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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Disulfiram is a medication used in the treatment of alcohol addiction. It works by causing unpleasant symptoms, such as nausea and vomiting, when alcohol is consumed. This medication is only eﬀective if the client abstains from alcohol consumption while taking it. If the client consumes alcohol while taking disulfiram, they will experience severe adverse eﬀects, including nausea and vomiting, which can be a sign of a severe reaction. Therefore, it is crucial for the nurse to suspect that the client's distress is likely caused by consuming alcohol while taking disulfiram.

Option a is incorrect because nausea and vomiting are not common side eﬀects of disulfiram.

Option c is incorrect because the question does not provide any information suggesting an allergic reaction.

Option d is incorrect because an overdose of disulfiram would not likely cause nausea and vomiting as severe as those reported by the client.

A. Monitor closely for opioid overdose. B. Monitor closely for harm to a family member. C. Monitor closely for severe anxiety and stress. D. Monitor closely for using Methamphetamines.

Correct Answer is C

Explanation

When a client is admitted with an involuntary status, it means that the client did not consent to the admission and was likely admitted due to being a danger to themselves or others. This can lead to increased stress and anxiety for the client, so the nurse should closely monitor the client for signs of severe anxiety and stress.

Options a, b, and d are not appropriate interventions for a client admitted with an involuntary status.

Option a is more appropriate for a client with a history of opioid use.

Option b is more appropriate for a client with a history of violence or aggression towards family members.

Option d is more appropriate for a client with a history of methamphetamine use.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the Client’s distress?

Correct Answer is B

Explanation

When reviewing the admission assessment, the Registered nurse notes that a client was admitted to the mental health unit with involuntarily status. Based on this type of admission, the registered nurse should provide which intervention for this client? Select one:

Correct Answer is C

Explanation

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

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:

A registered nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply).

A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms? Select one:

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply. Select one or more:

A single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away 2 weeks ago. The parent seeks the help of a therapist specializing in cognitive therapy. The psychotherapist who uses cognitive therapy will treat the client by: Select one:

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:

A nurse is communicating with a client who was just admited for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? Select one: