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?
Confront the client about the senseless nature of repetitive behaviors.
Isolate the client for a period of time.
Plan the client's schedule to allow time for rituals.
Set very strict limits on the behaviors so that the client can conform to the unit rules and schedules.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Clonazepam is a benzodiazepine medication that acts quickly to reduce anxiety and promote relaxation. It is commonly used as a PRN medication for acute anxiety episodes.
Amitriptyline (Elavil) is a tricyclic antidepressant that is not typically used as an as-needed anxiolytic medication due to its slow onset of action and potential for side effects.
Olanzapine (Zyprexa) is an atypical antipsychotic medication that can be used to treat anxiety in certain cases, but it is not typically used as a PRN medication for acute anxiety episodes.
Escitalopram (Lexapro) is a selective serotonin reuptake inhibitor (SSRI) antidepressant that is not typically used as an as-needed anxiolytic medication due to its slow onset of action. It is usually taken on a daily basis to provide ongoing anxiety relief.
Correct Answer is A
Explanation
This response acknowledges the client's request for the forms while also addressing the need to discuss the client's decision to leave treatment. It provides an opportunity for the nurse to explore the client's reasons for wanting to leave, discuss the potential consequences of leaving against medical advice, and address any concerns or fears the client may have about continuing treatment.
Option b is not appropriate because it does not address the potential risks associated with leaving treatment against medical advice.
Option c is also not appropriate because it does not acknowledge the client's request and is potentially misleading.
Option d is not appropriate because it does not address the client's reasons for wanting to leave or the potential consequences of leaving against medical advice.
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