A nurse observes a client who has Obsessive-Compulsive Disorder (OCD) repeatedly applying, removing, and then reapplying makeup.
The nurse identifies that repetitive behavior in a client with OCD is due to which of the following underlying reasons?

Fear of rejection from staff.

Narcissistic Personality Disorder.

A side effect of antidepressant medication.

Attempt to reduce anxiety.

Answer and Explanation

The Correct Answer is D

Choice A rationale: Fear of rejection from staff is not typically a driving factor for the repetitive behaviors seen in OCD. While social anxiety can be a component of many mental health disorders, the compulsions in OCD are usually driven by intrusive thoughts or fears that are specific to the individual, rather than fears about social rejection.

Choice B rationale: Narcissistic Personality Disorder (NPD) is a separate condition from OCD. While individuals with NPD may exhibit certain repetitive behaviors, these are typically driven by a need for admiration and a lack of empathy for others, rather than the intrusive thoughts and fears that drive the compulsions in OCD12.

Choice C rationale: While certain medications can have side effects that might cause unusual behaviors, the repetitive behaviors (compulsions) seen in OCD are not typically a side effect of antidepressant medications. In fact, certain types of antidepressants are often used in the treatment of OCD12.

Choice D rationale: The repetitive behaviors observed in individuals with OCD, such as repeatedly applying, removing, and reapplying makeup, are indeed attempts to reduce anxiety. These individuals experience intrusive thoughts, fears, or images (obsessions) that cause significant anxiety. The repetitive behaviors (compulsions) are performed in an attempt to alleviate the distress caused by these obsessions. Despite the temporary relief, the individual often ends up trapped in a cycle of obsessions and compulsions.

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Correct Answer is ["1.5"]

Explanation

Step 1 is to determine the total amount of medication needed, which is 300 mg.

Step 2 is to determine the amount of medication available per tablet, which is 200 mg.

Step 3 is to calculate the number of tablets needed by dividing the total amount of medication needed by the amount available per tablet.

So, the calculation is: 300 mg ÷ 200 mg/tablet = 1.5 tablets Therefore, the nurse should administer 1.5 tablets.

A. Released the client's information without proper authorization. B. Avoided charges of malpractice. C. Demonstrated the duty to warn and protect. D. Violated the patient's privacy and confidentiality.

Correct Answer is C

Explanation

Choice A rationale:

While it's true that the nurse has released the client's information without their explicit consent, this action is justified under the duty to warn and protect.

This duty supersedes the general obligation to maintain confidentiality when there's a serious and imminent threat to identifiable individuals or the public.

In this case, the client's verbal threat to bomb a local church constitutes a credible and foreseeable risk of harm, necessitating the breach of confidentiality to protect potential victims.

Choice B rationale:

Although the nurse's actions may help to avoid malpractice charges by demonstrating responsible care and adherence to ethical obligations, this is not the primary reason for notifying the minister.

The primary goal is to avert harm and fulfill the duty to warn, not to shield oneself from legal liability.

Choice C rationale:

This is the correct answer. The nurse has acted in accordance with the duty to warn and protect, which is a legal and ethical obligation in healthcare.

This duty mandates that healthcare professionals take reasonable steps to warn potential victims and protect the public when a patient communicates a serious threat of harm.

Choice D rationale:

While confidentiality is a cornerstone of healthcare ethics, it's not absolute.

The duty to warn and protect allows for limited breaches of confidentiality when necessary to prevent serious harm, as in this case.

The nurse's actions align with ethical principles and legal requirements, even though they involve disclosing confidential information.

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A nurse observes a client who has Obsessive-Compulsive Disorder (OCD) repeatedly applying, removing, and then reapplying makeup.The nurse identifies that repetitive behavior in a client with OCD is due to which of the following underlying reasons?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer clozapine 300 mg PO daily to a client who has schizophrenia. The amount available is clozapine 200 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies.Do not use a trailing zero.).

Correct Answer is ["1.5"]

Explanation

A client with paranoid schizophrenia believes evil spirits are being summoned by a local minister and verbally threatens to bomb a local church.The psychiatric nurse notifies the local minister.The psychiatric nurse has:

Correct Answer is C

Explanation

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A nurse observes a client who has Obsessive-Compulsive Disorder (OCD) repeatedly applying, removing, and then reapplying makeup.
The nurse identifies that repetitive behavior in a client with OCD is due to which of the following underlying reasons?