For a client diagnosed with obsessive-compulsive disorder (OCD), which strategy should the nurse include in the client's plan of care to address the challenge of coping effectively with daily obsessions and compulsions?
Explore the availability of support groups.
Develop strategies to interrupt thoughts.
Maintain a structured living environment.
Establish healthy sleep hygiene routines.
The Correct Answer is B
Choice A reason: While support groups can be beneficial, they are not a direct coping strategy for managing daily obsessions and compulsions.
Choice B reason: This is the correct choice. Developing strategies to interrupt obsessive thoughts is a key component of cognitive-behavioral therapy, which is effective in treating OCD.
Choice C reason: Maintaining a structured environment may help reduce stress but does not directly address coping with obsessions and compulsions.
Choice D reason: Healthy sleep hygiene is important, but it is not a strategy specifically aimed at coping with OCD symptoms.
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Correct Answer is D
Explanation
Choice A reason: Implementing relaxation techniques is a helpful goal, but it does not directly address the compulsive behavior which is the focus of response prevention therapy.
Choice B reason: Understanding the benefits of deep breathing is beneficial, but it is not the primary goal of response prevention therapy.
Choice C reason: Confronting the trigger is part of the process, but the ultimate goal is to reduce anxiety associated with delaying or preventing the ritual.
Choice D reason: This is the correct choice. The primary goal of response prevention therapy is to reduce the anxiety associated with OCD rituals, making this the most appropriate goal.
Correct Answer is D
Explanation
Choice A reason: Separate personalities are not a characteristic of schizophrenia; this is a common misconception. The disorder involving separate personalities is more accurately associated with dissociative identity disorder.
Choice B reason: While mood swings and hostility can occur in schizophrenia, they are not defining features of the disorder. Schizophrenia is primarily characterized by psychosis, which includes delusions and hallucinations.
Choice C reason: Preoccupation with somatic symptoms is more commonly associated with somatic symptom disorder, not schizophrenia. Schizophrenia involves a range of symptoms including cognitive and emotional dysfunctions.
Choice D reason: Thought disturbances, such as disorganized thinking, and hallucinations, particularly auditory ones, are hallmark symptoms of schizophrenia and are often used in its assessment.
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