A nurse is caring for a newly admitted client who has obsessive-compulsive disorder.
Which of the following actions should the nurse take first? .
Administer an antianxiety medication
Calculate the client's score on the Hamilton Rating Scale for Anxiety.
Explain the use of response prevention to the client.
Discuss the benefits of relaxation exercises with the client.
The Correct Answer is B
Choice A rationale:
Administering an antianxiety medication can help manage symptoms, but it’s not the first action a nurse should take.
Choice B rationale:
Calculating the client’s score on the Hamilton Rating Scale for Anxiety is the first step in assessing the severity of the client’s anxiety.
Choice C rationale:
Explaining the use of response prevention can be beneficial, but it’s not the first action the nurse should take.
Choice D rationale:
Discussing the benefits of relaxation exercises can help manage anxiety, but it’s not the first action the nurse should take.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Hypomagnesemia is not a common finding in clients with bulimia nervosa.
Choice B rationale:
Hypokalemia is a common finding due to purging behaviors, such as self-induced vomiting or misuse of laxatives, which can lead to loss of potassium.
Choice C rationale:
Muscle wasting is more commonly associated with anorexia nervosa, not bulimia nervosa.
Choice D rationale:
Lanugo, or fine body hair, is also more commonly associated with anorexia nervosa, not bulimia nervosa.
Correct Answer is C
Explanation
Choice A rationale:
Encouraging the client to attend a daily exercise program on the unit is beneficial for the client’s health, but it does not demonstrate the ethical principle of veracity, which involves truthfulness and honesty.
Choice B rationale:
Maintaining the client’s confidentiality about a substance use disorder is an important aspect of nursing care, but it demonstrates the ethical principle of confidentiality, not veracity.
Choice C rationale:
Reinforcing information on the potential adverse effects of a medication with the client is an example of veracity. The nurse is being truthful and transparent about the potential risks associated with the medication.
Choice D rationale:
Respecting the client’s right to refuse to attend a group therapy session demonstrates the ethical principle of autonomy, not veracity.
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