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.

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A reason: This choice is incorrect. While postpartum depression can increase suicide risk, it does not have the highest correlation with completed suicide.

Choice B reason: This is the correct choice. Older male clients, especially those living in rural areas, have a higher risk of completing suicide due to factors like isolation and access to lethal means.

Choice C reason: This choice is incorrect. Being married and having a new baby can be protective factors against suicide.

Choice D reason: This choice is incorrect. While stress from school can contribute to suicide risk, it does not typically pose the highest risk compared to other factors.

A. Asking questions easily answered with one-word responses is important with mental health clients. B. Invite the client's family to atend all group therapies with the client. C. Listen atentively to a client and summarize the comments. D. Avoid asking direct questions regarding suicidal behaviors or thoughts.

Correct Answer is C

Explanation

Choice A reason: This choice is incorrect. Asking questions that can be answered with one-word responses does not facilitate a deep therapeutic relationship.
Choice B reason: While involving the family can be beneficial, it is not a direct strategy for the nurse-client relationship.
Choice C reason: This is the correct choice. Active listening and summarizing are key components of building a therapeutic relationship, as they demonstrate understanding and validation of the client's feelings and thoughts.
Choice D reason: It is important to ask about suicidal behaviors or thoughts when there are indications of such risks; avoiding these questions can be detrimental to client care.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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