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.

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Correct Answer is A

Explanation

This technique is known as reﬂective listening or active listening, and it involves paraphrasing what the patient has said to show that the nurse is actively listening and trying to understand the patient's feelings and thoughts. It demonstrates empathy and helps to build trust between the nurse and patient.

Option b is not eﬀective because giving advice and opinion can convey a lack of interest in the patient's feelings and thoughts.

Option c is not ideal because it is a closed-ended question that may limit the patient's response.

Option d may also seem insincere and may not reﬂect a genuine interest in the patient's concerns.

A. "Let's talk more about the diﬀerent forms of complementary therapies." B. "l really don't know, you need to ask your health care provider about it" C. "If I were you, I would try anything that I could if I had cancer." D. "No, because complementary therapies always interact with the chemotherapy."

Correct Answer is A

Explanation

This response acknowledges the client's interest in complementary therapies and opens up a conversation about the diﬀerent types available. It also allows the nurse to provide education and information about the potential benefits and risks of complementary therapies and how they may interact with the planned treatment.

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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

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

Correct Answer is A

Explanation

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:

Correct Answer is A

Explanation

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

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