A registered nurse is caring for a client who has been diagnosed with obsessive-compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

Decrease anxiety to a tolerable level.

Focus attention on meaningful tasks,

Limit the amount of time available to interact with others.

Manipulate and control others' behaviors.

Answer and Explanation

The Correct Answer is A

Individuals with OCD often engage in compulsive behaviors as a way to reduce anxiety or distress. In this case, the client’s behavior of constantly picking up after others in the day room may be a compulsion that helps them decrease their anxiety to a tolerable level.

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Correct Answer is D

Explanation

A full bladder can help improve the quality of an abdominal ultrasound by pushing the intestines out of the way and providing a clearer view of the uterus and baby.

Ultrasound of the Abdomen

A. Avoid discussing past manipulative behaviors with the client. B. Allow manipulation so as to not raise the client's anxiety. C. Institute consequences for manipulative behavior D. Avoid discussing present behaviors with the client

Correct Answer is C

Explanation

Manipulative behavior is not acceptable in any situation, and it is important for the nurse to set clear boundaries and expectations with the client. Allowing manipulation can enable the client's behavior and reinforce it. Avoiding discussing past or present manipulative behaviors with the client may not eﬀectively address the issue and could potentially worsen the behavior. Bargaining with the client can also reinforce manipulative behavior.

Therefore, instituting consequences for manipulative behavior is the most appropriate intervention to include in the plan of care. This could involve setting clear limits on what is acceptable behavior and consistently enforcing consequences when those limits are exceeded. The consequences should be communicated clearly to the client, and the nurse should work with the client to identify more appropriate ways to communicate their needs and concerns.

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A registered nurse is caring for a client who has been diagnosed with obsessive-compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

Correct Answer is C

Explanation

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

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