The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which action by the nurse will increase the client's sense of security?
Stopping the client from performing the rituals.
Allowing the client to perform the rituals.
Encouraging the client to talk about the purpose of the rituals.
Distracting the client from rituals with other activities.
The Correct Answer is B
Choice A reason: Stopping the client from performing rituals can increase anxiety and distress. Rituals are a coping mechanism for individuals with OCD, and abruptly preventing them can lead to a significant increase in anxiety.
Choice B reason: Allowing the client to perform rituals can provide a sense of security and control, which is important for individuals with OCD. Over time, with appropriate therapy, the need for these rituals can be reduced.
Choice C reason: While encouraging the client to talk about the purpose of the rituals can be part of cognitive-behavioral therapy, it may not immediately increase the client's sense of security. This approach is more about understanding and eventually managing the compulsions.
Choice D reason: Distracting the client from rituals with other activities can be a helpful strategy in therapy but may not directly increase the client's sense of security. It can be used as a part of a comprehensive treatment plan to gradually reduce the reliance on rituals.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While education is important, it is not the priority for a client with significantly progressed dementia, as their ability to learn new information is likely impaired.
Choice B reason: Support is crucial for clients with dementia, but it is not the immediate priority in the context of safety concerns.
Choice C reason: This is the correct choice. Safety is the priority for clients with significantly progressed dementia due to increased risk of harm from confusion, wandering, and other behaviors.
Choice D reason: Cognitive interventions may be part of the treatment plan, but they are not the priority when compared to ensuring the client's safety.
Correct Answer is C
Explanation
Choice A reason: Encouraging a client to live in the past is not a therapeutic goal. Reminiscence therapy is used to stimulate memories and conversations, not to have clients dwell in the past.
Choice B reason: Helping children identify old photographs may be a side benefit but is not the primary therapeutic reason for using photo albums in dementia care.
Choice C reason: Viewing photos as part of reminiscence therapy can help clients with dementia recall memories and engage with others, which can improve their mood and cognitive function.
Choice D reason: While sharing photos might encourage interaction, the primary benefit of viewing photos in dementia care is to provide comfort and stimulate memory for the client, not necessarily to foster interactions with others.
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