A nurse is caring for a newly admitted client who has obsessive-compulsive disorder and frequently performs ritualistic behaviors. The nurse should expect which of the following client responses if ritualistic behavior is restricted?

Replaces it with a different ritualistic behavior

Reports auditory hallucinations

Expresses relief from not having to perform the ritual

Experiences panic-level anxiety

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Replacing the ritual with a different ritualistic behavior is possible, but it does not necessarily predict the initial response when the restriction is first imposed.

Choice B rationale:

Reporting auditory hallucinations is not a typical response to restricting ritualistic behavior in someone with OCD.

Choice C rationale:

Expressing relief from not having to perform the ritual is unlikely, as ritualistic behaviors in OCD are often driven by distress and anxiety.

Choice D rationale:

If ritualistic behavior is restricted in an individual with obsessive- compulsive disorder (OCD), they may experience panic-level anxiety due to their inability to engage in their usual coping mechanism. OCD rituals are often performed to reduce anxiety, and restricting them can lead to increased distress.

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Correct Answer is C

Explanation

Choice A rationale:

Awakening the client frequently throughout the day is not necessary and can disturb their rest and comfort.

Choice B rationale:

Using an electric blanket can increase the risk of burns or overheating in a client who is approaching death and may have reduced ability to regulate body temperature.

Choice C rationale:

Positioning the client on their side with the head of the bed elevated can facilitate drainage of respiratory secretions, maintain airway patency, and provide comfort.

Choice D rationale:

Encouraging the client to eat soft foods intermittently may not be relevant, as the client's ability to eat and swallow may be limited in the end stages of life.

A. "My child should not receive the vaccine if she is allergic to eggs." B. "There is a series of three doses of the vaccine that my child will receive." C. "My child should not take aspirin for 6 weeks following vaccination." D. "The vaccine will be injected into the muscle of my child's upper arm."

Correct Answer is C

Explanation

Choice A rationale:

Allergic reactions to eggs are a concern with some vaccines, but the varicella vaccine is generally considered safe for children with egg allergies.

Choice B rationale:

The varicella vaccine is typically given in two doses, not three. Choice C rationale:

Children should avoid taking aspirin for about 6 weeks after receiving the varicella vaccine to reduce the risk of Reye's syndrome, a rare but serious condition associated with aspirin use during viral infections.

Choice D rationale:

The varicella vaccine is usually administered subcutaneously, not into the muscle.

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A nurse is caring for a newly admitted client who has obsessive-compulsive disorder and frequently performs ritualistic behaviors. The nurse should expect which of the following client responses if ritualistic behavior is restricted?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about palliative care to the family of a client who is approaching death. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is C

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