A nurse is contributing to the plan of care for a client who has obsessive-compulsive disorder (OCD) regarding brushing his teeth. The client brushes his tongue several times a day and has developed several ulcerations. Which of the following interventions should the nurse identify as a priority?
Provide information on stress reduction methods.
Assist the client to identify triggers to obsessive behaviors.
Speak to the client in a calm and soothing manner.
Assist the client in identifying his anxiety level.
The Correct Answer is B
Choice A reason: While providing information on stress reduction is helpful, it is not the immediate priority.
Choice B reason: Assisting the client to identify triggers is a priority as it directly addresses the cause of the OCD behaviors.
Choice C reason: Speaking to the client in a calm manner is supportive but does not address the underlying OCD behaviors.
Choice D reason: Identifying anxiety levels can be part of the intervention, but it is not as specific as identifying triggers for the OCD behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This question assesses abstract thinking and judgment by asking the client to consider a hypothetical situation and propose a solution.
Choice B reason: Asking about the city of birth is a fact-based question and does not assess abstract thinking or judgment.
Choice C reason: Inquiring about breakfast is a recall question and does not evaluate abstract thinking or judgment.
Choice D reason: Asking who the president is tests knowledge of current events, not abstract thinking or judgment.
Correct Answer is D
Explanation
Choice A reason: Getting plenty of outdoor exercise all year is beneficial for overall health but does not specifically prevent Raynaud's attacks, especially in cold weather.
Choice B reason: Keeping affected body areas covered, especially in cold weather, helps prevent Raynaud's attacks by maintaining warmth.
Choice C reason: Taking vasopressors is not a measure to prevent Raynaud's attacks; vasopressors could potentially worsen the condition by causing further vasoconstriction.
Choice D reason: Avoiding stimulation that causes vasoconstriction, such as stress and cold temperatures, is key to preventing Raynaud's attacks.
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