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 D
Explanation
Choice A rationale:
This statement is generalizing the client’s feelings, which can lead to a lack of individualized care.
Choice B rationale:
This statement is not acknowledging the client’s feelings of grief, which can lead to a lack of trust in the nurse-client relationship.
Choice C rationale:
This statement is self-disclosing personal information, which can lead to boundary violations in the nurse-client relationship.
Choice D rationale:
This statement is encouraging the client to express their feelings, which can help in the grieving process.
Correct Answer is B
Explanation
Choice A rationale:
Attending a cognitive behavioral therapy class does not require informed consent as it is a non-invasive form of treatment.
Choice B rationale:
Informed consent is necessary when taking an experimental medication to ensure the client understands the potential risks and benefits.
Choice C rationale:
Light therapy is a non-invasive treatment and does not typically require informed consent.
Choice D rationale:
Participating in a group exercise program is a non-invasive form of treatment and does not require informed consent.
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