A nurse is caring for a client with OCD who has a compulsion to wash their hands repeatedly. Which of the following interventions should the nurse prioritize?

Teach the client relaxation techniques.

Encourage the client to talk about their thoughts and feelings.

Assist the client in developing a hierarchy of feared situations.

Praise the client for decreasing the frequency of handwashing.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Teach the client relaxation techniques. While teaching relaxation techniques can be beneficial, it may not directly address the client's compulsion to wash their hands repeatedly. OCD involves managing distressing thoughts and compulsions through specific interventions.

Choice B rationale:

Encourage the client to talk about their thoughts and feelings. While promoting open communication is generally important, it may not be the most effective intervention for directly addressing the client's compulsion to wash their hands. OCD interventions often involve exposure and response prevention strategies.

Choice C rationale:

Assist the client in developing a hierarchy of feared situations. This is the correct answer. Helping the client develop a hierarchy of feared situations is a key intervention in addressing OCD. This approach is part of exposure and response prevention therapy, where clients gradually face their fears without engaging in compulsive behaviors.

Choice D rationale:

Praise the client for decreasing the frequency of handwashing. While positive reinforcement can be useful, it may not be the priority intervention for someone with OCD. The focus should be on structured interventions that challenge and reduce the compulsive behaviors over time.

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Correct Answer is B

Explanation

Choice A rationale:

Taking the SSRI in the morning might be recommended to mitigate potential sleep disturbances related to the medication. However, the client's reported difficulty sleeping is likely influenced by factors beyond the timing of medication administration.

Choice B rationale:

The correct response addresses lifestyle modifications that can improve sleep quality. Caffeine and alcohol are known to disrupt sleep, especially when taken close to bedtime. Avoiding these substances can promote better sleep for the client.

Choice C rationale:

Regular exercise can indeed contribute to improved sleep, but its effect might vary for individuals. While exercise can be part of a healthy routine, it might not directly address the client's reported difficulty sleeping due to the SSRI.

Choice D rationale:

Taking a warm bath before bed can promote relaxation and potentially aid in sleep, but it might not be as effective in resolving the client's specific sleep problems related to SSRI use.

A. "Medication will provide immediate relief from all symptoms.” B. "Medication can help modify your self-image and values.” C. "Medication may reduce the severity of your obsessions and compulsions.” D. "Medication will eliminate the need for any psychotherapeutic interventions.”

Correct Answer is C

Explanation

Choice A rationale:

The statement that medication will provide immediate relief from all symptoms is an overgeneralization. While medication can help alleviate symptoms, the relief might not be immediate and might not cover all symptoms comprehensively.

Choice B rationale:

Medication modifying self-image and values is not a recognized benefit of pharmacological treatment for OCD. This choice does not align with the established mechanisms of action of the medications used for OCD.

Choice C rationale:

The correct answer. Medication's potential to reduce the severity of obsessions and compulsions is a relevant benefit to highlight. While it might not eliminate symptoms entirely, it can make them more manageable and improve the individual's overall quality of life.

Choice D rationale:

The statement that medication will eliminate the need for any psychotherapeutic interventions is overly optimistic. A comprehensive treatment approach for OCD often includes a combination of medication and psychotherapy for optimal results.

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A nurse is caring for a client with OCD who has a compulsion to wash their hands repeatedly. Which of the following interventions should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with OCD who is taking a selective serotonin reuptake inhibitor (SSRI) The client reports that they are having difficulty sleeping. Which of the following interventions should the nurse recommend?

Correct Answer is B

Explanation

A client with OCD is hesitant about taking medication. Which potential benefit of pharmacological treatment could the nurse emphasize to encourage the client?

Correct Answer is C

Explanation

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