A nurse is caring for a client with OCD who is refusing to leave their room because they are afraid of contamination. Which of the following interventions should the nurse prioritize?

Encourage the client to talk about their fears.

Set limits on the client's behavior.

Assist the client in gradual exposure to feared situations.

Provide the client with relaxation techniques.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Encouraging the client to "talk about their fears" might be a beneficial intervention in some cases, but for individuals with OCD who are struggling with compulsive behaviors driven by their fears, directly addressing exposure to those fears is a more effective approach.

Choice B rationale:

While setting limits on the client's behavior is important, it may not be the priority in this situation. Instead, assisting the client in gradually confronting their fears through exposure therapy can help them develop healthier coping mechanisms.

Choice C rationale:

The correct response emphasizes gradual exposure therapy, a well-established approach in treating OCD. This intervention helps the client confront their fears in a controlled and systematic manner, leading to desensitization and reduction in their anxiety over time.

Choice D rationale:

Providing relaxation techniques can be helpful for managing anxiety, but for someone with OCD who is avoiding situations due to contamination fears, the primary intervention should focus on exposure therapy to address the specific OCD-related fears.

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Correct Answer is C

Explanation

Choice A rationale:

Encouraging suppression of the urge to pull hair might worsen the client's anxiety and tension associated with trichotillomania. This approach may not address the underlying issues and could lead to increased distress.

Choice B rationale:

Camouflaging hair loss can be a practical approach, but it does not address the compulsive behavior itself. It focuses on hiding the consequences of the disorder rather than addressing the core issue.

Choice C rationale:

Assisting the client in finding replacement behaviors is the most appropriate intervention. This approach helps redirect the urge to pull hair into healthier alternatives, helping the client manage the compulsive behavior in a constructive manner.

Choice D rationale:

Avoiding mirrors might be counterproductive. For some individuals with trichotillomania, avoiding mirrors might increase anxiety and preoccupation, as they may feel disconnected from their appearance. It's important to address the underlying behavior rather than avoiding triggers.

A. Sharing patient information without consent. B. Communicating treatment progress to the team. C. Referring the patient to support groups. D. Excluding the patient from treatment decisions. E. Coordinating medication adjustments.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale:

Sharing patient information without consent violates patient privacy and confidentiality. This goes against ethical and legal standards in healthcare.

Choice B rationale:

This is a correct choice. Communicating treatment progress to the healthcare team ensures everyone is informed and can provide coordinated care. Collaboration and information sharing are important for comprehensive patient management.

Choice C rationale:

Referring the patient to support groups is a collaborative action that can provide additional avenues of help and coping strategies. Support groups can offer a sense of community and understanding among individuals facing similar challenges.

Choice D rationale:

Excluding the patient from treatment decisions contradicts patient-centered care and shared decision-making principles. Collaboration involves involving the patient in their own care.

Choice E rationale:

Coordinating medication adjustments is a collaborative action as medications are often managed by healthcare professionals such as doctors or nurse practitioners. Adjustments should be made collectively to ensure the best outcome for the patient.

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A nurse is caring for a client with OCD who is refusing to leave their room because they are afraid of contamination. Which of the following interventions should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client with trichotillomania (hair-pulling disorder) What intervention would be most appropriate to include in the client's care plan?

Correct Answer is C

Explanation

(Select all that apply) A nurse is collaborating with other healthcare professionals to provide comprehensive care for a patient with OCD. Which actions should the nurse take as part of this collaboration?

Correct Answer is ["B","C","E"]

Explanation

A client is being evaluated for potential OCD. The nurse explains the differential diagnosis process. Which observation supports the diagnosis of OCD rather than another mental disorder?

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?

A nurse is educating a group of patients with OCD about their condition. Which information should the nurse include in the education session?

A client with OCD is concerned about the potential side effects of medication. The nurse explains that the choice of medication depends on several factors. Which factor is likely to influence the choice of medication for treating OCD?

A client with OCD expresses concerns about their medication. Which statement by the client indicates a need for further education?

A client with OCD is undergoing cognitive-behavioral therapy (CBT) The client asks the nurse, "How does exposure and response prevention work in treating OCD?" Which response by the nurse accurately explains this aspect of CBT?

A nurse is reviewing the medical record of a client with OCD. Which of the following findings is most likely to be present in the client's record?

(Select All That Apply):. A nurse is assessing a client with suspected OCD. Which statements accurately describe characteristics of OCDs that help differentiate them from other mental disorders? Select all that apply.