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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Borderline personality disorder is a serious mental illness characterized by instability in mood, behaviour, and self-image. Patients with borderline personality disorder are at a high risk of self-harm, suicide, and impulsive behaviours. Therefore, the nurse's priority assessment should be to identify any suicidal or homicidal ideations, as these can be life-threatening emergencies. Once identified, appropriate interventions should be initiated, such as suicide precautions, crisis management, and referral to mental health professionals for further evaluation and treatment.
While sleep patern changes, impulsive behaviours, and support systems are also important aspects to assess in patients with borderline personality disorder, they are not the priority when compared to suicidal or homicidal ideations.
Correct Answer is ["A","B","C","F","H"]
Explanation
a. Substance abuse disorder
b. Schizophrenia
c. Age greater than 55 years old
f. Male gender
h. Previous suicide attempt.
Option a. Substance abuse disorder can increase the risk of suicide because it can exacerbate underlying mental health conditions and impair judgment.
Option b. Schizophrenia is a mental health condition that can increase the risk of suicide due to symptoms such as delusions and hallucinations.
Option c. Age greater than 55 years old is a risk factor for suicide because older adults may experience social isolation, chronic health conditions, and loss of independence.
Option f. Male gender is a risk factor for suicide because men are more likely to die by suicide than women. Option h. Previous suicide attempt is a strong predictor of future suicide attempts and completed suicides. Option d. Female gender is not a known risk factor for suicide.
Option e. Being currently married is not a known risk factor for suicide. Option g. Having a bachelor’s degree is not a known risk factor for suicide.
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