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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Diarrhea is not commonly associated with pramipexole use.

Choice B rationale:

Drowsiness is a common adverse effect of pramipexole and can impair the client's ability to perform tasks that require alertness.

Choice C rationale:

Tachypnea (rapid breathing) is not typically associated with pramipexole use.

Choice D rationale:

Bradycardia (slow heart rate) is not a common adverse effect of pramipexole.

A. Apply lotion to the incisional site twice daily. B. Avoid measuring blood pressure on the affected arm. C. Apply deodorant under the affected arm daily. D. Avoid lifting objects greater than 5.4 kg (12 lb).

Correct Answer is B

Explanation

Choice A rationale:

Applying lotion to the incisional site may not be recommended as it could potentially irritate the incision or interfere with wound healing.

Choice B rationale:

Avoiding blood pressure measurements on the affected arm is important to prevent compromising lymphatic flow and potentially exacerbating lymphedema, a common complication after a modified radical mastectomy.

Choice C rationale:

Applying deodorant under the affected arm is discouraged, as it may contain chemicals that could irritate the surgical area.

Choice D rationale:

While lifting heavy objects is generally discouraged after surgery, the specific weight mentioned (5.4 kg or 12 lb) is not consistently supported as a limitation in post- mastectomy care.

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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?

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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?