma, a type of skin cancer. Asymmetry means one half of the lesion does not match the other half in size, shape, or color.
B. Scaly and red lesions may indicate other skin conditions such as eczema or psoriasis but are not specific to skin cancer.
C. Brown lesions with a wart-like texture may indicate seborrheic keratosis, a benign skin growth, rather than skin cancer.
D. Firm and rubbery lesions may indicate benign skin tumors such as fibromas or lipomas, rather than skin cancer.
Correct Answer is C
Explanation
A. Arterial blood gases - Arterial blood gases are not typically assessed before initiating lithium carbonate therapy.
B. Total cholesterol - Total cholesterol levels are not specifically relevant to monitoring lithium therapy.
C. Thyroid hormones - Thyroid function should be assessed before initiating lithium therapy because lithium can affect thyroid function, potentially leading to hypothyroidism.
D. Hemoglobin - While hemoglobin levels may be monitored during lithium therapy, they are not typically assessed prior to initiating treatment.
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