A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?

"Ask a family member to check the locks for you at night.".

"Keep a journal of how often you check the locks each night.".

"Snap a rubber band on your wrist when you think about checking the locks.".

"Focus on abdominal breathing whenever you go to check the locks.".

Answer and Explanation

The Correct Answer is C

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Correct Answer is C

No explanation

A. Document the client's behavior every 15 min. B. Obtain the provider's prescription within 60 min. C. Offer the client food and fluids every 2 hr. D. Monitor the client's vital signs every 4 hr.

Correct Answer is B

Explanation

Choice A rationale:

Documenting the client's behavior every 15 minutes is a valid nursing action when a client is placed in seclusion. However, it is not the most critical step to take in this situation. The safety and well-being of the client and staff are paramount, and obtaining the provider's prescription is more crucial.

Choice B rationale:

The correct choice. Obtaining the provider's prescription within 60 minutes is essential when a client is placed in seclusion. Seclusion is an intervention that restricts the client's freedom, and it should only be done under the supervision of a licensed healthcare provider. The nurse must obtain a prescription for this intervention as soon as possible to ensure that the client's rights and safety are respected.

Choice C rationale:

Offering the client food and fluids every 2 hours is a valid nursing action in a seclusion situation. However, it is not the most immediate priority. Obtaining the provider's prescription takes precedence to ensure the appropriateness of the intervention.

Choice D rationale:

Monitoring the client's vital signs every 4 hours is an important nursing action, but it is not the primary step to take immediately after placing a client in seclusion. Obtaining the provider's prescription is more urgent to ensure the legality and appropriateness of the intervention.

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A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?

Nursing Test Bank

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Explanation

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