A psychiatric nurse assesses a client who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder (OCD)?
Select one:

l keep reliving a car accident."

My legs often feel weak and spastic."

I am embarrassed to go out and speak in public."

l check where my car keys are eight times."

Answer and Explanation

The Correct Answer is D

This comment indicates the possibility of obsessive-compulsive disorder (OCD) because it describes a repetitive behavior that may be a compulsion. Compulsions are repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly. In this case, the individual’s compulsion may be to repeatedly check the location of their car keys in order to reduce anxiety or distress.

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Correct Answer is C

Explanation

When caring for a client with obsessive-compulsive disorder (OCD), it is important for the nurse to understand that the client’s compulsive behaviors are a way for them to manage their anxiety and distress. Rather than trying to confront or eliminate these behaviors, the nurse should work with the client to develop a schedule that allows time for their rituals while also incorporating other activities and treatments.

Option a. Confront the client about the senseless nature of repetitive behaviors is not a helpful intervention because it may increase the client’s anxiety and distress.

Option b. Isolate the client for a period of time is not a helpful intervention because it does not address the underlying causes of the client’s compulsive behaviors.

Option d. Set very strict limits on the behaviors so that the client can conform to the unit rules and schedules is not a helpful intervention because it may increase the client’s anxiety and distress and may interfere with their ability to participate in treatment.

A. Pulse rate: 55 beats/min B. Serum potassium: 3.5 mEq/L C. Systolic blood pressure: 62 mm Hg D. urine output: 90 ml/3 hr.

Correct Answer is C

Explanation

A systolic blood pressure of 62 mm Hg indicates severe hypotension and is a medical emergency. This is a life-threatening situation that requires immediate hospitalization for stabilization and treatment. Clients with eating disorders are at risk of electrolyte imbalances, cardiac complications, and other medical complications due to malnutrition and dehydration. While the other options are also abnormal findings, they are not as severe as the critically low blood pressure measurement. Therefore, the priority for hospitalization would be the client with severe hypotension.

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A psychiatric nurse assesses a client who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder (OCD)? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A registered nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?

Correct Answer is C

Explanation

Which assessment finding for a client diagnosed with an eating disorder meets a criterion for hospitalization? Select one:

Correct Answer is C

Explanation

The nurse provides care for a client with anorexia nervosa. The nurse knows which statements aretrue regarding anorexia nervosa?

A client is agitated and pacing in the hall near the nurses' station and swearing loudly. What response is the best for the registered nurse to provide? Select one:

Which technique will best communicate to a patient that the registered nurse is interested in listening?

A 26-month-old child displays many negative behaviors. The parent says, "My child refuses toilet training and shouts, 'No, no, no!' when given directions. What do you think is wrong?" Select the registered nurse's best reply: Select one:

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A patient who is experiencing moderate anxiety says, "l feel undone." An appropriate response for the registered nurse who needs clarification would be: Select one:

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "l have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement? Select one:

Group therapy is encouraged but not mandatory. on an inpatient psychiatric unit, the unit manager's policy is that clients can make a choice about whether or not to attend group therapy. Which ethical principle does the unit manager preserve?

A psychiatric nurse assesses a client who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder (OCD)?
Select one: