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","E"]
Explanation
a. “I can see that you feel sad about this situation”.
e. “The loss of your parent should be very painful for you.”
These responses by the nurse show empathy and validate the patient’s feelings. They also encourage the patient to continue expressing their emotions and facilitate communication.
Option b. “Don’t be sad, everyone has to pass for something like this in the life” is not a helpful response
because it minimizes the patient’s feelings and may make them feel like their emotions are not valid.
Option c. “I felt very sad when my mother died, it was horrible!” is not a helpful response because it shifts the focus of the conversation away from the patient and onto the nurse’s personal experience.
Option d. “Let’s talk about something else. this subject is upsetting you, don’t worry about this” is not a helpful response because it dismisses the patient’s emotions and may make them feel like they are not allowed to express their feelings.
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.
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