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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. Non-compliance with blood testing does not typically indicate a need for ECT.
Choice B reason: This choice is incorrect. A recent onset of a manic episode is usually managed with medication adjustments, not ECT.
Choice C reason: This choice is incorrect. Cyclothymic disorder is a milder form of bipolar disorder and is not typically treated with ECT.
Choice D reason: This is the correct choice. ECT is often considered for clients with severe depression that is resistant to medication.
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect as prescribing medications is not within the scope of practice for a basic- level psychiatric-mental health nurse.
Choice B reason: Conducting family therapy typically requires advanced training and is not usually within the scope of a basic-level nurse.
Choice C reason: Interpreting laboratory tests is generally not within the scope of a basic-level psychiatric-mental health nurse.
Choice D reason: This is the correct choice. Promoting symptom management is an appropriate intervention for a psychiatric-mental health nurse at the basic level of practice.
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