A nurse is developing a plan of care for a client who has obsessive-compulsive disorder.
Which of the following interventions should the nurse include?
Allow the client autonomy in scheduling daily activities.
Administer an antipsychotic medication to the client.
Provide ample time for rituals in the early treatment stages.
Initiate implosion therapy for the client.
The Correct Answer is A
Choice A rationale:
Clients with obsessive-compulsive disorder (OCD) often benefit from maintaining control over their daily activities and schedules. Allowing the client autonomy in scheduling activities can help them manage their symptoms while feeling in control.
Choice B rationale:
Antipsychotic medications are not the first-line treatment for OCD, and their use would depend on the presence of other coexisting conditions.
Choice C rationale:
Providing ample time for rituals may inadvertently reinforce the compulsive behaviors associated with OCD. Cognitive-behavioral therapy (CBT) with exposure and response prevention is the recommended treatment for OCD.
Choice D rationale:
Implosion therapy, also known as flooding, exposes the client to anxiety-provoking stimuli in a controlled and safe environment. However, it is not typically the first-line treatment for OCD and requires careful implementation under the guidance of a mental health professional.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Urine in acute glomerulonephritis often appears tea-colored or smoky due to hematuria.
Choice B rationale:
Hypertension is common in acute glomerulonephritis.
Choice C rationale:
Fluid retention and subsequent weight gain are common due to decreased kidney function.
Choice D rationale:
Hyponatremia is not typically associated with acute glomerulonephritis.
Correct Answer is D
Explanation
Choice A rationale:
Weight loss is not typically an expected manifestation following a total abdominal hysterectomy.
Choice B rationale:
Increased libido is not necessarily an expected manifestation following a total abdominal hysterectomy.
Choice C rationale:
Decreased menstrual bleeding is expected, as the uterus has been removed.
Choice D rationale:
Vaginal dryness is an expected manifestation following a total abdominal hysterectomy due to the removal of the ovaries, which produce hormones that contribute to vaginal lubrication.
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