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 C

Explanation

Choice A rationale:

Decreased muscle mass can be a normal age-related change in older adults and is not necessarily indicative of elder maltreatment.

Choice B rationale:

White circles surrounding the cornea (arcus senilis) is a common age- related finding and is not necessarily indicative of elder maltreatment.

Choice C rationale:

The presence of urine odor on the client's clothes could indicate neglect or inadequate care and should be further investigated.

Choice D rationale:

Nodules on the metacarpal joints may be related to osteoarthritis, which is a common condition in older adults and may not necessarily indicate elder maltreatment.

A. Adventitious crisis B. Psychopathologic crisis C. Psychiatric emergency D. Situational crisis

Correct Answer is D

Explanation

Choice A rationale:

An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.

Choice B rationale:

Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.

Choice C rationale:

A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.

Choice D rationale:

A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an admission assessment for an older adult client. The nurse should identify that which of the following findings is a manifestation of possible elder maltreatment?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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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?